JAMES DAVID WILSON MD
NPI 1043770522
Otolaryngology in New Bern, NC

Q: What is James Wilson's NPI number?

The NPI number for James Wilson is 1043770522. It was assigned to this individual provider in the NPPES registry on March 21, 2019.

Q: What is James Wilson's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: When was this NPI record last updated?

The NPPES record for James Wilson was last updated on July 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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 March 21, 2019PECOS EnrolledAccepts Medicare Assignment

3110 WELLONS BLVD, NEW BERN, NC 28562(252) 638-2515(252) 638-8538 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 9, 2024, Mar 21, 2019 (2 updates tracked since 2019).

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About James David Wilson Md NPPES

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

JAMES DAVID WILSON MD (NPI 1043770522) is an individual otolaryngology provider in New Bern, North Carolina, licensed in North Carolina (2024-01765) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Carolina East Medical Center, and is a graduate of Boston University School Of Medicine (2019).

NPPES Registry Identity

NPI1043770522

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NameJAMES DAVID WILSONCredential: MD

Location Address3110 WELLONS BLVDNew Bern, NC 28562-5247

Mailing AddressPo Box 68Pollocksville, NC 28573-0068 · (252) 635-3906 · Fax (252) 224-0378

Phone(252) 638-2515

Fax(252) 638-8538

Sole ProprietorNo

Medical School CMSBoston University School Of MedicineGraduated 2019

Enumeration DateMarch 21, 2019

Last NPPES UpdateJuly 9, 20242 updates tracked since enumeration

NPPES CertifiedJuly 9, 2024

✔ NPI 1043770522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in NC · 2024-01765

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

3110 WELLONS BLVD, New Bern, NC 28562

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, UnitedHealthcare.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

James David 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 ID2860722972

PECOS Enrollment IDI20240826003144

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 Reassignment

Medicare enrollment records show James Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Carolinaeast Physicians

Same address

Otolaryngology

3110 WELLONS BLVD
New Bern, NC 28562

Reassigned Medicare billing, North Carolina enrollment
320 clinicians in this Medicare group

NPI 1275879439 (252) 638-2515

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 8

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

66 services66 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

50 services50 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.

47 services43 patients

Diagnostic exam of voice box using a flexible endoscope 31575

This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.

35 services34 patients

Professional service for multiple injections of allergen 95117

The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.

25 services16 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

22 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Carolina East Medical Center

Acute Care Hospitals · New Bern, NC

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340131

Location2000 Neuse BlvdNew Bern, NC 28560 · Craven County

Emergency services Birthing friendly

Carteret General Hospital

Acute Care Hospitals · Morehead City, NC

3/5 CMS rating

OwnershipProprietary

CMS Certification Number340142

Location3500 Arendell StMorehead City, NC 28557 · Carteret County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28562 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

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

Other Providers at the Same Location NPPES 18

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

DR. THOMAS R GRANT MD

Otolaryngology