WILLIAM WILSON MD PC
NPI 1457732000
Plastic Surgery - Surgery of the Hand in Idaho Falls, ID

Q: What is William Wilson MD PC's NPI number?

The NPI number for William Wilson MD PC is 1457732000. It was assigned to this organization in the NPPES registry on June 9, 2015.

Q: What is William Wilson MD PC's specialty?

The primary specialty registered for this NPI is Plastic Surgery, specializing in Surgery of the Hand, with taxonomy code 2082S0105X.

Active since June 09, 2015

2860 CHANNING WAY STE 112, IDAHO FALLS, ID 83404(208) 524-4381(208) 523-6477 Get Directions Write a Review

NPPES record last updated: June 15, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About William Wilson Md Pc NPPES

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

WILLIAM WILSON MD PC (NPI 1457732000) is a healthcare organization registered as a surgery of the hand in Idaho Falls, Idaho and active in the NPI registry since June 2015. The organization lists William P Wilson, Owner, as its authorized official.

NPPES Registry Identity

NPI1457732000

Entity TypeOrganization

Primary Taxonomy2082S0105X

Legal Business NameWILLIAM WILSON MD PC

Location Address2860 CHANNING WAY STE 112Idaho Falls, ID 83404-7532

Mailing Address2860 Channing Way Ste 112Idaho Falls, ID 83404-7532 · (208) 524-4381 · Fax (208) 523-6477

Phone(208) 524-4381

Fax(208) 523-6477

Organization SubpartNo

Authorized OfficialWilliam P WilsonOwner · (208) 524-4381

Enumeration DateJune 9, 2015

Last NPPES UpdateJune 15, 2015

✔ NPI 1457732000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic Surgery · Surgery of the HandAllopathic & Osteopathic Physicians

Taxonomy Code2082S0105X

License✔ Licensed in ID · M 5527

Definition

A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

2860 CHANNING WAY STE 112, Idaho Falls, ID 83404

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Molina Healthcare, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to William Wilson MD PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

William Wilson, M.D.

Plastic and Reconstructive Surgery

NPI 1447368758

2860 CHANNING WAY SUITE 112
Idaho Falls, ID 83404

(208) 524-4381

✔ PECOS✔ Accepts Medicare0.1 mi

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

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 William Wilson MD PC's NPI number?

The NPI number for William Wilson MD PC is 1457732000. It was assigned to this organization in the NPPES registry on June 9, 2015.

Where is William Wilson MD PC located?

William Wilson MD PC is located at 2860 Channing Way Ste 112, Idaho Falls, ID 83404. The listed phone number is (208) 524-4381.

What is William Wilson MD PC's specialty?

The primary specialty registered for this NPI is Plastic Surgery, specializing in Surgery of the Hand, with taxonomy code 2082S0105X.

Is William Wilson MD PC enrolled in Medicare?

Yes. William Wilson MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through William Wilson MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to William Wilson MD PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does William Wilson MD PC accept?

Health plans from Moda Health Plan, Inc., Molina Healthcare and University of Utah Health Plans list William Wilson MD PC 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 William Wilson MD PC was last updated on June 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.