LEIGH G WILSON DDS
NPI 1720234503
Dentist - General Practice in Cape Girardeau, MO

Active since August 13, 2008Opted out of Medicare · through Mar 9, 2028
408 S BROADVIEW ST, CAPE GIRARDEAU, MO 63703(573) 332-0808 Get Directions Write a Review

NPPES record last updated: June 28, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Leigh G Wilson Dds NPPES

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

LEIGH G WILSON DDS (NPI 1720234503) is an individual general practice provider in Cape Girardeau, Missouri, licensed in Missouri (2011019366) and active in the NPI registry since August 2008. She has opted out of Medicare through March 9, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1720234503
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameLEIGH G WILSONCredential: DDS
Location Address408 S BROADVIEW STCape Girardeau, MO 63703-5725
Mailing Address408 S Broadview StCape Girardeau, MO 63703-5725 · (573) 332-0808
Sole ProprietorYes
Enumeration DateAugust 13, 2008
Last NPPES UpdateJune 28, 2012
NPI 1720234503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MO · 2011019366
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X · License 12011201A (IN)
408 S BROADVIEW ST, Cape Girardeau, MO 63703

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Leigh G Wilson Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 9, 2016 through March 9, 2028.

Opt-Out Effective DateMarch 9, 2016
Opt-Out In Effect ThroughMarch 9, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63703 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
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
Most-billed visit code 99213
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.

Dentist
408 S BROADVIEW ST
CAPE GIRARDEAU, MO 63703
Dentist (General Practice)
408 S BROADVIEW ST
CAPE GIRARDEAU, MO 63703
Dietitian, Registered
408 S BROADVIEW ST
CAPE GIRARDEAU, MO 63703
Registered Nurse (Diabetes Educator)
408 S BROADVIEW ST
CAPE GIRARDEAU, MO 63703
Dentist (General Practice)
408 S BROADVIEW ST
CAPE GIRARDEAU, MO 63703
Dental Hygienist
408 S BROADVIEW ST
CAPE GIRARDEAU, MO 63703
Dentist (General Practice)
408 S BROADVIEW ST
CAPE GIRARDEAU, MO 63703
Nurse Practitioner
408 S BROADVIEW ST
CAPE GIRARDEAU, MO 63703

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 Leigh Wilson's NPI number?

The NPI number for Leigh Wilson is 1720234503. It was assigned to this individual provider in the NPPES registry on August 13, 2008.

Where is Leigh Wilson located?

Leigh Wilson practices at 408 S Broadview St, Cape Girardeau, MO 63703. The listed phone number is (573) 332-0808.

What is Leigh Wilson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Leigh Wilson enrolled in Medicare?

No. Leigh Wilson has opted out of Medicare through March 9, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Leigh Wilson accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Leigh 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 Leigh Wilson was last updated on June 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.