DR. DOUGLAS GLEN WILSON D.O.
NPI 1679797260
Emergency Medicine in Osage Beach, MO

Active since April 13, 2007PECOS EnrolledAccepts Medicare Assignment
80.61/100
CMS Quality Rating
54 HOSPITAL DR, OSAGE BEACH, MO 65065(573) 348-8000(573) 348-8309 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 24, 2025, Aug 15, 2019 (2 updates tracked since 2019).

About Dr. Douglas Glen Wilson D.o. NPPES

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

DR. DOUGLAS GLEN WILSON D.O. (NPI 1679797260) is an individual emergency medicine provider in Osage Beach, Missouri, licensed in Missouri (2014017392) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Texas County Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1679797260
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. DOUGLAS GLEN WILSONCredential: D.O.
Location Address54 HOSPITAL DROsage Beach, MO 65065-3050
Mailing Address200 Corporate BlvdLafayette, LA 70508-3870 · (800) 893-9698
Fax(573) 348-8309
Sole ProprietorNo
Medical School CMSKansas City College Of Medicine And SurgeryGraduated 2006
Enumeration DateApril 13, 2007
Last NPPES UpdateJune 24, 20252 updates tracked since enumeration
NPPES CertifiedJune 24, 2025
NPI 1679797260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in MO · 2014017392 Licensed in LA · DO.000244
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

54 HOSPITAL DR, Osage Beach, MO 65065

Secondary Practice Locations 2

Location 11585 3rd StFort Polk, LA 71459 · Phone (337) 531-3118
Location 2100 W US Highway 60Mountain View, MO 65548-8542 · Phone (417) 934-7044

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

Dr. Douglas Glen Wilson D.o. 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 ID3476613852
PECOS Enrollment IDI20140717001657
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
363 services345 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
143 services139 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
83 services81 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
81 services81 patients

Hospital Affiliations CMS Care Compare 3

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

Texas County Memorial Hospital

Acute Care Hospitals · Houston, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260024
Location1333 Sam Houston BoulevardHouston, MO 65483 · Texas County
Emergency services Birthing friendly

Mercy Hospital Lebanon

Acute Care Hospitals · Lebanon, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260059
Location100 Hospital DriveLebanon, MO 65536 · Laclede County
Emergency services Birthing friendly

Mercy St Francis Hospital

Critical Access Hospitals · Mountain View, MO
OwnershipVoluntary non-profit - Private
CMS Certification Number261335
Location100 West Highway 60, PO Box 82Mountain View, MO 65548 · Howell County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65065 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

80.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.19
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier23 claims23 services$21.28 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier25 claims25 services$119.42 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Emergency Medicine
54 HOSPITAL DR
OSAGE BEACH, MO 65065
Clinical Exercise Physiologist
54 HOSPITAL DR
OSAGE BEACH, MO 65065
Specialist
54 HOSPITAL DR
OSAGE BEACH, MO 65065
Physician Assistant
54 HOSPITAL DR
OSAGE BEACH, MO 65065
Internal Medicine (Pulmonary Disease)
54 HOSPITAL DR, SUITE 205
OSAGE BEACH, MO 65065
Physical Therapist (Hand)
54 HOSPITAL DR
OSAGE BEACH, MO 65065
Dietitian, Registered
54 HOSPITAL DR
OSAGE BEACH, MO 65065
Nurse Anesthetist, Certified Registered
54 HOSPITAL DR
OSAGE BEACH, MO 65065

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 Douglas Wilson's NPI number?

The NPI number for Douglas Wilson is 1679797260. It was assigned to this individual provider in the NPPES registry on April 13, 2007.

Where is Douglas Wilson located?

Douglas Wilson practices at 54 Hospital Dr, Osage Beach, MO 65065. The listed phone number is (573) 348-8000.

What is Douglas Wilson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Douglas Wilson enrolled in Medicare?

Yes. Douglas 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.

Is Douglas Wilson affiliated with any hospitals?

According to CMS data, Douglas Wilson is affiliated with Texas County Memorial Hospital, Mercy Hospital Lebanon and Mercy St Francis Hospital.

When was this NPI record last updated?

The NPPES record for Douglas Wilson was last updated on June 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.