JAKE BARRETT WILSON
NPI 1245792357
Internal Medicine - Gastroenterology in Charleston, SC
About Jake Barrett Wilson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAKE BARRETT WILSON (NPI 1245792357) is an individual gastroenterology provider in Charleston, South Carolina, licensed in South Carolina (88451) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
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
Jake Barrett Wilson 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jake Wilson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Charleston, SC 29425
- Reassigned Medicare billing, South Carolina enrollment
- 2,594 clinicians in this Medicare group
Tyler, TX 75701
- Reassigned Medicare billing, Texas enrollment
- 5,299 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 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Musc Medical Center
Acute Care Hospitals · Charleston, SCParkland Health & Hospital System
Acute Care Hospitals · Dallas, TXUt Southwestern University Hospital - William P. Clements Jr.
Acute Care Hospitals · Dallas, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29425 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
CHARLESTON, SC 29425
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 Jake Wilson's NPI number?
The NPI number for Jake Wilson is 1245792357. It was assigned to this individual provider in the NPPES registry on April 5, 2019.
Where is Jake Wilson located?
Jake Wilson practices at 171 Ashley Ave, Charleston, SC 29425. The listed phone number is (843) 792-1414.
What is Jake Wilson's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is Jake Wilson enrolled in Medicare?
Yes. Jake 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 Jake Wilson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jake Wilson reassigns Medicare benefits to 2 organizations: University Medical Associates Of The Medical University Of South Carol (Charleston, SC) and The University Of Texas Southwestern Medical Center At Dallas (Tyler, 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 Jake Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jake Wilson accept?
Health plans from Blue Cross and Blue Shield of Texas, BlueCross BlueShield of South Carolina and UnitedHealthcare list Jake 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 Jake Wilson affiliated with any hospitals?
According to CMS data, Jake Wilson is affiliated with Musc Medical Center, Parkland Health & Hospital System and Ut Southwestern University Hospital - William P. Clements Jr..
When was this NPI record last updated?
The NPPES record for Jake Wilson was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Jake Barrett Wilson · NPI 1245792357
Gastroenterology physician in Charleston, South Carolina. Individual provider, active in the CMS NPPES registry since April 5, 2019.
## Identity
- **NPI:** 1245792357 (Entity type: Individual)
- **Enumerated:** April 5, 2019
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **State license:** 88451 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 171 ASHLEY AVE, Charleston, SC 29425-0100
- **Phone:** (843) 792-1414
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Medical Associates Of The Medical University Of South Carol (NPI 1013934629, Charleston, SC); The University Of Texas Southwestern Medical Center At Dallas (NPI 1417099599, Tyler, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** July 10, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1245792357) · Data from the CMS NPPES public registry.