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DR. MADELYN WILSON DDS
NPI 1114356672
Dentist - General Practice in Creve Coeur, MO

Active since November 05, 2013PECOS Enrolled
12301 OLIVE BLVD, CREVE COEUR, MO 63141(314) 579-6166(314) 579-6163 Get Directions Write a Review

NPPES record last updated: December 12, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 12, 2016, Sep 20, 2016 (2 updates tracked since 2016).

About Dr. Madelyn Wilson Dds NPPES

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

DR. MADELYN WILSON DDS (NPI 1114356672) is an individual general practice provider in Creve Coeur, Missouri, licensed in Missouri (2013020793) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114356672
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MADELYN WILSONCredential: DDS
Location Address12301 OLIVE BLVDCreve Coeur, MO 63141
Mailing Address12301 Olive BlvdCreve Coeur, MO 63141 · (314) 579-6166 · Fax (314) 579-6163
Phone(314) 579-6166
Fax(314) 579-6163
Sole ProprietorYes
Enumeration DateNovember 5, 2013
Last NPPES UpdateDecember 12, 20162 updates tracked since enumeration
✔ NPI 1114356672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MO · 2013020793
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

12301 OLIVE BLVD, Creve Coeur, MO 63141
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Accepted Insurance

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

Dr. Madelyn Wilson Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 63141 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
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.

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 Madelyn Wilson's NPI number?

The NPI number for Madelyn Wilson is 1114356672. It was assigned to this individual provider in the NPPES registry on November 5, 2013.

Where is Madelyn Wilson located?

Madelyn Wilson practices at 12301 Olive Blvd, Creve Coeur, MO 63141. The listed phone number is (314) 579-6166.

What is Madelyn Wilson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Madelyn Wilson enrolled in Medicare?

Yes. Madelyn Wilson is registered in the Medicare PECOS enrollment system.

What insurance does Madelyn Wilson accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Guardian and Humana list Madelyn 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.

When was this NPI record last updated?

The NPPES record for Madelyn Wilson was last updated on December 12, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.