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JON DANIEL WILSON MD
NPI 1407816218
Pathology - Anatomic Pathology & Clinical Pathology in Little Rock, AR

Active since March 24, 2006PECOS EnrolledAccepts Medicare Assignment
10810 EXECUTIVE CENTER DR STE 100, LITTLE ROCK, AR 72211(501) 604-2695(501) 604-2699 Get Directions Write a Review

NPPES record last updated: November 11, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jon Daniel Wilson Md NPPES

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

JON DANIEL WILSON MD (NPI 1407816218) is an individual anatomic pathology & clinical pathology provider in Little Rock, Arkansas, licensed in Michigan (4301076903) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Hawaii John A. Burns School Of Medicine (1992).

NPPES Registry Identity

NPI1407816218
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameJON DANIEL WILSONCredential: MD
Location Address10810 EXECUTIVE CENTER DR STE 100Little Rock, AR 72211-4386
Mailing Address10810 Executive Center Dr Ste 100Little Rock, AR 72211-4386 · (501) 604-2695 · Fax (501) 604-2699
Phone(501) 604-2695
Fax(501) 604-2699
Sole ProprietorNo
Medical School CMSUniversity Of Hawaii John A. Burns School Of MedicineGraduated 1992
Enumeration DateMarch 24, 2006
Last NPPES UpdateNovember 11, 2015
✔ NPI 1407816218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in MI · 4301076903
Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

10810 EXECUTIVE CENTER DR STE 100, Little Rock, AR 72211
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Other Identifiers 4

Medicare ID-Type Unspecified0F36237022MI
Medicare UPINH23931MI
Medicaid4244846MI
Other220F362370MI · Bcbsm

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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

Jon Daniel 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 ID8921294323
PECOS Enrollment IDI20151215002197
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 7

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.

Evaluation of specimen enzymes 88319
Evaluation of specimen enzymes is a lab test that analyzes certain proteins in your body. These proteins, or enzymes, play a key role in various bodily functions. Changes in enzyme levels may indicate health issues. This test aids in diagnosing and monitoring diseases.
611 services84 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
462 services98 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
381 services83 patients
Special stained specimen slides to examine tissue and frozen preparation of specimen including interpretation and report 88314
This process involves staining tissue samples on slides to highlight different elements and examine them under a microscope. In some cases, the specimen is quickly frozen to preserve its structure. A detailed report is provided after interpretation of the results.
216 services96 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
110 services99 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
93 services91 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72211 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
$119.36 typical visit price
range $51.36 – $157.74
Typical copayment $29.84 (range $12.84 – $39.43)
Most-billed visit code 99204
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

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.

REBECCA MICHELLE MAY MD
Pathology (Anatomic Pathology & Clinical Pathology)
10810 EXECUTIVE CENTER DR STE 100
LITTLE ROCK, AR 72211
Pulaski County (501) 604-2695
DR. FRED GEORGE SILVA II M.D.
Pathology (Anatomic Pathology)
10810 EXECUTIVE CENTER DR STE 100
LITTLE ROCK, AR 72211
Pulaski County (501) 604-2695
MRS. CLARISSA A CASSOL MD
Pathology (Anatomic Pathology)
10810 EXECUTIVE CENTER DR STE 100
LITTLE ROCK, AR 72211
Pulaski County (501) 604-2695
RIVER CLINTON CHARLES MD
Pathology (Anatomic Pathology & Clinical Pathology)
10810 EXECUTIVE CENTER DR STE 100
LITTLE ROCK, AR 72211
Pulaski County (501) 604-2695
AMI R BHALODIA M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
10810 EXECUTIVE CENTER DR STE 100
LITTLE ROCK, AR 72211
Pulaski County (501) 604-2695
DR. FRANKLIN AUGUST BOYD MD
Pathology (Anatomic Pathology & Clinical Pathology)
10810 EXECUTIVE CENTER DR STE 100
LITTLE ROCK, AR 72211
Pulaski County (501) 604-2695
ELL PATHOLOGY LAB, LLC
Clinical Medical Laboratory
10810 EXECUTIVE CENTER DR STE 100
LITTLE ROCK, AR 72211
Pulaski County (501) 604-2695
ERIC GOOLD MD
Pathology (Neuropathology)
10810 EXECUTIVE CENTER DR STE 100
LITTLE ROCK, AR 72211
Pulaski County (501) 604-2695

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 Jon Wilson's NPI number?

The NPI number for Jon Wilson is 1407816218. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Jon Wilson located?

Jon Wilson practices at 10810 Executive Center Dr Ste 100, Little Rock, AR 72211. The listed phone number is (501) 604-2695.

What is Jon Wilson's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Jon Wilson enrolled in Medicare?

Yes. Jon 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.

What insurance does Jon Wilson accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Jon 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 Jon Wilson was last updated on November 11, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.