JACOB DAMMON WILSON DO
NPI 1730618356
Surgery - Vascular Surgery in Cherry Hill, NJ

Q: What is Jacob Wilson's NPI number?

The NPI number for Jacob Wilson is 1730618356. It was assigned to this individual provider in the NPPES registry on June 7, 2017.

Q: What is Jacob Wilson's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Wilson was last updated on January 7, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 07, 2017PECOS EnrolledAccepts Medicare Assignment

1935 ROUTE 70 E, CHERRY HILL, NJ 08003(856) 428-7700(856) 325-4196 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 7, 2026, Nov 3, 2025, Dec 31, 2024 and 2 more (5 updates tracked since 2017).

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About Jacob Dammon Wilson Do NPPES

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

JACOB DAMMON WILSON DO (NPI 1730618356) is an individual vascular surgery provider in Cherry Hill, New Jersey, licensed in New Jersey (25MB12205900) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with West Jersey Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1730618356

Entity TypeIndividualMale

Primary Taxonomy2086S0129X

Provider Legal NameJACOB DAMMON WILSONCredential: DO

Location Address1935 ROUTE 70 ECherry Hill, NJ 08003-2117

Mailing Address42 E Laurel Rd Ste 2600Stratford, NJ 08084-1354 · (856) 566-6875

Phone(856) 428-7700

Fax(856) 325-4196

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJune 7, 2017

Last NPPES UpdateJanuary 7, 20265 updates tracked since enumeration

NPPES CertifiedJanuary 7, 2026

✔ NPI 1730618356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

License✔ Licensed in NJ · 25MB12205900

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1935 ROUTE 70 E, Cherry Hill, NJ 08003

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Secondary Practice Locations 3

Location 142 E Laurel Rd Ste 2600Stratford, NJ 08084-1354 · Phone (856) 566-6875

Location 21105 Laurel Oak Rd Ste 166BVoorhees, NJ 08043-4312 · Phone (856) 428-7700 · Fax (856) 325-4196

Location 3239 Hurffville Cross Keys Rd., Suite 350ASewell, NJ 08080 · Phone (856) 428-7700 · Fax (856) 325-4196

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

Jacob Dammon Wilson Do 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 ID5698215333

PECOS Enrollment IDI20240910000301

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

32 services24 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

21 services14 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

16 services16 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

West Jersey Hospital

Acute Care Hospitals · Voorhees, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310022

Location100 Bowman DriveVoorhees, NJ 08043 · Camden County

Emergency services Birthing friendly

Virtua Our Lady Of Lourdes Hospital

Acute Care Hospitals · Camden, NJ

1/5 CMS rating

OwnershipGovernment - State

CMS Certification Number310029

Location1600 Haddon AvenueCamden, NJ 08103 · Camden County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08003 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

$94.90 typical visit price

range $61.59 – $185.05

Typical copayment $23.72 (range $15.39 – $46.26)

Most-billed visit code 99203

Established Patient

$76.45 typical visit price

range $20.08 – $150.98

Typical copayment $19.11 (range $5.02 – $37.74)

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.

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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.

MARY JO DONNELL NP-C

Nurse Practitioner