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DR. JOHN G WILSON M.D.
NPI 1124291612
Obstetrics & Gynecology - Gynecology in Merchantville, NJ

Active since April 07, 2008Opted out of Medicare · through Nov 21, 2027
1 S CENTRE ST, #201, MERCHANTVILLE, NJ 08109(856) 663-4447(856) 488-6380 Get Directions Write a Review

NPPES record last updated: April 7, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. John G Wilson M.d. NPPES

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

DR. JOHN G WILSON M.D. (NPI 1124291612) is an individual gynecology provider in Merchantville, New Jersey, licensed in New Jersey (25MA03369200) and active in the NPI registry since April 2008. He has opted out of Medicare through November 21, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1124291612
Entity TypeIndividualMale
Primary Taxonomy207VG0400X
Provider Legal NameDR. JOHN G WILSONCredential: M.D.
Location Address1 S CENTRE ST, #201Merchantville, NJ 08109-2213
Mailing Address1 S Centre St, #201Merchantville, NJ 08109-2213 · (856) 663-4447 · Fax (856) 488-6380
Phone(856) 663-4447
Fax(856) 488-6380
Sole ProprietorNo
Enumeration DateApril 7, 2008
✔ NPI 1124291612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in NJ · 25MA03369200
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
1 S CENTRE ST, Merchantville, NJ 08109
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. John G Wilson M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 21, 2019 through November 21, 2027.

Opt-Out Effective DateNovember 21, 2019
Opt-Out In Effect ThroughNovember 21, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08109 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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 13

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

MILESTONE ADDICTION TREATMENT LLC
Substance Abuse Rehabilitation Facility
1 S CENTRE ST
MERCHANTVILLE, NJ 08109
Camden County (856) 816-0728
DR. LEONARD F KAPLAN MD
Pediatrics
1 S CENTRE ST, SUITE 100
MERCHANTVILLE, NJ 08109
Camden County (856) 665-7337
DR. LANCE L GOOBERMAN M.D.
Internal Medicine (Addiction Medicine)
1 S CENTRE ST, #201
MERCHANTVILLE, NJ 08109
Camden County (856) 663-4447
MERCHANTVILLE ADDICTION TREATMENT LLC
Substance Abuse Rehabilitation Facility
1 S CENTRE ST
MERCHANTVILLE, NJ 08109
Camden County (800) 663-5548
MADISON KATE ADAMS APN
Nurse Practitioner (Family)
1 S CENTRE ST
MERCHANTVILLE, NJ 08109
Camden County (800) 978-0808
MR. TIMOTHY KEATING JR. LSW, LCADC
Counselor (Addiction (Substance Use Disorder))
1 S CENTRE ST
MERCHANTVILLE, NJ 08109
Camden County (856) 477-1218
LACONDIA SUNDIATA
Nurse Practitioner (Family)
1 S CENTRE ST
MERCHANTVILLE, NJ 08109
Camden County (856) 625-4994
DR. BRUCE D GOOBERMAN MD
Pediatrics
1 S CENTRE ST, SUITE 100
MERCHANTVILLE, NJ 08109
Camden County (856) 665-7337

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 John Wilson's NPI number?

The NPI number for John Wilson is 1124291612. It was assigned to this individual provider in the NPPES registry on April 7, 2008.

Where is John Wilson located?

John Wilson practices at 1 S Centre St #201, Merchantville, NJ 08109. The listed phone number is (856) 663-4447.

What is John Wilson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is John Wilson enrolled in Medicare?

No. John Wilson has opted out of Medicare through November 21, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for John Wilson was last updated on April 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.