ZECHARIAH WILSON MD
NPI 1104274950
Family Medicine in Caldwell, ID

Q: What is Zechariah Wilson's NPI number?

The NPI number for Zechariah Wilson is 1104274950. It was assigned to this individual provider in the NPPES registry on June 1, 2016.

Q: What is Zechariah Wilson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Zechariah Wilson was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 June 01, 2016PECOS EnrolledAccepts Medicare Assignment

315 E ELM ST # 201, CALDWELL, ID 83605(208) 514-2528(208) 375-2217 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 5, 2025, Sep 17, 2020 (2 updates tracked since 2020).

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About Zechariah Wilson Md NPPES

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

ZECHARIAH WILSON MD (NPI 1104274950) is an individual family medicine provider in Caldwell, Idaho, licensed in Idaho (M-14112) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and is a graduate of University Of Nevada School Of Medicine (2016).

NPPES Registry Identity

NPI1104274950

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameZECHARIAH WILSONCredential: MD

Location Address315 E ELM ST # 201Caldwell, ID 83605-4857

Mailing Address777 N Raymond StBoise, ID 83704-9251 · (208) 514-2500 · Fax (208) 375-2217

Phone(208) 514-2528

Fax(208) 375-2217

Sole ProprietorNo

Medical School CMSUniversity Of Nevada School Of MedicineGraduated 2016

Enumeration DateJune 1, 2016

Last NPPES UpdateNovember 5, 20252 updates tracked since enumeration

NPPES CertifiedNovember 5, 2025

✔ NPI 1104274950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in ID · M-14112✔ Licensed in ID · MRM-1581

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.

Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X · License M-14112 (ID)

315 E ELM ST # 201, Caldwell, ID 83605

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Other Identifiers 1

Medicaid1104274950ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Providence Health Plan.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

Zechariah 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 ID42502684

PECOS Enrollment IDI20200918002068

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83605 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

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.

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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.

MARK BERGER NP

Nurse Practitioner (Family)