JAMES WADE WILSON MD
NPI 1841400520
Internal Medicine - Critical Care Medicine in Plano, TX

Active since May 23, 2007PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
6124 W PARKER RD, SUITE 530, PLANO, TX 75093(214) 778-1075(214) 778-1237 Get Directions Write a Review

NPPES record last updated: July 5, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About James Wade Wilson Md NPPES

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

JAMES WADE WILSON MD (NPI 1841400520) is an individual critical care medicine provider in Plano, Texas, licensed in Texas (M6464) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Texas Health Presbyterian Hospital Plano, and is a graduate of University Of Texas Southwestern Medical School At Dallas (2005).

NPPES Registry Identity

NPI1841400520
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameJAMES WADE WILSONCredential: MD
Location Address6124 W PARKER RD, SUITE 530Plano, TX 75093-8122
Mailing Address6124 W Parker Rd, Suite 530Plano, TX 75093-8122 · (214) 778-1075 · Fax (214) 778-1237
Fax(214) 778-1237
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2005
Enumeration DateMay 23, 2007
Last NPPES UpdateJuly 5, 2017
NPI 1841400520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in TX · M6464
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License M6464 (TX)
6124 W PARKER RD, Plano, TX 75093

Other Identifiers 1

OtherM6464TX · Texas License

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

James Wade Wilson Md 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 ID4284802000
PECOS Enrollment IDI20110722000125
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 19

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 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
297 services158 patients
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.
249 services137 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
130 services93 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
123 services63 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
116 services102 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
98 services17 patients

Hospital Affiliations CMS Care Compare 4

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

Texas Health Presbyterian Hospital Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450771
Location6200 W Parker RdPlano, TX 75093 · Collin County
Emergency services Birthing friendly

Texas Health Presbyterian Hospital Allen

Acute Care Hospitals · Allen, TX
4/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number450840
Location1105 Central Expressway NorthAllen, TX 75013 · Collin County
Emergency services Birthing friendly

Baylor Scott & White The Heart Hospital - Plano

Acute Care Hospitals · Plano, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number670025
Location1100 Allied DrivePlano, TX 75093 · Collin County
Emergency services

Texas Health Hospital Frisco

Acute Care Hospitals · Frisco, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670260
Location12400 N Dallas ParkwayFrisco, TX 75033 · Denton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75093 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
85%134 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 30

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
11 suppliers25 claims25 services$31.36 avg. paid by Medicare
Tracheal suction catheter, any type other than closed system, each A4624
DME-Other DME · category DE000N
1 supplier11 claims572 services$2.54 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
5 suppliers52 claims106 services$1.14 avg. paid by Medicare
Small volume nonfiltered pneumatic nebulizer, disposable A7004
DME-Other DME · category DE000N
1 supplier13 claims26 services$0.92 avg. paid by Medicare
Filter, disposable, used with aerosol compressor or ultrasonic generator A7013
DME-Other DME · category DE000N
4 suppliers11 claims13 services$0.52 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
15 suppliers28 claims28 services$84.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Obstetrics & Gynecology
6124 W PARKER RD, STE 134
PLANO, TX 75093
Clinic/Center (Ambulatory Surgical)
6124 W PARKER RD, PRESBYTERIAN HOSPITAL # 232
PLANO, TX 75093
Clinic/Center (Medical Specialty)
6124 W PARKER RD, MEDICAL OFFICE BUILDING 3, SUITE #330
PLANO, TX 75093
Internal Medicine (Interventional Cardiology)
6124 W PARKER RD, SUITE 536
PLANO, TX 75093
Psychiatry & Neurology (Neurology)
6124 W PARKER RD, SUITE 432
PLANO, TX 75093
Internal Medicine (Pulmonary Disease)
6124 W PARKER RD, SUITE 530
PLANO, TX 75093
Internal Medicine
6124 W PARKER RD, MOB III SUITE 234
PLANO, TX 75093
Physician Assistant
6124 W PARKER RD, #536
PLANO, TX 75093

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 James Wilson's NPI number?

The NPI number for James Wilson is 1841400520. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is James Wilson located?

James Wilson practices at 6124 W Parker Rd Suite 530, Plano, TX 75093. The listed phone number is (214) 778-1075.

What is James Wilson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is James Wilson enrolled in Medicare?

Yes. James 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 James Wilson accept?

Health plans from Blue Cross and Blue Shield of Texas and Molina Healthcare list James 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 James Wilson affiliated with any hospitals?

According to CMS data, James Wilson is affiliated with Texas Health Presbyterian Hospital Plano, Texas Health Presbyterian Hospital Allen, Baylor Scott & White The Heart Hospital - Plano and Texas Health Hospital Frisco.

When was this NPI record last updated?

The NPPES record for James Wilson was last updated on July 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.