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

JOHN ALLAN WILSON IV MD
NPI 1497214290
Otolaryngology in Fishers, IN

Active since March 19, 2019PECOS EnrolledAccepts Medicare Assignment
13100 E 136TH ST, FISHERS, IN 46037(317) 688-4864 Get Directions Write a Review

NPPES record last updated: October 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 6, 2026, Aug 9, 2020, Mar 19, 2019 (3 updates tracked since 2019).

About John Allan Wilson Iv Md NPPES

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

JOHN ALLAN WILSON IV MD (NPI 1497214290) is an individual otolaryngology provider in Fishers, Indiana, licensed in Indiana (01097695A) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Eskenazi Health, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1497214290
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameJOHN ALLAN WILSON IVCredential: MD
Location Address13100 E 136TH STFishers, IN 46037-9417
Mailing Address13100 E 136th St Ste 2500Fishers, IN 46037-9813 · (317) 944-6467 · Fax (317) 222-2103
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 19, 2019
Last NPPES UpdateOctober 6, 20263 updates tracked since enumeration
NPPES CertifiedOctober 6, 2026
✔ NPI 1497214290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in IN · 01097695A
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
13100 E 136TH ST, Fishers, IN 46037

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

John Allan Wilson Iv 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 ID9436484748
PECOS Enrollment IDI20251031000859
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

3

Medicare enrollment records show John Wilson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group
Pediatrics
500 7TH AVE FL 8
New York, NY 10018
  • Reassigned Medicare billing, New York enrollment
  • 345 clinicians in this Medicare group
Obstetrics & Gynecology
7901 BROADWAY
Elmhurst, NY 11373
  • Reassigned Medicare billing, New York enrollment
  • 836 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.

Hospital Affiliations CMS Care Compare 2

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

Eskenazi Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150024
Location720 Eskenazi AvenueIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46037 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
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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 20

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

Pharmacy (Community/Retail Pharmacy)
13100 E 136TH ST, SUITE 1000
FISHERS, IN 46037
Physician Assistant
13100 E 136TH ST, STE 1200
FISHERS, IN 46037
Family Medicine
13100 E 136TH ST
FISHERS, IN 46037
Internal Medicine
13100 E 136TH ST, STE 1200
FISHERS, IN 46037
Nurse Practitioner
13100 E 136TH ST, STE 3000
FISHERS, IN 46037
Internal Medicine
13100 E 136TH ST
FISHERS, IN 46037
Internal Medicine (Cardiovascular Disease)
13100 E 136TH ST, SUITE 3000
FISHERS, IN 46037
Physician Assistant
13100 E 136TH ST, STE 2000
FISHERS, IN 46037

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 John Wilson's NPI number?

The NPI number for John Wilson is 1497214290. It was assigned to this individual provider in the NPPES registry on March 19, 2019.

Where is John Wilson located?

John Wilson practices at 13100 E 136th St, Fishers, IN 46037. The listed phone number is (317) 688-4864.

What is John Wilson's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is John Wilson enrolled in Medicare?

Yes. John 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 John Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Wilson reassigns Medicare benefits to 3 organizations: Iu Health Medical Group, LLC (Indianapolis, IN), Icahn School Of Medicine At Mount Sinai (New York, NY) and Icahn School Of Medicine At Mount Sinai (Elmhurst, NY). 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 John Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Wilson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list John 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 John Wilson affiliated with any hospitals?

According to CMS data, John Wilson is affiliated with Eskenazi Health and Indiana University Health.

When was this NPI record last updated?

The NPPES record for John Wilson was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 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.