LEIGH G WILSON DDS
NPI 1720234503
Dentist - General Practice in Cape Girardeau, MO
NPI Status: Active since August 13, 2008
Contact Information
408 S BROADVIEW ST
CAPE GIRARDEAU, MO
ZIP 63703
Phone: (573) 332-0808
- Individual
- Female
- Dentist
- General Practice
- Accepts Insurance
- PECOS Enrolled
- Opted-Out Medicare
About LEIGH WILSON
This page provides the complete NPI Profile along with additional information for Leigh Wilson, a provider established in Cape Girardeau, Missouri with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1720234503 assigned on August 2008. The practitioner's primary taxonomy code is 1223G0001X with license number 2011019366 (MO). The provider is registered as an individual and her NPI record was last updated 13 years ago.
- NPI
- 1720234503
- Provider Name
- LEIGH G WILSON DDS
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 408 S BROADVIEW ST CAPE GIRARDEAU, MO 63703
- Location Phone
- (573) 332-0808
- Mailing Address
- 408 S BROADVIEW ST CAPE GIRARDEAU, MO 63703
- Mailing Phone
- (573) 332-0808
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-13-2008
- Last Update Date
- 06-28-2012
- Code Navigator
A dentist like Leigh Wilson is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Leigh Wilson opted out of Medicare effective on 03-09-2016 until 03-09-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist General Practice
- Taxonomy Code
- 1223G0001X
- Type
- Dental Providers
- License No.
- 2011019366
- License State
- MO
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 122300000X | Dental Providers | Dentist | 12011201A (IN) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Essential 6500 HSA (+ Incentives) - HMO
- Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Essential 9200 (+ Incentives) - HMO
- Anthem Bronze Essential 9200 Adult Dental/Vision (+ Incentives) - HMO
- Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Bronze Pathway 9200 (+ Incentives) - EPO
- Anthem Bronze Pathway HMO 7450 for HSA - HMO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- Humana Dental Smart Choice - PPO
- Humana Dental Smart Choice - High - PPO
- Humana Dental Smart Choice - Lite - PPO
- Humana Dental Smart Choice - Low - PPO
- Humana Dental Smart Choice Basic - PPO
- Humana Dental Smart Choice- Lite - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Leigh Wilson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 03-09-2016
Opt-Out End Date: 03-09-2026
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 63703 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $81.64
- Minimum New Patient Price $52.28
- Maximum New Patient Price $161.24
- Average New Patient Copayment $20.41
- Minimum New Patient Copayment $13.07
- Maximum New Patient Copayment $40.31
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $65.71
- Minimum Established Patient Price $16.3
- Maximum Established Patient Price $131.05
- Average Established Patient Copayment $16.42
- Minimum Established Patient Copayment $4.07
- Maximum Established Patient Copayment $32.76
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for LEIGH G WILSON DDS
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 2 | 0 | 2 | 3 | 4 | 5 | 0 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 4 | 0 | 4 | 3 | 8 | 5 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 4 + 0 + 4 + 3 + 8 + 5 + 0 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1720234503 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
SUSAN B FARROW FNP
Nurse Practitioner
(Family)
408 S BROADVIEW ST
CAPE GIRARDEAU, MO
ZIP 63703
CHARLES J LASTRAPES DO
Family Medicine
408 S BROADVIEW ST
CAPE GIRARDEAU, MO
ZIP 63703
EDWARD J DOYLE MD
General Practice
408 S BROADVIEW ST
CAPE GIRARDEAU, MO
ZIP 63703
GEORGIA A GREMILLION FNP
Nurse Practitioner
(Family)
408 S BROADVIEW ST
CAPE GIRARDEAU, MO
ZIP 63703
CHRISTINE ANN SCHOOLMAN D.D.S.
Dentist
408 S BROADVIEW ST
CAPE GIRARDEAU, MO
ZIP 63703
CROSS TRAILS MEDICAL CENTER
Clinic/Center
(Federally Qualified Health Center (FQHC))
408 S BROADVIEW ST
CAPE GIRARDEAU, MO
ZIP 63703
LOUIS H ROHLFS DDS
Dentist
(General Practice)
408 S BROADVIEW ST
CAPE GIRARDEAU, MO
ZIP 63703
KENNETH GREEN LCSW
Social Worker
(Clinical)
408 S BROADVIEW ST
CAPE GIRARDEAU, MO
ZIP 63703
KEVIN ROBERT FALLERT DDS
Dentist
408 S BROADVIEW ST
CAPE GIRARDEAU, MO
ZIP 63703
MICHAEL K DILLOW RDH
Dental Hygienist
408 S BROADVIEW ST
CAPE GIRARDEAU, MO
ZIP 63703
JONATHAN EDWARDS DDS
Dentist
408 S BROADVIEW ST
CAPE GIRARDEAU, MO
ZIP 63703
CHARLENE L MINTON DMD
Dentist
408 S BROADVIEW ST
CAPE GIRARDEAU, MO
ZIP 63703
MRS. ANITA N SMITH RD
Dietitian, Registered
408 S BROADVIEW ST
CAPE GIRARDEAU, MO
ZIP 63703
ASHLEY LIPKE RN, CDE
Registered Nurse
(Diabetes Educator)
408 S BROADVIEW ST
CAPE GIRARDEAU, MO
ZIP 63703
AUTUMN ROSE VANGENNIP RDH
Dental Hygienist
408 S BROADVIEW ST
CAPE GIRARDEAU, MO
ZIP 63703
NANCY K JOHNSON FNP
Nurse Practitioner
408 S BROADVIEW ST
CAPE GIRARDEAU, MO
ZIP 63703
JULIE R JENNINGS RDH
Dental Hygienist
408 S BROADVIEW ST
CAPE GIRARDEAU, MO
ZIP 63703
MITRA NEJAT-BINA DDS
Dentist
(General Practice)
408 S BROADVIEW ST
CAPE GIRARDEAU, MO
ZIP 63703
KATIE KRISTINE BERGHOFF RDH
Dental Hygienist
408 S BROADVIEW ST
CAPE GIRARDEAU, MO
ZIP 63703
DR. ANDREW J BOVA DMD
Dentist
(General Practice)
408 S BROADVIEW ST
CAPE GIRARDEAU, MO
ZIP 63703
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720234503, enumerated as an "individual" on August 13, 2008.
The provider is located at 408 S BROADVIEW ST CAPE GIRARDEAU, MO 63703 and the phone number is (573) 332-0808.
Dentist with taxonomy code 1223G0001X and a focus in General Practice.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross and. Please consult your insurance carrier or call the provider to verify.
