JOHN WILSON MD
NPI 1376106120
Psychiatry & Neurology - Psychiatry in San Antonio, TX

Q: What is John Wilson's NPI number?

The NPI number for John Wilson is 1376106120. It was assigned to this individual provider in the NPPES registry on April 17, 2019.

Q: What is John Wilson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for John Wilson was last updated on August 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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 April 17, 2019PECOS EnrolledAccepts Medicare Assignment

4502 MEDICAL DR, SAN ANTONIO, TX 78229(210) 358-4000 Get Directions Write a Review

NPPES record last updated: August 27, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 7, 2024, Aug 16, 2023, Apr 17, 2019 (3 updates tracked since 2019).

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About John Wilson Md NPPES

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

JOHN WILSON MD (NPI 1376106120) is an individual psychiatry provider in San Antonio, Texas, licensed in Texas (T3569) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At San Antonio (2019).

NPPES Registry Identity

NPI1376106120

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameJOHN WILSONCredential: MD

Location Address4502 MEDICAL DRSan Antonio, TX 78229-4402

Mailing Address403 Foster LnCanyon, TX 79015-4229 · (806) 679-8720

Phone(210) 358-4000

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2019

Enumeration DateApril 17, 2019

Last NPPES UpdateAugust 27, 20243 updates tracked since enumeration

NPPES CertifiedAugust 27, 2024

✔ NPI 1376106120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in TX · T3569

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedPsychiatry & Neurology · Forensic PsychiatryTaxonomy 2084F0202X · License D0096296 (MD)

4502 MEDICAL DR, San Antonio, TX 78229

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare and more.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

John 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 ID3870940414

PECOS Enrollment IDI20240715002436

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 78229 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

$166.88 typical visit price

range $54.84 – $166.88

Typical copayment $41.72 (range $13.71 – $41.72)

Most-billed visit code 99205

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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.

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.

EDUARDO N. POLLONO MD

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