Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. GARY TRENT WILSON DDS
NPI 1487635041
Dentist - Oral and Maxillofacial Surgery in Memphis, TN

Active since November 10, 2005Opted out of Medicare · through Feb 22, 2028
5565 MURRAY RD, MEMPHIS, TN 38119(901) 767-0088(901) 767-2538 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Gary Trent Wilson Dds NPPES

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

DR. GARY TRENT WILSON DDS (NPI 1487635041) is an individual oral and maxillofacial surgery provider in Memphis, Tennessee, licensed in Tennessee (3340) and active in the NPI registry since November 2005. He has opted out of Medicare through February 22, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1487635041
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. GARY TRENT WILSONCredential: DDS
Location Address5565 MURRAY RDMemphis, TN 38119-3879
Mailing Address5565 Murray RdMemphis, TN 38119-3879 · (901) 767-0088 · Fax (901) 767-2538
Fax(901) 767-2538
Sole ProprietorNo
Enumeration DateNovember 10, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1487635041 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 TN · 3340
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.
5565 MURRAY RD, Memphis, TN 38119

Accepted 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. Gary Trent Wilson Dds 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 February 22, 2016 through February 22, 2028.

Opt-Out Effective DateFebruary 22, 2016
Opt-Out In Effect ThroughFebruary 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 38119 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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 5

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

Internal Medicine
5565 MURRAY RD, SECOND FLOOR
MEMPHIS, TN 38119
Dentist (Oral and Maxillofacial Surgery)
5565 MURRAY RD
MEMPHIS, TN 38119
Dentist (Periodontics)
5565 MURRAY RD
MEMPHIS, TN 38119
Dentist (Endodontics)
5565 MURRAY RD
MEMPHIS, TN 38119
Dentist (Oral and Maxillofacial Surgery)
5565 MURRAY RD
MEMPHIS, TN 38119

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 Gary Wilson's NPI number?

The NPI number for Gary Wilson is 1487635041. It was assigned to this individual provider in the NPPES registry on November 10, 2005.

Where is Gary Wilson located?

Gary Wilson practices at 5565 Murray Rd, Memphis, TN 38119. The listed phone number is (901) 767-0088.

What is Gary Wilson's specialty?

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

Is Gary Wilson enrolled in Medicare?

No. Gary Wilson has opted out of Medicare through February 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 Gary 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 6 other insurers list Gary 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 Gary Wilson was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.