DALLIN WILSON OD
NPI 1790212173
Optometrist in St George, UT

Active since May 17, 2017PECOS EnrolledAccepts Medicare Assignment
2276 E RIVERSIDE DR, ST GEORGE, UT 84790(435) 773-5938 Get Directions Write a Review

NPPES record last updated: September 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 8, 2023, May 17, 2017 (2 updates tracked since 2017).

About Dallin Wilson Od NPPES

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

DALLIN WILSON OD (NPI 1790212173) is an individual optometrist in St George, Utah, licensed in Utah (10408308-9934) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2017).

NPPES Registry Identity

NPI1790212173
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDALLIN WILSONCredential: OD
Location Address2276 E RIVERSIDE DRSt George, UT 84790-2636
Mailing Address521 S 100 ESaint George, UT 84770-3925 · (435) 773-5938
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2017
Enumeration DateMay 17, 2017
Last NPPES UpdateSeptember 8, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2023
NPI 1790212173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in UT · 10408308-9934
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
2276 E RIVERSIDE DR, St George, UT 84790

Accepted 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

Dallin Wilson Od 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 ID4981059573
PECOS Enrollment IDI20231017003892
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

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.

New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84790 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
2276 E RIVERSIDE DR
ST GEORGE, UT 84790
Pharmacist
2276 E RIVERSIDE DR
SAINT GEORGE, UT 84790
Dentist
2276 E RIVERSIDE DR
ST GEORGE, UT 84790
Clinic/Center (Federally Qualified Health Center (FQHC))
2276 E RIVERSIDE DR
ST GEORGE, UT 84790
Nurse Practitioner (Psychiatric/Mental Health)
2276 E RIVERSIDE DR
ST GEORGE, UT 84790
Social Worker (Clinical)
2276 E RIVERSIDE DR
ST GEORGE, UT 84790
Pharmacist
2276 E RIVERSIDE DR
SAINT GEORGE, UT 84790

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 Dallin Wilson's NPI number?

The NPI number for Dallin Wilson is 1790212173. It was assigned to this individual provider in the NPPES registry on May 17, 2017.

Where is Dallin Wilson located?

Dallin Wilson practices at 2276 E Riverside Dr, St George, UT 84790. The listed phone number is (435) 773-5938.

What is Dallin Wilson's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Dallin Wilson enrolled in Medicare?

Yes. Dallin 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 Dallin Wilson accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Dallin 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 Dallin Wilson was last updated on September 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.