DR. DENISE THOMAS WILCOX O.D.
NPI 1306806393
Optometrist in Newtown, PA

Q: What is Denise Wilcox's NPI number?

The NPI number for Denise Wilcox is 1306806393. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Q: What is Denise Wilcox's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Denise Wilcox was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since March 24, 2006PECOS EnrolledAccepts Medicare Assignment

400 FREEDOM DRIVE, NEWTOWN, PA 18940(215) 968-1035(215) 968-5019 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Denise Thomas Wilcox O.d. NPPES

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

DR. DENISE THOMAS WILCOX O.D. (NPI 1306806393) is an individual optometrist in Newtown, Pennsylvania, licensed in Pennsylvania (OEG001012) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (1985).

NPPES Registry Identity

NPI1306806393

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. DENISE THOMAS WILCOXCredential: O.D.

Location Address400 FREEDOM DRIVENewtown, PA 18940

Mailing Address3900 South Mallard LaneDoylestown, PA 18902-1281 · (215) 340-9737 · Fax (215) 340-9559

Phone(215) 968-1035

Fax(215) 968-5019

Sole ProprietorYes

Medical School CMSNew England College Of OptometryGraduated 1985

Enumeration DateMarch 24, 2006

Last NPPES UpdateJanuary 8, 2026

NPPES CertifiedJanuary 8, 2026

✔ NPI 1306806393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in PA · OEG001012

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Also ListedPhysical TherapistTaxonomy 225100000X · License PT000487E (PA)

400 FREEDOM DRIVE, Newtown, PA 18940

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Other Identifiers 3

Medicaid10563790002PA

Other410033696PA · Railroad

Other410033696PA · Medicare Railroad

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. Denise Thomas Wilcox O.d. 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 ID4789700790

PECOS Enrollment IDI20100928000452

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 2

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

70 services70 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18940 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

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.

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 Denise Wilcox's NPI number?

The NPI number for Denise Wilcox is 1306806393. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Denise Wilcox located?

Denise Wilcox practices at 400 Freedom Drive, Newtown, PA 18940. The listed phone number is (215) 968-1035.

What is Denise Wilcox's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Denise Wilcox enrolled in Medicare?

Yes. Denise Wilcox 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 Denise Wilcox was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.