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JESSICA WILSON D.O.
NPI 1073924742
Family Medicine in Saint Clairsville, OH

Active since May 15, 2014PECOS EnrolledAccepts Medicare Assignment
109 PLAZA DR, SAINT CLAIRSVILLE, OH 43950(740) 695-2090(740) 695-4116 Get Directions Write a Review

NPPES record last updated: January 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 22, 2021, Feb 5, 2019 (2 updates tracked since 2019).

About Jessica Wilson D.o. NPPES

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

JESSICA WILSON D.O. (NPI 1073924742) is an individual family medicine provider in Saint Clairsville, Ohio, licensed in Ohio (34012758) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, is affiliated with Trinity Medical Ctr East &trinity Medical Ctr West, and is a graduate of West Virginia University School Of Medicine (2014).

NPPES Registry Identity

NPI1073924742
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJESSICA WILSONCredential: D.O.
Location Address109 PLAZA DRSaint Clairsville, OH 43950-7713
Mailing Address380 Summit Avenue, Mso Physician BillingSteubenville, OH 43952-2667 · (740) 283-7597 · Fax (740) 283-7807
Phone(740) 695-2090
Fax(740) 695-4116
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 2014
Enumeration DateMay 15, 2014
Last NPPES UpdateJanuary 22, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2021
✔ NPI 1073924742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 34012758
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
109 PLAZA DR, Saint Clairsville, OH 43950
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Other Identifiers 1

Medicaid0219742OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica Wilson D.o. 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 ID5193020394
PECOS Enrollment IDI20170725003302
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.

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.

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.
170 services127 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.
149 services90 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
80 services80 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
14 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Trinity Medical Ctr East &trinity Medical Ctr West

Acute Care Hospitals · Steubenville, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360211
Location380 Summit AvenueSteubenville, OH 43952 · Jefferson County
Emergency services Birthing friendly

Barnesville Hospital Association, Inc

Critical Access Hospitals · Barnesville, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361321
Location639 West Main StreetBarnesville, OH 43713 · Belmont County
Emergency services

Reynolds Memorial Hospital

Acute Care Hospitals · Glen Dale, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510013
Location800 Wheeling AveGlen Dale, WV 26038 · Marshall County
Emergency services Birthing friendly

Wheeling Hospital, Inc

Acute Care Hospitals · Wheeling, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number510050
Location1 Medical ParkWheeling, WV 26003 · Ohio County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43950 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Reported Quality Measures

Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%126 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers20 claims64 services$6.21 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers14 claims15 services$17.60 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers31 claims32 services$91.06 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

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

HEALTH WISE LLC
Family Medicine
109 PLAZA DR
SAINT CLAIRSVILLE, OH 43950
Belmont County (740) 695-5335
MR. NABA GOSWAMI MD
Internal Medicine
109 PLAZA DR
ST CLAIRSVILLE, OH 43950
Belmont County (740) 695-2609
JEANNE HUFFNER FNP
Nurse Practitioner (Family)
109 PLAZA DR
SAINT CLAIRSVILLE, OH 43950
Belmont County (740) 695-2090
GINA TOTH NP
Nurse Practitioner (Family)
109 PLAZA DR
SAINT CLAIRSVILLE, OH 43950
Belmont County (740) 695-2090
MS. SUZANNE MARIE KUBANCIK M.S.CCC-A
Audiologist
109 PLAZA DR
SAINT CLAIRSVILLE, OH 43950
Belmont County (740) 695-1058
STACI LYNN BUTKUS NP
Nurse Practitioner (Family)
109 PLAZA DR
SAINT CLAIRSVILLE, OH 43950
Belmont County (740) 695-5200
AMY L BEAVER PA
Physician Assistant (Surgical)
109 PLAZA DR, SUITE A-2
SAINT CLAIRSVILLE, OH 43950
Belmont County (740) 695-2443
MICHELLE LEIGH SKONECY APRN
Nurse Practitioner (Primary Care)
109 PLAZA DR
SAINT CLAIRSVILLE, OH 43950
Belmont County (740) 695-2090

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 Jessica Wilson's NPI number?

The NPI number for Jessica Wilson is 1073924742. It was assigned to this individual provider in the NPPES registry on May 15, 2014.

Where is Jessica Wilson located?

Jessica Wilson practices at 109 Plaza Dr, Saint Clairsville, OH 43950. The listed phone number is (740) 695-2090.

What is Jessica Wilson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jessica Wilson enrolled in Medicare?

Yes. Jessica Wilson 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.

What insurance does Jessica Wilson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Jessica Wilson 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.

Is Jessica Wilson affiliated with any hospitals?

According to CMS data, Jessica Wilson is affiliated with Trinity Medical Ctr East &trinity Medical Ctr West, Barnesville Hospital Association, Inc, Reynolds Memorial Hospital and Wheeling Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Jessica Wilson was last updated on January 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.