JAMES MATTHEW WILSON M.D.
NPI 1114389285
Internal Medicine - Critical Care Medicine in Fort Dodge, IA

Q: What is James Wilson's NPI number?

The NPI number for James Wilson is 1114389285. It was assigned to this individual provider in the NPPES registry on March 28, 2016.

Q: What is James Wilson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Q: When was this NPI record last updated?

The NPPES record for James Wilson was last updated on October 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 28, 2016PECOS EnrolledAccepts Medicare Assignment

802 KENYON RD, FORT DODGE, IA 50501(515) 573-3101 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 30, 2023, Mar 28, 2016 (2 updates tracked since 2016).

On this page

About James Matthew Wilson M.d. NPPES

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

JAMES MATTHEW WILSON M.D. (NPI 1114389285) is an individual critical care medicine provider in Fort Dodge, Iowa, licensed in Iowa (MD-50027) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Trinity Regional Medical Center, and is a graduate of Medical College Of Georgia School Of Medicine (2016).

NPPES Registry Identity

NPI1114389285

Entity TypeIndividualMale

Primary Taxonomy207RC0200X

Provider Legal NameJAMES MATTHEW WILSONCredential: M.D.

Location Address802 KENYON RDFort Dodge, IA 50501-5740

Mailing Address402 Myrtle AveIowa City, IA 52246-2023 · (304) 672-2660

Phone(515) 573-3101

Sole ProprietorNo

Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2016

Enumeration DateMarch 28, 2016

Last NPPES UpdateOctober 30, 20232 updates tracked since enumeration

NPPES CertifiedOctober 30, 2023

✔ NPI 1114389285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RC0200X

License✔ Licensed in IA · MD-50027

Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License MD-50027 (IA)

802 KENYON RD, Fort Dodge, IA 50501

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, Wellmark Health Plan of Iowa, Inc..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 Matthew Wilson M.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 ID5597144105

PECOS Enrollment IDI20220628000354

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 Reassignments

Medicare enrollment records show James Wilson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Trinity Regional Medical Center

Same address

Emergency Medicine

802 KENYON RD
Fort Dodge, IA 50501

Reassigned Medicare billing, Iowa enrollment
387 clinicians in this Medicare group

NPI 1073594156 (515) 573-3101

Iowa Physicians Clinic Medical Foundation

62 mi

General Practice

8101 BIRCHWOOD CT, SUITE N
Johnston, IA 50131

Reassigned Medicare billing, Iowa enrollment
1,506 clinicians in this Medicare group

NPI 1891127502 (515) 471-9300

Mercy Medical Center

134 mi

Psychiatry

5264 COUNCIL ST NE
Cedar Rapids, IA 52402

Reassigned Medicare billing, Iowa enrollment
387 clinicians in this Medicare group

NPI 1700834165 (319) 398-6575

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 6

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

79 services54 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

25 services17 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

20 services14 patients

Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556

This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.

16 services16 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

12 services12 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Trinity Regional Medical Center

Acute Care Hospitals · Fort Dodge, IA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160016

Location802 Kenyon RdFort Dodge, IA 50501 · Webster County

Emergency services Birthing friendly

Humboldt County Memorial Hospital

Critical Access Hospitals · Humboldt, IA

OwnershipVoluntary non-profit - Other

CMS Certification Number161334

Location1000 North 15th StreetHumboldt, IA 50548 · Humboldt County

Emergency services

Loring Hospital

Critical Access Hospitals · Sac City, IA

OwnershipVoluntary non-profit - Private

CMS Certification Number161370

Location211 Highland Avenue PO Box 217Sac City, IA 50583 · Sac County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50501 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

$122.23 typical visit price

range $52.96 – $161.40

Typical copayment $30.55 (range $13.24 – $40.35)

Most-billed visit code 99204

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

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.

Other Providers at the Same Location NPPES 20

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

DR. SARAH ANNE TOFILON MD

Internal Medicine (Hematology & Oncology)

802 KENYON RD, MCFARLAND CLINIC
FORT DODGE, IA 50501

Webster County (515) 574-8302

DR. GAYLENE FAYE LYNCH D.O.

Emergency Medicine