DR. ALAN JOHN WILSON M.D.
NPI 1386774388
Family Medicine in Herrin, IL

Active since March 07, 2007PECOS EnrolledAccepts Medicare Assignment
75.73/100
CMS Quality Rating
201 S 14TH ST, HERRIN, IL 62948(618) 942-2171(618) 351-4917 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 26, 2024, Sep 30, 2021, Nov 12, 2020 and 2 more (5 updates tracked since 2018).

About Dr. Alan John Wilson M.d. NPPES

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

DR. ALAN JOHN WILSON M.D. (NPI 1386774388) is an individual family medicine provider in Herrin, Illinois, licensed in Louisiana (MD202418) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Ochsner Medical Center Acute, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1386774388
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ALAN JOHN WILSONCredential: M.D.
Location Address201 S 14TH STHerrin, IL 62948-3631
Mailing Address1239 E Main StCarbondale, IL 62901-3175 · (618) 457-5200
Fax(618) 351-4917
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMarch 7, 2007
Last NPPES UpdateJanuary 30, 20255 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2025
✔ NPI 1386774388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in LA · MD202418
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 2011008025 (MO), 036147913 (IL)
201 S 14TH ST, Herrin, IL 62948

Secondary Practice Locations 4

Location 1100 Hospital DrLebanon, MO 65536-9210 · Phone (417) 533-6350
Location 2405 W Jackson StCarbondale, IL 62901-1462 · Phone (618) 549-0721 · Fax (618) 457-0469
Location 32 S Hospital DrMurphysboro, IL 62966-3333 · Phone (618) 684-3156 · Fax (618) 529-0524
Location 41000 Ochsner BlvdCovington, LA 70433-8107 · Phone (985) 875-2340

Accepted 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

Dr. Alan John Wilson M.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 ID8426125485
PECOS Enrollment IDI20080917000667
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

2

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

Internal Medicine
1239 E MAIN ST
Carbondale, IL 62901
  • Reassigned Medicare billing, Illinois enrollment
  • 702 clinicians in this Medicare group
General Practice
300 PAVILION RD
West Monroe, LA 71292
  • Reassigned Medicare billing, Louisiana enrollment
  • 4,559 clinicians in this Medicare group

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

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
61 services56 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
39 services39 patients

Hospital Affiliations CMS Care Compare 3

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

Ochsner Medical Center Acute

Acute Care Hospitals · New Orleans, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190036
Location1516 Jefferson HwyNew Orleans, LA 70121 · Jefferson County
Emergency services Birthing friendly

St Tammany Parish Hospital

Acute Care Hospitals · Covington, LA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190045
Location1202 S Tyler StreetCovington, LA 70433 · St. Tammany County
Emergency services Birthing friendly

Ochsner Medical Center - Baton Rouge

Acute Care Hospitals · Baton Rouge, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190202
Location17000 Medical Center DrBaton Rouge, LA 70816 · E. Baton Rouge County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62948 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.09
Promoting Interoperability100
Improvement Activities40
Cost45.26

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.

Physical Therapy Assistant
201 S 14TH ST
HERRIN, IL 62948
Hospitalist
201 S 14TH ST
HERRIN, IL 62948
Physical Therapist
201 S 14TH ST
HERRIN, IL 62948
Pharmacist
201 S 14TH ST
HERRIN, IL 62948
Physical Therapist
201 S 14TH ST
HERRIN, IL 62948
Nurse Anesthetist, Certified Registered
201 S 14TH ST
HERRIN, IL 62948
Hospitalist
201 S 14TH ST
HERRIN, IL 62948
Emergency Medicine
201 S 14TH ST
HERRIN, IL 62948

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 Alan Wilson's NPI number?

The NPI number for Alan Wilson is 1386774388. It was assigned to this individual provider in the NPPES registry on March 7, 2007.

Where is Alan Wilson located?

Alan Wilson practices at 201 S 14th St, Herrin, IL 62948. The listed phone number is (618) 942-2171.

What is Alan Wilson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Alan Wilson enrolled in Medicare?

Yes. Alan Wilson 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.

Which organizations bill Medicare for Alan Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alan Wilson reassigns Medicare benefits to 2 organizations: Southern Illinois Medical Services, Nfp (Carbondale, IL) and Ochsner Clinic LLC (West Monroe, LA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alan Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alan Wilson accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Alan 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 Alan Wilson affiliated with any hospitals?

According to CMS data, Alan Wilson is affiliated with Ochsner Medical Center Acute, St Tammany Parish Hospital and Ochsner Medical Center - Baton Rouge.

When was this NPI record last updated?

The NPPES record for Alan Wilson was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.