JON R WILZONSKI O.D.
NPI 1063074540
Optometrist in Arnold, MO

Q: What is Jon Wilzonski's NPI number?

The NPI number for Jon Wilzonski is 1063074540. It was assigned to this individual provider in the NPPES registry on July 3, 2019. The provider is also known as Jon R Wilson.

Q: What is Jon Wilzonski's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Jon Wilzonski was last updated on July 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 July 03, 2019PECOS EnrolledAccepts Medicare Assignment

1235 WATER TOWER PL, ARNOLD, MO 63010(636) 296-8612(636) 296-8055 Get Directions Write a Review

NPPES record last updated: July 3, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Jon R Wilzonski O.d. NPPES

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

JON R WILZONSKI O.D. (NPI 1063074540) is an individual optometrist in Arnold, Missouri, licensed in Missouri (2019021299) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1063074540

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameJON R WILZONSKICredential: O.D.

Location Address1235 WATER TOWER PLArnold, MO 63010-2142

Mailing Address1235 Water Tower PlArnold, MO 63010-2142 · (636) 296-8612 · Fax (636) 296-8055

Phone(636) 296-8612

Fax(636) 296-8055

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateJuly 3, 2019

✔ NPI 1063074540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in MO · 2019021299

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

1235 WATER TOWER PL, Arnold, MO 63010

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Other Names 1

Former Name (1)Jon R Wilson

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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

Jon R Wilzonski O.d. 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 ID7315274511

PECOS Enrollment IDI20190812000304

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 Jon Wilzonski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Diane G. Wilson, Od & Associates, PC

Same address

Optometrist

1235 WATER TOWER PL
Arnold, MO 63010

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

NPI 1770619637 (636) 296-8612

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 4

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.

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

63 services61 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

42 services42 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.

28 services25 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.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63010 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

$69.50 typical visit price

range $17.76 – $137.92

Typical copayment $17.37 (range $4.44 – $34.48)

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 4

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

DR. AMY SCHAAG O.D.

Optometrist

1235 WATER TOWER PL
ARNOLD, MO 63010

Jefferson County (636) 296-8612

DR. DAVID L DAVIDSON O.D.

Optometrist (Corneal and Contact Management)

1235 WATER TOWER PL
ARNOLD, MO 63010

Jefferson County (636) 296-8612

DIANE G. WILSON, OD & ASSOCIATES, PC

Optometrist

1235 WATER TOWER PL
ARNOLD, MO 63010

Jefferson County (636) 296-8612

DR. DIANE G WILSON O.D.

Optometrist

1235 WATER TOWER PL
ARNOLD, MO 63010

Jefferson County (636) 296-8612

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jon Wilzonski's NPI number?

The NPI number for Jon Wilzonski is 1063074540. It was assigned to this individual provider in the NPPES registry on July 3, 2019. The provider is also known as Jon R Wilson.

Where is Jon Wilzonski located?

Jon Wilzonski practices at 1235 Water Tower Pl, Arnold, MO 63010. The listed phone number is (636) 296-8612.

What is Jon Wilzonski's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Jon Wilzonski enrolled in Medicare?

Yes. Jon Wilzonski is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jon Wilzonski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jon Wilzonski reassigns Medicare benefits to Diane G. Wilson, Od & Associates, PC (Arnold, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jon Wilzonski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jon Wilzonski accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Oscar Health and 8 other insurers list Jon Wilzonski as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jon Wilzonski was last updated on July 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.