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DR. SPENCER GRANT WILSON D.D.S.
NPI 1386676922
Dentist - Oral and Maxillofacial Surgery in Gilbert, AZ

Active since July 06, 2006Opted out of Medicare · through Mar 22, 2028
1355 S HIGLEY RD, 106, GILBERT, AZ 85296(480) 279-5949(480) 279-0784 Get Directions Write a Review

NPPES record last updated: July 13, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Spencer Grant Wilson D.d.s. NPPES

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

DR. SPENCER GRANT WILSON D.D.S. (NPI 1386676922) is an individual oral and maxillofacial surgery provider in Gilbert, Arizona, licensed in Texas (D0020739) and active in the NPI registry since July 2006. He has opted out of Medicare through March 22, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1386676922
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. SPENCER GRANT WILSONCredential: D.D.S.
Location Address1355 S HIGLEY RD, 106Gilbert, AZ 85296-4799
Mailing Address1355 S Higley Rd, 106Gilbert, AZ 85296-4799 · (480) 279-5949 · Fax (480) 279-0784
Phone(480) 279-5949
Fax(480) 279-0784
Sole ProprietorYes
Enumeration DateJuly 6, 2006
Last NPPES UpdateJuly 13, 2007
✔ NPI 1386676922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in TX · D0020739
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.
1355 S HIGLEY RD, Gilbert, AZ 85296
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Other Identifiers 1

Medicaid502262AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Spencer Grant Wilson D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 22, 2016 through March 22, 2028.

Opt-Out Effective DateMarch 22, 2016
Opt-Out In Effect ThroughMarch 22, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85296 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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 15

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

PATRICK PHILLUP PATTEN LAC, DIPL. AC, L.M.T
Acupuncturist
1355 S HIGLEY RD, #111
GILBERT, AZ 85296
Maricopa County (480) 773-4200
DR. KAREN A WILLFAHRT NMD
Naturopath
1355 S HIGLEY RD, SUITE 113
GILBERT, AZ 85296
Maricopa County (480) 638-8690
SMILES BY HANNA PLLC
Dentist
1355 S HIGLEY RD, #119
GILBERT, AZ 85296
Maricopa County (480) 279-3700
STEVEN EARL SPRINGBORN PT
Physical Therapist
1355 S HIGLEY RD, SUITE 101
GILBERT, AZ 85296
Maricopa County (480) 507-8080
KRISTIN SPRINGBORN OTR/L
Occupational Therapist
1355 S HIGLEY RD, SUITE 101
GILBERT, AZ 85296
Maricopa County (480) 507-8080
KERR ENDODONTICS P C
Dentist (Orofacial Pain)
1355 S HIGLEY RD, SUITE 116
GILBERT, AZ 85296
Maricopa County (480) 545-4120
MRS. ELIZABETH ANNE JOHNSON MT-BC
Music Therapist
1355 S HIGLEY RD, BUILDING 5, SUITE 111
GILBERT, AZ 85296
Maricopa County (480) 474-4173
BERN CAREY ROBERTS
Counselor (Mental Health)
1355 S HIGLEY RD
GILBERT, AZ 85296
Maricopa County (602) 882-3192

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 Spencer Wilson's NPI number?

The NPI number for Spencer Wilson is 1386676922. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Spencer Wilson located?

Spencer Wilson practices at 1355 S Higley Rd 106, Gilbert, AZ 85296. The listed phone number is (480) 279-5949.

What is Spencer Wilson's specialty?

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

Is Spencer Wilson enrolled in Medicare?

No. Spencer Wilson has opted out of Medicare through March 22, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Spencer Wilson accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 8 other insurers list Spencer 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.

When was this NPI record last updated?

The NPPES record for Spencer Wilson was last updated on July 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.