DR. ADAM SPACH WILSON M.D.
NPI 1790745933
Otolaryngology in Vancouver, WA

Active since March 23, 2006PECOS EnrolledAccepts Medicare Assignment
1405 SE 164TH AVE STE 102, VANCOUVER, WA 98683(360) 256-4425(360) 254-1844 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Adam Spach Wilson M.d. NPPES

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

DR. ADAM SPACH WILSON M.D. (NPI 1790745933) is an individual otolaryngology provider in Vancouver, Washington, licensed in Washington (MD00034230) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Peacehealth St John Medical Center, and is a graduate of North Carolina Medical School (1990).

NPPES Registry Identity

NPI1790745933
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. ADAM SPACH WILSONCredential: M.D.
Location Address1405 SE 164TH AVE STE 102Vancouver, WA 98683-9644
Mailing Address1405 Se 164th Ave Ste 102Vancouver, WA 98683-9644 · (360) 256-4425 · Fax (360) 254-1844
Fax(360) 254-1844
Sole ProprietorNo
Medical School CMSNorth Carolina Medical SchoolGraduated 1990
Enumeration DateMarch 23, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1790745933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in WA · MD00034230
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1405 SE 164TH AVE STE 102, Vancouver, WA 98683

Other Identifiers 5

Medicare ID-Type UnspecifiedAB14559WA
Other0130871WA · Wa Dept Of Labor & Indust
Other98683A007WA · Triwest
Medicaid8197287WA
Medicare UPING02653WA

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

Dr. Adam Spach Wilson M.d. 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 ID9830291079
PECOS Enrollment IDI20070219000660
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 11

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.

Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
360 services12 patients
Test for allergy using allergenic extract injected into skin 95024
An allergy skin test involves injecting a small amount of allergenic extract into your skin. This test helps determine if you're allergic to specific substances. If allergic, a small red bump appears at the test site. It's safe and quick.
344 services12 patients
Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
100 services16 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
99 services99 patients
Professional service for single injection of allergen 95115
A single allergen injection is a procedure where a small amount of a specific allergen is injected into your body. This is done to test your body's reaction to the allergen or to help your immune system become less sensitive to it, reducing allergic symptoms.
96 services14 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
90 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Peacehealth St John Medical Center

Acute Care Hospitals · Longview, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500041
Location1615 Delaware StreetLongview, WA 98632 · Cowlitz County
Emergency services Birthing friendly

Peacehealth Southwest Medical Center

Acute Care Hospitals · Vancouver, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500050
Location400 NE Mother Joseph PlaceVancouver, WA 98668 · Clark County
Emergency services Birthing friendly

Legacy Salmon Creek Medical Center

Acute Care Hospitals · Vancouver, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500150
Location2211 NE 139th StreetVancouver, WA 98686 · Clark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98683 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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 8

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

Optometrist
1405 SE 164TH AVE STE 102
VANCOUVER, WA 98683
Optometrist
1405 SE 164TH AVE STE 102
VANCOUVER, WA 98683
Clinic/Center (Ambulatory Surgical)
1405 SE 164TH AVE STE 102
VANCOUVER, WA 98683
Optometrist
1405 SE 164TH AVE STE 102
VANCOUVER, WA 98683
Audiologist
1405 SE 164TH AVE STE 102
VANCOUVER, WA 98683
Optometrist
1405 SE 164TH AVE STE 102
VANCOUVER, WA 98683
Optometrist
1405 SE 164TH AVE STE 102
VANCOUVER, WA 98683
Audiologist
1405 SE 164TH AVE STE 102
VANCOUVER, WA 98683

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 Adam Wilson's NPI number?

The NPI number for Adam Wilson is 1790745933. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is Adam Wilson located?

Adam Wilson practices at 1405 SE 164th Ave Ste 102, Vancouver, WA 98683. The listed phone number is (360) 256-4425.

What is Adam Wilson's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Adam Wilson enrolled in Medicare?

Yes. Adam 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 Adam Wilson accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Adam 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.

Is Adam Wilson affiliated with any hospitals?

According to CMS data, Adam Wilson is affiliated with Peacehealth St John Medical Center, Peacehealth Southwest Medical Center and Legacy Salmon Creek Medical Center.

When was this NPI record last updated?

The NPPES record for Adam Wilson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.