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 2 years 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: November 01, 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 Antidote Health of TX, Blue Cross and Blue Shield of Texas, Community First and more.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

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.

Medicare Billing Reassignments

Medicare enrollment records show John Wilson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Uthscsa Dental School

0.2 mi

Oral and Maxillofacial Surgery

7703 FLOYD CURL DR
San Antonio, TX 78229

Reassigned Medicare billing, Texas enrollment
Medicare enrollment name: University Of Texas Health Science Center At San Antonio
2,397 clinicians in this Medicare group

NPI 1750403887 (210) 567-3274

Bexar County Board Of Trustees For Mental Health Mental Retardation

2.5 mi

Family Medicine

6800 PARK TEN BLVD, SUITE 200-S
San Antonio, TX 78213

Reassigned Medicare billing, Texas enrollment
210 clinicians in this Medicare group

NPI 1679948392 (210) 261-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Internal Medicine (Cardiovascular Disease)