ANDREW MICHAEL WILSON
NPI 1649546128
Psychiatry & Neurology - Neurology in Los Angeles, CA

Active since March 28, 2012PECOS EnrolledAccepts Medicare Assignment
300 MEDICAL PLAZA # B200, LOS ANGELES, CA 90095(310) 794-1195(310) 794-7491 Get Directions Write a Review

NPPES record last updated: January 14, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 14, 2020, Aug 9, 2018, Jul 18, 2018 (3 updates tracked since 2018).

About Andrew Michael Wilson NPPES

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

ANDREW MICHAEL WILSON (NPI 1649546128) is an individual neurology provider in Los Angeles, California, licensed in California (A130664) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS and is a graduate of Baylor College Of Medicine (2012).

NPPES Registry Identity

NPI1649546128
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameANDREW MICHAEL WILSON
Location Address300 MEDICAL PLAZA # B200Los Angeles, CA 90095
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Fax(310) 794-7491
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 2012
Enumeration DateMarch 28, 2012
Last NPPES UpdateJanuary 14, 20203 updates tracked since enumeration
NPI 1649546128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in CA · A130664
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

300 MEDICAL PLAZA # B200, Los Angeles, CA 90095

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Andrew Michael Wilson 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 ID9032369996
PECOS Enrollment IDI20180628002160
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
16 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90095 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 11

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

Psychiatry & Neurology (Neurology)
300 MEDICAL PLAZA # B200
LOS ANGELES, CA 90095
Nurse Practitioner (Acute Care)
300 MEDICAL PLAZA # B200
LOS ANGELES, CA 90095
Psychiatry & Neurology (Neurology)
300 MEDICAL PLAZA # B200
LOS ANGELES, CA 90095
Psychiatry & Neurology (Neurology)
300 MEDICAL PLAZA # B200
LOS ANGELES, CA 90095
Psychiatry & Neurology (Neurology)
300 MEDICAL PLAZA # B200
LOS ANGELES, CA 90095
Psychiatry & Neurology (Neurology)
300 MEDICAL PLAZA # B200
LOS ANGELES, CA 90095
Nurse Practitioner (Adult Health)
300 MEDICAL PLAZA # B200
LOS ANGELES, CA 90095
Psychiatry & Neurology (Neurology)
300 MEDICAL PLAZA # B200
LOS ANGELES, CA 90095

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649546128, enumerated as an "individual" on March 28, 2012.

The provider is located at 300 MEDICAL PLAZA # B200 LOS ANGELES, CA 90095 and the phone number is (310) 794-1195.

Psychiatry & Neurology with taxonomy code 2084N0400X and a focus in Neurology.