DAVID WILTON MD
NPI 1164195244
Psychiatry & Neurology - Psychiatry in La Crosse, WI

Active since July 26, 2021PECOS EnrolledAccepts Medicare Assignment
1836 SOUTH AVE, LA CROSSE, WI 54601(608) 782-7300 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 1, 2025, Jul 26, 2021 (2 updates tracked since 2021).

About David Wilton Md NPPES

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

DAVID WILTON MD (NPI 1164195244) is an individual psychiatry provider in La Crosse, Wisconsin, licensed in Wisconsin (85924) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS, is affiliated with Gundersen Lutheran Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1164195244
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDAVID WILTONCredential: MD
Location Address1836 SOUTH AVELa Crosse, WI 54601-5429
Mailing Address1836 South AveLa Crosse, WI 54601-5429 · (608) 782-7300
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 26, 2021
Last NPPES UpdateAugust 26, 20252 updates tracked since enumeration
NPPES CertifiedAugust 26, 2025
✔ NPI 1164195244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in WI · 85924
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1836 SOUTH AVE, La Crosse, WI 54601

Accepted 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

David Wilton 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 ID8527462902
PECOS Enrollment IDI20250915000913
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

2

Medicare enrollment records show David Wilton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
710 DENTON ST
La Crosse, WI 54601
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,457 clinicians in this Medicare group
Critical Access
311 S CLARK ST
Carroll, IA 51401
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1629460555 (Iowa)
  • 96 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Gundersen Lutheran Medical Center

Acute Care Hospitals · La Crosse, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520087
Location1910 South AveLa Crosse, WI 54601 · La Crosse County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54601 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
$163.24 typical visit price
range $53.90 – $163.24
Typical copayment $40.81 (range $13.47 – $40.81)
Most-billed visit code 99205
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 20

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

Anesthesiology
1836 SOUTH AVE, GUNDERSEN CLINIC, LTD.
LA CROSSE, WI 54601
Nurse Anesthetist, Certified Registered
1836 SOUTH AVE
LA CROSSE, WI 54601
Psychologist
1836 SOUTH AVE
LA CROSSE, WI 54601
Surgery
1836 SOUTH AVE
LA CROSSE, WI 54601
Nurse Practitioner (Adult Health)
1836 SOUTH AVE
LA CROSSE, WI 54601
Orthopaedic Surgery
1836 SOUTH AVE
LA CROSSE, WI 54601
Registered Nurse (Addiction (Substance Use Disorder))
1836 SOUTH AVE
LA CROSSE, WI 54601
Nurse Practitioner (Family)
1836 SOUTH AVE
LA CROSSE, WI 54601

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 David Wilton's NPI number?

The NPI number for David Wilton is 1164195244. It was assigned to this individual provider in the NPPES registry on July 26, 2021.

Where is David Wilton located?

David Wilton practices at 1836 South Ave, La Crosse, WI 54601. The listed phone number is (608) 782-7300.

What is David Wilton's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is David Wilton enrolled in Medicare?

Yes. David Wilton 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 David Wilton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Wilton reassigns Medicare benefits to 2 organizations: Gundersen Lutheran Medical Center, Inc (La Crosse, WI) and St Anthony Regional Hospital And Nursing Home (Carroll, IA). 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 David Wilton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Wilton accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and Quartz list David Wilton 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.

Is David Wilton affiliated with any hospitals?

According to CMS data, David Wilton is affiliated with Gundersen Lutheran Medical Center.

When was this NPI record last updated?

The NPPES record for David Wilton was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.