DAVID M. WILSON DMD, MD
NPI 1376705038
Dentist - Oral and Maxillofacial Surgery in Portage, MI

Active since June 25, 2008PECOS Enrolled
3801 GLENKERRY CT STE 2, PORTAGE, MI 49024(269) 323-1527 Get Directions Write a Review

NPPES record last updated: October 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 20, 2020, Nov 27, 2018 (2 updates tracked since 2018).

About David M. Wilson Dmd, Md NPPES

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

DAVID M. WILSON DMD, MD (NPI 1376705038) is an individual oral and maxillofacial surgery provider in Portage, Michigan, licensed in Michigan (2901019878) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Tampa General Hospital, and is a graduate of University Of Michigan Medical School (2014).

NPPES Registry Identity

NPI1376705038
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDAVID M. WILSONCredential: DMD, MD
Location Address3801 GLENKERRY CT STE 2Portage, MI 49024-0711
Mailing Address3801 Glenkerry Ct Ste 2Portage, MI 49024-0711
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2014
Enumeration DateJune 25, 2008
Last NPPES UpdateOctober 20, 20202 updates tracked since enumeration
NPPES CertifiedOctober 20, 2020
NPI 1376705038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in MI · 2901019878
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X · License 4301100207 (MI)
3801 GLENKERRY CT STE 2, Portage, MI 49024

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

David M. Wilson Dmd, Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42525271
PECOS Enrollment IDI20150818004444
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

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 straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tampa General Hospital

Acute Care Hospitals · Tampa, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100128
Location1 Tampa General CirTampa, FL 33606 · Hillsborough County
Emergency services Birthing friendly

Bronson Methodist Hospital

Acute Care Hospitals · Kalamazoo, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230017
Location601 John StreetKalamazoo, MI 49007 · Kalamazoo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49024 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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

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

Oral & Maxillofacial Surgery
3801 GLENKERRY CT STE 2
PORTAGE, MI 49024

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 David Wilson's NPI number?

The NPI number for David Wilson is 1376705038. It was assigned to this individual provider in the NPPES registry on June 25, 2008.

Where is David Wilson located?

David Wilson practices at 3801 Glenkerry Ct Ste 2, Portage, MI 49024. The listed phone number is (269) 323-1527.

What is David Wilson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is David Wilson enrolled in Medicare?

Yes. David Wilson is registered in the Medicare PECOS enrollment system.

What insurance does David Wilson accept?

Health plans from Blue Care Network of Michigan and Priority Health list David 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 David Wilson affiliated with any hospitals?

According to CMS data, David Wilson is affiliated with Tampa General Hospital and Bronson Methodist Hospital.

When was this NPI record last updated?

The NPPES record for David Wilson was last updated on October 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.