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DESTINY DESHAWN WILSON M.D
NPI 1508307752
Pediatrics in Dallas, TX

Active since March 20, 2017PECOS Enrolled
7777 FOREST LN STE 300, DALLAS, TX 75230(972) 284-7770 Get Directions Write a Review

NPPES record last updated: April 1, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 5, 2021, Jul 6, 2020, Jun 28, 2017 and 1 more (4 updates tracked since 2017).

About Destiny Deshawn Wilson M.d NPPES

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

DESTINY DESHAWN WILSON M.D (NPI 1508307752) is an individual pediatrics provider in Dallas, Texas, licensed in Texas (T0673) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508307752
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDESTINY DESHAWN WILSONCredential: M.D
Location Address7777 FOREST LN STE 300Dallas, TX 75230-2571
Mailing Address7777 Forest Ln Ste 300Dallas, TX 75230-2571 · (972) 284-7770
Phone(972) 284-7770
Sole ProprietorNo
Enumeration DateMarch 20, 2017
Last NPPES UpdateApril 1, 20224 updates tracked since enumeration
NPPES CertifiedApril 1, 2022
✔ NPI 1508307752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · T0673
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
7777 FOREST LN STE 300, Dallas, TX 75230
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Destiny Deshawn Wilson M.d 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 Destiny Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Texas Health Care, P.L.L.C.
19 mi
Ophthalmology
2201 WESTGATE PLAZA
Grapevine, TX 76051
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Texas Health Care PLLC
  • 511 clinicians in this Medicare group
NPI 1164588596 (817) 410-2030

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 75230 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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 3

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

MISS CARLY RYAN OLSON CBC
Lactation Consultant, Non-RN
7777 FOREST LN STE 300
DALLAS, TX 75230
Dallas County (972) 284-7770
STEPHANIE LAMPE
Lactation Consultant, Non-RN
7777 FOREST LN STE 300
DALLAS, TX 75230
Dallas County (972) 284-7770
SMITA MAHAPATRA M.D.
Pediatrics
7777 FOREST LN STE 300
DALLAS, TX 75230
Dallas County (972) 284-7770

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 Destiny Wilson's NPI number?

The NPI number for Destiny Wilson is 1508307752. It was assigned to this individual provider in the NPPES registry on March 20, 2017.

Where is Destiny Wilson located?

Destiny Wilson practices at 7777 Forest Ln Ste 300, Dallas, TX 75230. The listed phone number is (972) 284-7770.

What is Destiny Wilson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Destiny Wilson enrolled in Medicare?

Yes. Destiny Wilson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Destiny Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Destiny Wilson reassigns Medicare benefits to Texas Health Care, P.L.L.C. (Grapevine, TX). The 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 Destiny Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Destiny Wilson accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Destiny 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 Destiny Wilson was last updated on April 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.