TYLER WAYNE WILSON
NPI 1154998110
Surgery in Chicago, IL

NPI Status: Active since June 08, 2021

Contact Information

5841 S MARYLAND AVE # MC6040
CHICAGO, IL
ZIP 60637
Phone: (773) 702-6337

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Medicare Participation & PECOS Status
Physician Visit Costs
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Surgery
PECOS Enrolled

About TYLER WILSON

This page provides the complete NPI Profile along with additional information for Tyler Wilson, a provider established in Chicago, Illinois with a medical specialization in Surgery. The healthcare provider is registered in the NPI registry with number 1154998110 assigned on June 2021. The practitioner's primary taxonomy code is 208600000X with license number 125.081735 (IL). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI: 1154998110
Provider Name: TYLER WAYNE WILSON
Gender: Male
Entity Type: Individual
Location Address: 5841 S MARYLAND AVE # MC6040 CHICAGO, IL 60637
Location Phone: (773) 702-6337
Mailing Address: 180 HARVESTER DR STE 110 BURR RIDGE, IL 60527
Mailing Phone: (773) 702-1150
Is Sole Proprietor?: No
Enumeration Date: 06-08-2021
Last Update Date: 05-11-2023
Code Navigator

A surgeon like Tyler Wilson treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Surgery
Taxonomy Code: 208600000X
Type: Allopathic & Osteopathic Physicians
License No.: 125.081735
License State: IL
Taxonomy Description: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	390200000X	Student, Health Care	Student in an Organized Health Care Education/Training Program	(UT)

Medicare Participation & PECOS Enrollment Status

Tyler Wilson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 60637 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

Average New Patient Price $94.06
Minimum New Patient Price $60.08
Maximum New Patient Price $183.39

Average New Patient Copayment $23.51
Minimum New Patient Copayment $15.02
Maximum New Patient Copayment $45.84

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

Average Established Patient Price $74.8
Minimum Established Patient Price $18.97
Maximum Established Patient Price $148.12

Average Established Patient Copayment $18.7
Minimum Established Patient Copayment $4.74
Maximum Established Patient Copayment $37.03

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	1	5	4	9	9	8	1	1	0
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	1	10	4	18	9	16	1	2
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 1 + 8 + 9 + 1 + 6 + 1 + 2 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
									0

The NPI number 1154998110 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 20 providers are registered at the same or nearby location.

BLAKE ALBERTS M.D.

Surgery

5841 S MARYLAND AVE # MC6040
CHICAGO, IL
ZIP 60637

About TYLER WILSON

Location Map

Specialty - Primary Taxonomy

Surgery

Secondary Taxonomies

Student in an Organized Health Care Education/Training Program

Medicare Participation & PECOS Enrollment Status

Is the provider registered in PECOS? Yes

Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

Eligible to Order or Refer a Home Health Agency (HHA): Yes

Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

New Patients Visit Costs *

Established Patients Visit Costs *

Reviews for TYLER WAYNE WILSON

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

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