SPENCER ALLISON WILSON M.D.
NPI 1679731046
Internal Medicine - Gastroenterology in Indianapolis, IN

Q: What is Spencer Wilson's NPI number?

The NPI number for Spencer Wilson is 1679731046. It was assigned to this individual provider in the NPPES registry on June 1, 2008.

Q: What is Spencer Wilson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Spencer Wilson was last updated on October 3, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 01, 2008PECOS EnrolledAccepts Medicare Assignment

69.18/100

CMS Quality Rating

8424 NAAB RD, SUITE 3J, INDIANAPOLIS, IN 46260(317) 872-7396 Get Directions Write a Review

NPPES record last updated: October 3, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Spencer Allison Wilson M.d. NPPES

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

SPENCER ALLISON WILSON M.D. (NPI 1679731046) is an individual gastroenterology provider in Indianapolis, Indiana, licensed in Indiana (01060883A) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Hendricks Regional Health, and is a graduate of Indiana University School Of Medicine (2002).

NPPES Registry Identity

NPI1679731046

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameSPENCER ALLISON WILSONCredential: M.D.

Location Address8424 NAAB RD, SUITE 3JIndianapolis, IN 46260-5918

Mailing Address8424 Naab Rd, Suite 3jIndianapolis, IN 46260-5918 · (317) 872-7396

Phone(317) 872-7396

Sole ProprietorYes

Medical School CMSIndiana University School Of MedicineGraduated 2002

Enumeration DateJune 1, 2008

Last NPPES UpdateOctober 3, 2012

✔ NPI 1679731046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in IN · 01060883A

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

8424 NAAB RD, Indianapolis, IN 46260

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Spencer Allison Wilson M.d. 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 ID1658422340

PECOS Enrollment IDI20090618000720

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 12

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

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

255 services254 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

109 services106 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

75 services61 patients

Dilation of esophagus 43450

Dilation of the esophagus is a procedure aimed to stretch or open up your esophagus (the tube connecting your mouth to your stomach) when it's narrow. It helps to improve swallowing and alleviate discomfort. It's typically performed using a flexible tube or balloon, under sedation.

57 services53 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

34 services34 patients

Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500

Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.

32 services31 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

29 services29 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

21 services21 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

19 services19 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

11 services11 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

11 services11 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Hendricks Regional Health

Acute Care Hospitals · Danville, IN

5/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number150005

Location1000 E Main StDanville, IN 46122 · Hendricks 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

Ascension St Vincent Hospital

Acute Care Hospitals · Indianapolis, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number150084

Location2001 W 86th StIndianapolis, IN 46260 · Marion County

Emergency services Birthing friendly

Witham Health Services

Acute Care Hospitals · Lebanon, IN

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number150104

Location2605 N Lebanon StLebanon, IN 46052 · Boone County

Emergency services Birthing friendly

Ascension St Vincent Carmel

Acute Care Hospitals · Carmel, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150157

Location13500 N Meridian StCarmel, IN 46032 · Hamilton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46260 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

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

69.18/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

72.44

Promoting Interoperability

Improvement Activities

Cost

33.16

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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.

LAWRENCE JOHN BORN MD

Internal Medicine (Gastroenterology)

8424 NAAB RD, #3-J
INDIANAPOLIS, IN 46260

Marion County (317) 872-7396

FREDERICK DANIEL LANDIS III MD

Internal Medicine (Gastroenterology)

8424 NAAB RD, 3-J
INDIANAPOLIS, IN 46260

Marion County (317) 872-7396

JOHN L GEORGE, MD

Surgery

8424 NAAB RD, SUITE #2F
INDIANAPOLIS, IN 46260

Marion County (317) 870-0480

DARYL FOSTER DAUGHERTY MD

Internal Medicine (Gastroenterology)

8424 NAAB RD, #3-J
INDIANAPOLIS, IN 46260

Marion County (317) 872-7396

MARK JOSEPH LYBIK MD

Internal Medicine (Gastroenterology)

8424 NAAB RD, #3 J
INDIANAPOLIS, IN 46260

Marion County (317) 872-7396

LISA RENEE SCHOENROCK CRNA

Nurse Anesthetist, Certified Registered

8424 NAAB RD, SUITE 3 J
INDIANAPOLIS, IN 46260

Marion County (248) 930-7683

THOMAS M BROGAN MD

Family Medicine

8424 NAAB RD, STE. 1C
INDIANAPOLIS, IN 46260

Marion County (317) 875-7221

HOLISTIC MEDICAL AND WELLNESS CENTER OF IN, LLC

Clinic/Center (Primary Care)

8424 NAAB RD, SUITE 3P
INDIANAPOLIS, IN 46260

Marion County (317) 608-6090

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 Spencer Wilson's NPI number?

The NPI number for Spencer Wilson is 1679731046. It was assigned to this individual provider in the NPPES registry on June 1, 2008.

Where is Spencer Wilson located?

Spencer Wilson practices at 8424 Naab Rd Suite 3J, Indianapolis, IN 46260. The listed phone number is (317) 872-7396.

What is Spencer Wilson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Spencer Wilson enrolled in Medicare?

Yes. Spencer 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.

What insurance does Spencer Wilson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Spencer 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 Spencer Wilson affiliated with any hospitals?

According to CMS data, Spencer Wilson is affiliated with Hendricks Regional Health, Indiana University Health, Ascension St Vincent Hospital, Witham Health Services and Ascension St Vincent Carmel.

When was this NPI record last updated?

The NPPES record for Spencer Wilson was last updated on October 3, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.