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DR. MARC A. WILSON MD
NPI 1154352060
Obstetrics & Gynecology in Denton, TX

Active since July 06, 2006PECOS EnrolledAccepts Medicare Assignment
323 N BONNIE BRAE STREET, DENTON, TX 76201(940) 484-7100(940) 484-7101 Get Directions Write a Review

NPPES record last updated: April 11, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Marc A. Wilson Md NPPES

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

DR. MARC A. WILSON MD (NPI 1154352060) is an individual obstetrics & gynecology provider in Denton, Texas, licensed in Texas (L0704) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Oklahoma College Of Medicine (1996).

NPPES Registry Identity

NPI1154352060
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. MARC A. WILSONCredential: MD
Location Address323 N BONNIE BRAE STREETDenton, TX 76201
Mailing Address323 N Bonnie Brae StreetDenton, TX 76201 · (940) 484-7100 · Fax (940) 484-7101
Phone(940) 484-7100
Fax(940) 484-7101
Sole ProprietorYes
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1996
Enumeration DateJuly 6, 2006
Last NPPES UpdateApril 11, 2012
✔ NPI 1154352060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TX · L0704
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
323 N BONNIE BRAE STREET, Denton, TX 76201
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Other Identifiers 2

Medicaid144688203TX
Medicare PIN8F3762TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Dr. Marc A. 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 ID7416900808
PECOS Enrollment IDI20061023000046
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

4

Medicare enrollment records show Marc Wilson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cait Care Providers PLLC
35 mi
Family Medicine
600 E ROSEDALE ST STE 125
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • 16 clinicians in this Medicare group
NPI 1114685708 (682) 207-3598
Concord North Texas, PLLC
63 mi
Emergency Medicine
504 LIPSCOMB ST
Bonham, TX 75418
  • Reassigned Medicare billing, Texas enrollment
  • 105 clinicians in this Medicare group
NPI 1952761173 (888) 264-0330
Concord Medical Group PLLC
273 mi
Emergency Medicine
1602 AVENUE Q
Lubbock, TX 79401
  • Reassigned Medicare billing, Texas enrollment
  • 1,338 clinicians in this Medicare group
NPI 1083630610 (888) 264-0330
Concord Medical Group Of Texas PLLC
273 mi
Emergency Medicine
1602 AVENUE Q
Lubbock, TX 79401
  • Reassigned Medicare billing, Texas enrollment
  • 1,439 clinicians in this Medicare group
NPI 1750790762 (888) 264-0330

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 3

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.

Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458
This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.
156 services43 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
97 services47 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
41 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76201 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

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

Breast Cancer Screening
61%362 patients3/55-star benchmark: 93%
Cervical Cancer Screening
84%1,684 patients4/55-star benchmark: 98%
Controlling High Blood Pressure
47%34 patients3/55-star benchmark: 91%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
30%2,071 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
35%3,519 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 1,938 patients
0%1,938 patients
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.

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 Marc Wilson's NPI number?

The NPI number for Marc Wilson is 1154352060. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Marc Wilson located?

Marc Wilson practices at 323 N Bonnie Brae Street, Denton, TX 76201. The listed phone number is (940) 484-7100.

What is Marc Wilson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Marc Wilson enrolled in Medicare?

Yes. Marc 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.

Which organizations bill Medicare for Marc Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marc Wilson reassigns Medicare benefits to 4 organizations: Cait Care Providers PLLC (Fort Worth, TX), Concord North Texas, PLLC (Bonham, TX), Concord Medical Group PLLC (Lubbock, TX) and Concord Medical Group Of Texas PLLC (Lubbock, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marc Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marc Wilson accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Marc 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 Marc Wilson was last updated on April 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.