RICHARD D WILSON MD
NPI 1609877000
Internal Medicine in Tyler, TX

Q: What is Richard Wilson's NPI number?

The NPI number for Richard Wilson is 1609877000. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Q: What is Richard Wilson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Richard Wilson was last updated on June 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 August 09, 2005PECOS Enrolled

800 E DAWSON ST, TYLER, TX 75701(903) 510-1186(903) 525-1254 Get Directions Write a Review

NPPES record last updated: June 12, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Richard D Wilson Md NPPES

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

RICHARD D WILSON MD (NPI 1609877000) is an individual internal medicine provider in Tyler, Texas, licensed in Texas (G3095) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609877000

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameRICHARD D WILSONCredential: MD

Location Address800 E DAWSON STTyler, TX 75701-2036

Mailing AddressPo Box 846098Dallas, TX 75284-6098 · (903) 324-6450

Phone(903) 510-1186

Fax(903) 525-1254

Sole ProprietorNo

Enumeration DateAugust 9, 2005

Last NPPES UpdateJune 12, 2014

✔ NPI 1609877000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in TX · G3095

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

800 E DAWSON ST, Tyler, TX 75701

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Other Identifiers 7

Medicare UPINC23638TX

Other00064CVBcbs

Other8EJ819TX · Bcbs

Medicaid079972801TX

Medicare PIN8B7801TX

Other110162071Mcr Rr

Other75-2616977-042TX · Tricare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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)

Richard D 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 Reassignments

Medicare enrollment records show Richard Wilson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Christus Trinity Clinic Texas

0.2 mi

Family Medicine

520 DOUGLAS BLVD
Tyler, TX 75702

Reassigned Medicare billing, Texas enrollment
2,745 clinicians in this Medicare group

NPI 1285684225 (903) 315-4119

Mother Frances Hospital Jacksonville

28 mi

Critical Access

2026 S JACKSON ST
Jacksonville, TX 75766

Reassigned Medicare billing, Texas enrollment
409 clinicians in this Medicare group

NPI 1952306672 (903) 541-4500

Hospitalist Medicine Physicians Of Texas, PLLC

162 mi

Internal Medicine

18951 N MEMORIAL DR
Humble, TX 77338

Reassigned Medicare billing, Texas enrollment
2,009 clinicians in this Medicare group

NPI 1629307095 (281) 540-7700

Hospital Medicine Associates Of Tx PA

192 mi

Hospitalist

16100 SOUTH FWY
Pearland, TX 77584

Reassigned Medicare billing, Texas enrollment
121 clinicians in this Medicare group

NPI 1538520218 (713) 413-6500

Quantum Emergency Physicians PA

260 mi

Hospitalist

1900 PINE ST
Abilene, TX 79601

Reassigned Medicare billing, Texas enrollment
140 clinicians in this Medicare group

NPI 1215010079 (325) 670-2000

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 75701 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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 20

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

KIRBY KILE CRNA

Anesthesiology