OSCAR RAY WILSON MD
NPI 1245206937
Family Medicine in Tyler, TX

Active since February 23, 2006PECOS EnrolledAccepts Medicare Assignment
520 E DOUGLAS BLVD, TYLER, TX 75702(903) 510-1164 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Oscar Ray Wilson Md NPPES

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

OSCAR RAY WILSON MD (NPI 1245206937) is an individual family medicine provider in Tyler, Texas, licensed in Texas (G5786) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Christus Good Shepherd Medical Center, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1245206937
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameOSCAR RAY WILSONCredential: MD
Location Address520 E DOUGLAS BLVDTyler, TX 75702-8307
Mailing AddressPo Box 846098Dallas, TX 75284-6098 · (903) 324-6450
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateFebruary 23, 2006
Last NPPES UpdateSeptember 16, 2024
NPPES CertifiedSeptember 16, 2024
NPI 1245206937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · G5786
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.
520 E DOUGLAS BLVD, Tyler, TX 75702

Other Identifiers 1

Medicaid128695702TX

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Oscar Ray 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 ID7214011279
PECOS Enrollment IDI20100507000773
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.

Areas of Expertise CMS Part B claims 9

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
545 services298 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
166 services166 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
142 services114 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
54 services47 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
40 services20 patients
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179
This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.
22 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Christus Good Shepherd Medical Center

Acute Care Hospitals · Longview, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450032
Location700 E Marshall AveLongview, TX 75601 · Gregg County
Emergency services Birthing friendly

Christus Mother Frances Hospital

Acute Care Hospitals · Tyler, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450102
Location800 East DawsonTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Christus Mother Frances Hospital- Jacksonville

Critical Access Hospitals · Jacksonville, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number451319
Location2026 S Jackson StreetJacksonville, TX 75766 · Cherokee County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75702 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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
18 suppliers61 claims129 services$6.12 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers22 claims26 services$1.09 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier13 claims17 services$17.58 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier32 claims36 services$84.94 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers15 claims15 services$22.54 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
3 suppliers14 claims16 services$35.54 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner
520 E DOUGLAS BLVD
TYLER, TX 75702
Nurse Practitioner
520 E DOUGLAS BLVD
TYLER, TX 75702
Family Medicine
520 E DOUGLAS BLVD
TYLER, TX 75702
Social Worker (Clinical)
520 E DOUGLAS BLVD
TYLER, TX 75702
Internal Medicine
520 E DOUGLAS BLVD
TYLER, TX 75702
Physician Assistant
520 E DOUGLAS BLVD
TYLER, TX 75702
Internal Medicine
520 E DOUGLAS BLVD
TYLER, TX 75702
Radiology (Diagnostic Radiology)
520 E DOUGLAS BLVD
TYLER, TX 75702

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 Oscar Wilson's NPI number?

The NPI number for Oscar Wilson is 1245206937. It was assigned to this individual provider in the NPPES registry on February 23, 2006.

Where is Oscar Wilson located?

Oscar Wilson practices at 520 E Douglas Blvd, Tyler, TX 75702. The listed phone number is (903) 510-1164.

What is Oscar Wilson's specialty?

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

Is Oscar Wilson enrolled in Medicare?

Yes. Oscar 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.

What insurance does Oscar Wilson accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and UnitedHealthcare list Oscar 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.

Is Oscar Wilson affiliated with any hospitals?

According to CMS data, Oscar Wilson is affiliated with Christus Good Shepherd Medical Center, Christus Mother Frances Hospital and Christus Mother Frances Hospital- Jacksonville.

When was this NPI record last updated?

The NPPES record for Oscar Wilson was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.