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Kristopher Edward Wilson , MOT

Occupational Therapist โ€ข Orange Park, FL

Active NPI 1578739975 Individual Practitioner Male Practitioner
Practice location in NPPES

1280 Harbour Town Dr
Orange Park, FL 320652562

Call 9047108571 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1280 Harbour Town Dr

Orange Park, FL 320652562

Telephone 9047108571
Organization at the Same NPPES Address or Phone
Modified Independence Evaluations Inc Facility NPI 1356037980

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare patients

39 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $9,045 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $7,057 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

NPI first issued

2008

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Kristopher Wilson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Orange Park and Florida

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 85% of clinicians listed under Occupational Therapist in Florida (2024, 579 clinicians with data). Median for this group: 1,629. Middle half: 712 to 3,248.

Too few clinicians listed under Occupational Therapist in Orange Park have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A lower Medicare-allowed amount than 85% of clinicians listed under Occupational Therapist in Florida (2024, 579 clinicians with data). Median for this group: $42,248. Middle half: $18,340 to $86,488.

Too few clinicians listed under Occupational Therapist in Orange Park have Medicare Part B data for 2024 to compare.

Paid by Medicare

A lower Medicare payment amount than 85% of clinicians listed under Occupational Therapist in Florida (2024, 579 clinicians with data). Median for this group: $33,229. Middle half: $14,014 to $67,306.

Too few clinicians listed under Occupational Therapist in Orange Park have Medicare Part B data for 2024 to compare.

43 active clinicians are listed under Occupational Therapist with a practice address in Orange Park, FL (8,044 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Orange Park

0% of these 43 clinicians have the CMS telehealth indicator.

7% of these 43 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
97535 Training for self-care or home management, each 15 minutes
286 39 $52.24 $19.71
97166 Evaluation for occupational therapy, typically 45 minutes
37 37 $125.00 $92.10

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-04-17
Occupational Therapist Primary Specialty

NUCC Taxonomy Code: 225X00000X

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

Occupational Therapist

NUCC Taxonomy Code: 225X00000X

License # reported to NPPES FL OT13205

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE

Medicare Enrollment ID

I20230522003456

Enrollment State Jurisdiction

FL

PECOS Control ID

7911363668

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
๐Ÿ“
Updated Practice Location April 17, 2023

Registered at 1280 HARBOUR TOWN DR, ORANGE PARK, FL 320652562 (Tel: 9047108571)

๐Ÿ“
Updated Business Mailing Address April 17, 2023

Registered at 1280 HARBOUR TOWN DR, ORANGE PARK, FL 320652562 (Tel: 9047108571)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2023

Occupational Therapist (license number reported to NPPES: FL OT13205)

โœ…
NPI Profile Active May 06, 2008

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) May 06, 2008

Registered at 1675 EAGLE HARBOR PKWY, SUITE B, ORANGE PARK, FL 320034802 (Tel: 9046370148)

๐Ÿ“
Business Mailing Address (Initial Record) May 06, 2008

Registered at 1675 EAGLE HARBOR PKWY, SUITE B, ORANGE PARK, FL 320034802

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) May 06, 2008

Recorded as KRISTOPHER WILSON, MOT

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2008

Occupational Therapist

๐ŸŸข
Initial NPI Registration & Enumeration May 06, 2008

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1578739975
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 06, 2008
Last Update: April 17, 2023
Sole Proprietor: No

Mailing Address

1280 Harbour Town Dr

Orange Park, FL 320652562

Phone: 9047108571

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.