CRAIG JEFFREY WILSON MD
NPI 1407830318
Hospitalist in Lebanon, IN

Q: What is Craig Wilson's NPI number?

The NPI number for Craig Wilson is 1407830318. It was assigned to this individual provider in the NPPES registry on December 5, 2005.

Q: What is Craig Wilson's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Craig Wilson was last updated on October 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 December 05, 2005PECOS Enrolled

2605 N LEBANON ST, LEBANON, IN 46052(765) 485-8000 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 11, 2023, Jan 3, 2023, Apr 29, 2021 and 2 more (5 updates tracked since 2017).

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About Craig Jeffrey Wilson Md NPPES

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

CRAIG JEFFREY WILSON MD (NPI 1407830318) is an individual hospitalist provider in Lebanon, Indiana, licensed in Indiana (01048372A) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407830318

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameCRAIG JEFFREY WILSONCredential: MD

Location Address2605 N LEBANON STLebanon, IN 46052-1476

Mailing Address2605 N Lebanon StLebanon, IN 46052-1476

Phone(765) 485-8000

Sole ProprietorNo

Enumeration DateDecember 5, 2005

Last NPPES UpdateOctober 11, 20235 updates tracked since enumeration

NPPES CertifiedOctober 11, 2023

✔ NPI 1407830318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in IN · 01048372A

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 01048372A (IN)

Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License 01048372A (IN)

2605 N LEBANON ST, Lebanon, IN 46052

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Other Identifiers 1

Medicaid200195130IN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Craig Jeffrey Wilson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Craig Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Witham Memorial Hospital

0.1 mi

Family Medicine

2605 N LEBANON ST
Lebanon, IN 46052

Reassigned Medicare billing, Indiana enrollment
144 clinicians in this Medicare group

NPI 1083750293 (765) 485-8000

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 46052 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers23 claims23 services$14.30 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers27 claims27 services$72.79 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DEDRA LYNN KING RN

Registered Nurse