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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DANIEL WILSON DO
NPI 1164262135
Family Medicine in Tyler, TX

Active since May 28, 2024PECOS Enrolled
11937 US HIGHWAY 271, TYLER, TX 75708(903) 877-7200 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 23, 2026, Mar 16, 2026 (2 updates tracked since 2026).

About Daniel Wilson Do NPPES

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

DANIEL WILSON DO (NPI 1164262135) is an individual family medicine provider in Tyler, Texas, licensed in Texas (W1920) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS and is a graduate of University Of Pikeville, Kentucky College Of Osteopathic Med (2024).

NPPES Registry Identity

NPI1164262135
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDANIEL WILSONCredential: DO
Location Address11937 US HIGHWAY 271Tyler, TX 75708-3154
Mailing Address504 Ravenwood DrAthens, TX 75751-3124 · (940) 585-8097
Phone(903) 877-7200
Sole ProprietorNo
Medical School CMSUniversity Of Pikeville, Kentucky College Of Osteopathic MedGraduated 2024
Enumeration DateMay 28, 2024
Last NPPES UpdateJuly 23, 20262 updates tracked since enumeration
NPPES CertifiedJuly 23, 2026
✔ NPI 1164262135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · W1920
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License W1920 (TX)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
11937 US HIGHWAY 271, Tyler, TX 75708
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Daniel Wilson Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062955768
PECOS Enrollment IDI20260406002227
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75708 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER
Psychiatric Unit
11937 US HIGHWAY 271
TYLER, TX 75708
Smith County (903) 877-7200
TYLER DAVIS DO
Surgery (Trauma Surgery)
11937 US HIGHWAY 271
TYLER, TX 75708
Smith County (903) 877-7777
PATRICIA DIANNE SHACKELFORD
Pharmacist
11937 US HIGHWAY 271
TYLER, TX 75708
Smith County (903) 877-7088
JENNIFER ANNISA MATHEW DO
Student in an Organized Health Care Education/Training Program
11937 US HIGHWAY 271
TYLER, TX 75708
Smith County (903) 877-7200
JASMINE MARIE GAMBOA MD
Student in an Organized Health Care Education/Training Program
11937 US HIGHWAY 271
TYLER, TX 75708
Smith County (903) 877-7200
DR. SADIE ROSE WALTER DO
Student in an Organized Health Care Education/Training Program
11937 US HIGHWAY 271
TYLER, TX 75708
Smith County (903) 877-7200
RENDALL NORTHCUTT FNP
Nurse Practitioner (Primary Care)
11937 US HIGHWAY 271
TYLER, TX 75708
Smith County (903) 877-7200
ES-HAQ SADDELDIN HASSANIN DO
Hospitalist
11937 US HIGHWAY 271
TYLER, TX 75708
Smith County (903) 877-7253

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 Daniel Wilson's NPI number?

The NPI number for Daniel Wilson is 1164262135. It was assigned to this individual provider in the NPPES registry on May 28, 2024.

Where is Daniel Wilson located?

Daniel Wilson practices at 11937 Us Highway 271, Tyler, TX 75708. The listed phone number is (903) 877-7200.

What is Daniel Wilson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Daniel Wilson enrolled in Medicare?

Yes. Daniel Wilson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Daniel Wilson was last updated on July 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.