Dr. Douglas Wilson, MD
1141 Pear Tree Lane, Suite 100, Napa, CA 94558 • +1-307-555-8010
Medical Education: Accredited U.S. Medical School (Class of 2006)
What This Doctor Actually Performs: CMS Medicare Utilization & Napa Percentiles
NPI #1285693572 • CBSA Regional • Family Practice
Statistical peer benchmarking across CA Family Practice providers positions Dr. Douglas Wilson, MD in Napa at -0.09σ (0th city percentile / 19.6th state percentile, 273 Medicare beneficiaries), with clinical focus spanning 13 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1285693572 highlights 351 annual claims for 99214 (12th Napa percentile; $158–$217 self-pay corridor) plus 259 encounters under 99213 and 100 under G0439.
Self-pay new patient consultations with Dr. Wilson (CPT 99204 GPCI-adjusted benchmark) estimate around $239.00 (community reported average: $239.00) with hybrid in-clinic and telehealth video consults, 15-minute average reception wait, and a 4.94/5 modern protocol openness score across 17 patient logs.
Clinical background for Dr. Wilson (MD, NPI #1285693572) includes accredited doctoral training (2006, 20 yrs in practice) and virtual + in-office availability across CA.
Compared against Napa, CA Family Practice peers
836 annual services across 273 beneficiaries
Standard deviations from CA Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 351 | 12th | $158 – $217 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 259 | 12th | $121 – $166 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 100 | 12th | $181 – $249 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 75 | 12th | $34 – $49 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 50 | 12th | $217 – $298 |
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Dr. Douglas Wilson, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Wilson National Provider Identifier | NPI #1285693572 (MD) | CMS NPPES Registry (94558) |
| Dr. Wilson Napa CMS Volume Rank | 0.00th Pct (836 CMS svcs; Z -0.085σ) | CMS Medicare Part B (CA Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Napa, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 15 min lobby wait | 17 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.83/5 Listening • 4.94/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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