DR. DOUGLAS RICHARD WILSON MD
NPI 1285693572
Family Medicine in Napa, CA

Active since March 23, 2006PECOS EnrolledAccepts Medicare Assignment
1141 PEAR TREE LANE, SUITE 100, NAPA, CA 94558(707) 254-1770(707) 254-1779 Get Directions Write a Review

NPPES record last updated: November 11, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 11, 2021, Mar 14, 2018 (2 updates tracked since 2018).

About Dr. Douglas Richard Wilson Md NPPES

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

DR. DOUGLAS RICHARD WILSON MD (NPI 1285693572) is an individual family medicine provider in Napa, California, licensed in California (A71642) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (1998).

NPPES Registry Identity

NPI1285693572
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DOUGLAS RICHARD WILSONCredential: MD
Location Address1141 PEAR TREE LANE, SUITE 100Napa, CA 94558-6485
Mailing Address1100 Trancas St Ste 300Napa, CA 94558-2921 · (707) 254-1770 · Fax (707) 254-1779
Fax(707) 254-1779
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 1998
Enumeration DateMarch 23, 2006
Last NPPES UpdateNovember 11, 20212 updates tracked since enumeration
NPPES CertifiedNovember 11, 2021
NPI 1285693572 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 CA · A71642
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 ListedFamily Medicine · Hospice and Palliative MedicineTaxonomy 207QH0002X · License A71642 (CA)
Also ListedInternal MedicineTaxonomy 207R00000X · License A71642 (CA)
1141 PEAR TREE LANE, Napa, CA 94558

Other Identifiers 1

Medicaid00A716420CA

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

Dr. Douglas Richard 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 ID1254382021
PECOS Enrollment IDI20050209000489
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 7

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
223 services126 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
179 services133 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
136 services126 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
123 services84 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
76 services71 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
45 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94558 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
$98.97 typical visit price
range $65.08 – $192.16
Typical copayment $24.74 (range $16.27 – $48.04)
Most-billed visit code 99203
Established Patient
$113.15 typical visit price
range $21.86 – $157.83
Typical copayment $28.28 (range $5.46 – $39.45)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
74%66 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

Dentist
1141 PEAR TREE LANE, SUITE 100
NAPA, CA 94558
Family Medicine
1141 PEAR TREE LANE, SUITE 100
NAPA, CA 94558
Registered Nurse
1141 PEAR TREE LANE
NAPA, CA 94558
Registered Nurse
1141 PEAR TREE LANE, SUITE 100
NAPA, CA 94558

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 Douglas Wilson's NPI number?

The NPI number for Douglas Wilson is 1285693572. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is Douglas Wilson located?

Douglas Wilson practices at 1141 Pear Tree Lane Suite 100, Napa, CA 94558. The listed phone number is (707) 254-1770.

What is Douglas Wilson's specialty?

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

Is Douglas Wilson enrolled in Medicare?

Yes. Douglas 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.

When was this NPI record last updated?

The NPPES record for Douglas Wilson was last updated on November 11, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.