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Timothy Wilson MD in Santa Monica, California

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Timothy Wilson MD has Urology as his primary medical specialty. Their primary office is: 2121 Santa Monica Blvd in Santa Monica, California.

They're a part of the: Providence Saint Johns Medical Foundation medical group which has around 313 members. You can call their office at 310-829-5511 to schedule an appointment. They also accept the Medicare-approved amount as payment in full. They attended Oregon Health Sciences University School Of Medicine and graduated in 1980 (around 44 years of experience). They are listed as doing telehealth appointments.


Timothy Wilson MD Office Phone and Directions

Timothy Wilson MD
Providence Saint Johns Medical Foundation
2121 Santa Monica Blvd
Santa Monica, California 90404
310-829-5511


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Phone: 310-829-5511


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Healthcare Info for Timothy Wilson MD

Medical School: Oregon Health Sciences University School Of Medicine
Graduation Year: 1980
The Primary Medical Specialty for Timothy Wilson MD is listed as: Urology
Credentials: MD
Additional Credentials:
Approximate Years of Experience: 44
PAC (PECOS ID)#: 6406861707
NPI #: 1912005422
NPI Created On: 09/20/2006
NPI Last Updated Listed as: 09/14/2021
Primary Taxonomy Code: 208800000X
License Number:
G57490
Listed Gender: Male

Insurance, Services, Charges


Forms of insurance accepted by include, but are not limited to:

  • Humana
  • Medicare

They are listed as accepting new patients.

Languages spoken by staff include: English.


Services and Procedures include:

  1. Removal of total lymph nodes of both sides of pelvis using an endoscope
  2. Removal of total lymph nodes of both sides of pelvis and abdominal lymph node biopsy using an endoscope
  3. Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope
  4. Biopsy of prostate gland
  5. Surgical removal of prostate and surrounding lymph nodes using an endoscope
  6. Ultrasound of rectum
  7. New patient office or other outpatient visit, typically 45 minutes
  8. New patient office or other outpatient visit, typically 60 minutes
  9. Established patient office or other outpatient visit, typically 15 minutes
  10. Established patient office or other outpatient, visit typically 25 minutes
  11. Established patient office or other outpatient, visit typically 40 minutes
  12. Physician telephone patient service, 11-20 minutes of medical discussion
  13. Physician telephone patient service, 21-30 minutes of medical discussion

They took part in the Medicare Physician Quality Reporting System (PQRS).

Open Payments Data. This can include items to test (Durable Medical Equipment (DME)), Biological, Drug Samples, etc. This data must be reported to CMS.


Payments Total: $25

Number of Payments:: 1

Form of Payment: In-kind items and services

Third party is a Charity:: No

Record ID:: 825841829

Being Disputed:: No

Product Related: Yes

Drug or Biological: Biological

Product Category #1: Oncology

Name of Drug #1: XGEVA

Open Associated Drug #1: 55513-730-01


Payments Total: $3,450

Number of Payments:: 1

Form of Payment: Cash or cash equivalent

Record ID:: 809682271

Being Disputed:: No

Product Related: Yes

Drug or Biological: Biological

Product Category #1: ONCOLOGY

Name of Drug #1: LIBTAYO

Open Associated Drug #1: 61755-008-01


Payments Total: $19

Number of Payments:: 1

Form of Payment: In-kind items and services

Third party is a Charity:: No

Context of payment:: Marketed Product is a Biological without a NDC code which caused it to fail validation; therefore, it is submitted as a Medical Supply as a workaround to ensure completeness of data submission.

Record ID:: 843066774

Being Disputed:: No

Product Related: Yes

Drug or Biological: Medical Supply

Product Category #1: Extremities & Limb Restoration

Name of Drug #1: STRAVIX


Payments Total: $18

Number of Payments:: 1

Form of Payment: In-kind items and services

Third party is a Charity:: No

Record ID:: 848439585

Being Disputed:: No

Product Related: Yes

Drug or Biological: Biological

Product Category #1: ONCOLOGY

Name of Drug #1: KEYTRUDA

Open Associated Drug #1: 0006-3029-02

Drug or Biological: Biological

Product Category #2: ONCOLOGY

Name Of Drug #2:: LYNPARZA

Associated Drug #2: 0310-0657-58


Payments Total: $19

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 821602835

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: ONCOLOGY

Name of Drug #1: PADCEV

Open Associated Drug #1: 51144-020-01


Payments Total: $2,000

Number of Payments:: 1

Form of Payment: Cash or cash equivalent

Record ID:: 851409673

Being Disputed:: No

Product Related: Yes

Drug or Biological: Medical Supply

Product Category #1: HUMAN TISSUE PRODUCTS

Name of Drug #1: NEOX

Drug or Biological: Medical Supply

Product Category #2: HUMAN TISSUE PRODUCTS

Name Of Drug #2:: CLARIX


Payments Total: $1,800

Number of Payments:: 1

Form of Payment: Cash or cash equivalent

Record ID:: 851409675

Being Disputed:: No

Product Related: Yes

Drug or Biological: Medical Supply

Product Category #1: HUMAN TISSUE PRODUCTS

Name of Drug #1: NEOX

Drug or Biological: Medical Supply

Product Category #2: HUMAN TISSUE PRODUCTS

Name Of Drug #2:: CLARIX


Payments Total: $25

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 851412969

Being Disputed:: No

Product Related: Yes

Drug or Biological: Medical Supply

Product Category #1: HUMAN TISSUE PRODUCTS

Name of Drug #1: NEOX

Drug or Biological: Medical Supply

Product Category #2: HUMAN TISSUE PRODUCTS

Name Of Drug #2:: CLARIX


Payments Total: $21

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 851415503

Being Disputed:: No

Product Related: Yes

Drug or Biological: Medical Supply

Product Category #1: HUMAN TISSUE PRODUCTS

Name of Drug #1: NEOX

Drug or Biological: Medical Supply

Product Category #2: HUMAN TISSUE PRODUCTS

Name Of Drug #2:: CLARIX


Payments Total: $19

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 851415743

Being Disputed:: No

Product Related: Yes

Drug or Biological: Medical Supply

Product Category #1: HUMAN TISSUE PRODUCTS

Name of Drug #1: NEOX

Drug or Biological: Medical Supply

Product Category #2: HUMAN TISSUE PRODUCTS

Name Of Drug #2:: CLARIX


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Providers in Providence Saint Johns Medical Foundation

1.Rachel Abucasis

1301 20th St
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Providence Saint Johns Medical Foundation
Qualified Audiologist

2.David Agus

12414 Exposition Blvd
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Medical Oncology

3.David Agus

2336 Santa Monica Blvd
Santa Monica Ca 90404-2938
Providence Saint Johns Medical Foundation
Medical Oncology

4.Jennifer Allaire

8570 W Sunset Blvd
West Hollywood Ca 90069-2312
Providence Saint Johns Medical Foundation
Nurse Practitioner

5.Krishna Amuluru

2121 Santa Monica Blvd
Santa Monica Ca 90404-2303
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Diagnostic Radiology

6.Abbas Anwar

11645 Wilshire Blvd
Los Angeles Ca 90025-6807
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Otolaryngology

View all 313 members of Providence Saint Johns Medical Foundation medical group