Doctor profile · Federal record
Dr. RENEE WILSON, PA-C
Medical Physician Assistant (CMS: PHYSICIAN ASSISTANT) · MERIDIAN, ID
- NPI 1215019534
- Accepts Medicare
- MIPS 100.0 / 100 · 2023
- 22 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1618 S MILLENIUM WAY STE 100
MERIDIAN, ID 836426457
(208) 884-3376
fax (208) 884-0858
Credentials & registration
- NPI registered
- October 2006 — 20 yrs on file
- Profile last updated
- June 4, 2025
- Year of graduation
- 2004 — 22 yrs since
- Specialty taxonomy
- 363AM0700X — NUCC code
- State license (1)
- Idaho #PA557
- Medicaid
- ID #807233200
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1215019534. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
882
Distinct HCPCS
10
Medicare allowed
$45,384
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
17003 |
Destruction of precancer skin growth, 2-14 growths | 284 | 62 | $5 | |
17000 |
Destruction of precancer skin growth, 1 growth | 121 | 91 | $41 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 115 | 92 | $72 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 106 | 106 | $89 | |
11102 |
Biopsy of related skin growth, first growth | 102 | 93 | $77 | |
11103 |
Biopsy of related skin growth, each additional growth | 44 | 27 | $40 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 35 | 29 | $45 | |
12032 |
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm | 21 | 20 | $239 | |
11602 |
Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm | 15 | 14 | $96 | |
99202 |
New patient office or other outpatient visit, 15-29 minutes | 15 | 15 | $57 |
In context: peer comparison
Among 15 peers in this city , average services per provider: 61. This provider delivers 14× the peer median.Open Payments
Industry payments received
All-time total
$883
Transactions
25
Manufacturers
11
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| E.R. Squibb & Sons, L.L.C. | 1 | $270.96 | |
| Janssen Biotech, Inc. | 3 | $136.16 | |
| ABBVIE INC. | 4 | $121.09 | |
| SUN PHARMACEUTICAL INDUSTRIES INC. | 4 | $79.70 | |
| LEO Pharma Inc. | 3 | $60.65 | |
| UCB, Inc. | 3 | $49.95 | |
| Galderma Laboratories, L.P. | 2 | $48.16 | |
| Krystal Biotech Inc | 1 | $33.17 | |
| Dermavant Sciences, Inc. | 2 | $33.06 | |
| Lilly USA, LLC | 1 | $29.93 | |
| Amgen Inc. | 1 | $20.51 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
130
Patients
96
Total drug cost
$1,975
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Triamcinolone Acetonide | Generic | 42 | 38 | $334 |
| Ketoconazole | Generic | 36 | 23 | $631 |
| Clobetasol Propionate | Generic | 23 | 17 | $816 |
| Mupirocin | Generic | 18 | 18 | $136 |
| Hydrocortisone | Generic | 11 | 0 | $59 |