DR. JEFFREY P WILSON MD
NPI 1003287079
Internal Medicine - Interventional Cardiology in Fenton, MO

Q: What is Jeffrey Wilson's NPI number?

The NPI number for Jeffrey Wilson is 1003287079. It was assigned to this individual provider in the NPPES registry on October 15, 2015.

Q: What is Jeffrey Wilson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Wilson was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 15, 2015PECOS EnrolledAccepts Medicare Assignment

97.58/100

CMS Quality Rating

1011 BOWLES AVE STE 300, FENTON, MO 63026(636) 496-5065 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 16, 2026, May 19, 2025, Mar 7, 2025 and 3 more (6 updates tracked since 2016).

On this page

About Dr. Jeffrey P Wilson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEFFREY P WILSON MD (NPI 1003287079) is an individual interventional cardiology provider in Fenton, Missouri, licensed in Missouri (2025010674) and active in the NPI registry since October 2015. He is enrolled in Medicare PECOS, is affiliated with Benefis Hospitals Inc, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1003287079

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameDR. JEFFREY P WILSONCredential: MD

Location Address1011 BOWLES AVE STE 300Fenton, MO 63026-2387

Mailing Address345 W Steamboat Dr Ste 601North Sioux City, SD 57049-5287 · Fax (605) 217-5533

Phone(636) 496-5065

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateOctober 15, 2015

Last NPPES UpdateJuly 16, 20266 updates tracked since enumeration

NPPES CertifiedJuly 16, 2026

✔ NPI 1003287079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

Licenses✔ Licensed in MO · 2025010674✔ Licensed in MT · 147427✔ Licensed in IL · 036165783✔ Licensed in SD · 10415

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal MedicineTaxonomy 207R00000X · License 036165783 (IL)

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 036165783 (IL)

1011 BOWLES AVE STE 300, Fenton, MO 63026

Open in Google Maps ↗

Secondary Practice Locations 4

Location 12300 N Edward StDecatur, IL 62526-4192 · Phone (217) 876-8121

Location 2619 E Mason StSpringfield, IL 62701-1034 · Phone (217) 788-0706

Location 31300 28th St S Fl 2Great Falls, MT 59405-5296 · Phone (406) 455-4230

Location 4201 Anamaria DrRapid City, SD 57701-7305 · Phone (605) 503-8192

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Blue Cross and Blue Shield of Montana, Blue Cross Blue Shield of Wyoming and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jeffrey P Wilson Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981999893

PECOS Enrollment IDI20210505002990, I20251002002658

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Jeffrey Wilson reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ssm Health Care St Louis

Same address

Emergency Medicine

1015 BOWLES AVENUE
Fenton, MO 63026

Reassigned Medicare billing, Missouri enrollment
741 clinicians in this Medicare group

NPI 1275586174 (636) 496-2502

Prairie Cardiovascular Consultants Ltd

94 mi

Multi-Specialty

3051 HOLLIS DR FL 2
Springfield, IL 62704

Reassigned Medicare billing, Illinois enrollment
101 clinicians in this Medicare group

NPI 1982714218 (217) 492-9695

Sage Medical Prof LLC

419 mi

Vascular Surgery

345 W STEAMBOAT DR STE 701
Dakota Dunes, SD 57049

Reassigned Medicare billing, South Dakota enrollment
9 clinicians in this Medicare group

NPI 1588156657 (319) 430-9340

Vascular & Interventional Radiology Of Siouxland

419 mi

Vascular Surgery

345 W STEAMBOAT DR STE 601
Dakota Dunes, SD 57049

Reassigned Medicare billing, South Dakota and Wyoming enrollments
9 clinicians in this Medicare group

NPI 1225636129 (605) 217-5617

Monument Health Rapid City Hospital, Inc.

718 mi

Family Medicine

112 7TH AVENUE
Wall, SD 57790

Reassigned Medicare billing, South Dakota enrollment
831 clinicians in this Medicare group

NPI 1265811285 (605) 279-2149

West River Hv, PLLC

764 mi

Vascular Surgery

201 ANAMARIA DR
Rapid City, SD 57701

Reassigned Medicare billing, South Dakota enrollment
2 clinicians in this Medicare group

NPI 1386587095 (605) 608-0693

Billings Clinic

951 mi

Family Medicine

620 S HAYNES AVE
Miles City, MT 59301

Reassigned Medicare billing, Montana enrollment
1,264 clinicians in this Medicare group

NPI 1427194836 (406) 233-7000

Benefis Hospitals, Inc.

1,216 mi

General Acute Care Hospital

1101 26TH ST S
Great Falls, MT 59405

Reassigned Medicare billing, Montana enrollment
637 clinicians in this Medicare group

NPI 1881650737 (406) 455-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

762 services569 patients

Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch 92928

This procedure involves placing a small, mesh tube (stent) in your coronary artery to keep it open. A balloon is used to expand the stent and artery, improving blood flow to your heart. It's typically done for a single artery or branch.

47 services32 patients

Ultrasound evaluation of heart blood vessel or graft with review by radiologist, initial vessel 92978

This procedure involves using ultrasound technology to examine the first vessel of your heart or graft. A radiologist will review the images. It's a non-invasive way to check the health of your heart's blood vessels.

47 services40 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

46 services42 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

25 services25 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

24 services23 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

21 services21 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

19 services19 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

18 services12 patients

Insertion of tube in coronary artery for diagnosis with review by radiologist 93454

This procedure involves placing a small tube into your coronary artery. It helps to identify any blockages or issues within the artery. A radiologist, a doctor specialized in medical imaging, will review the results to ensure accurate diagnosis.

17 services16 patients

Ultrasound evaluation of heart blood vessel or graft with review by radiologist, each additional vessel 92979

This procedure involves using ultrasound technology to evaluate the condition of your heart's blood vessels or graft. A radiologist reviews the images to check for any abnormalities. If additional vessels need to be examined, the process is repeated.

16 services11 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

13 services13 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Benefis Hospitals Inc

Acute Care Hospitals · Great Falls, MT

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number270012

Location1101 26th St SGreat Falls, MT 59405 · Cascade County

Emergency services Birthing friendly

Monument Health Spearfish Hospital

Acute Care Hospitals · Spearfish, SD

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430048

Location1440 N Main StSpearfish, SD 57783 · Lawrence County

Emergency services

Monument Health Rapid City Hospital

Acute Care Hospitals · Rapid City, SD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430077

Location353 Fairmont BlvdRapid City, SD 57701 · Pennington County

Emergency services Birthing friendly

Black Hills Surgical Hospital LLP

Acute Care Hospitals · Rapid City, SD

OwnershipProprietary

CMS Certification Number430091

Location216 Anamaria DrRapid City, SD 57703 · Pennington County

Hans P Peterson Memorial Hospital - Cah

Critical Access Hospitals · Philip, SD

OwnershipVoluntary non-profit - Private

CMS Certification Number431319

Location503 W Pine Post Office Box 790Philip, SD 57567 · Haakon County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63026 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$128.28 typical visit price

range $55.65 – $169.38

Typical copayment $32.07 (range $13.91 – $42.34)

Most-billed visit code 99204

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.58/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.53

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AMAN KANTI PATEL DO

Internal Medicine (Interventional Cardiology)