JACK J WILSON MD
NPI 1851378145
Pathology - Anatomic Pathology & Clinical Pathology in Richmond, VA

Active since December 28, 2005PECOS EnrolledAccepts Medicare Assignment
5801 BREMO RD, RICHMOND, VA 23226(804) 281-8100(804) 285-7419 Get Directions Write a Review

NPPES record last updated: January 29, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 29, 2019, Dec 4, 2017, Oct 26, 2016 (3 updates tracked since 2016).

About Jack J Wilson Md NPPES

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

JACK J WILSON MD (NPI 1851378145) is an individual anatomic pathology & clinical pathology provider in Richmond, Virginia, licensed in Louisiana (304638) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Bon Secours St Marys Hospital, and maintains a secondary practice location in New Orleans.

NPPES Registry Identity

NPI1851378145
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameJACK J WILSONCredential: MD
Location Address5801 BREMO RDRichmond, VA 23226-1907
Mailing Address1514 Jefferson HwyNew Orleans, LA 70121-2429 · (504) 842-4000
Fax(804) 285-7419
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1985
Enumeration DateDecember 28, 2005
Last NPPES UpdateJanuary 29, 20193 updates tracked since enumeration
NPI 1851378145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Licenses Licensed in LA · 304638 Licensed in FL · 58840
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License ME58840 (FL)
Also ListedPathology · HematologyTaxonomy 207ZH0000X · License 58840 (FL)
5801 BREMO RD, Richmond, VA 23226

Secondary Practice Location 1

Location 11514 Jefferson HwyNew Orleans, LA 70121-2429 · Phone (504) 842-3330

Other Identifiers 1

Medicaid052455700FL

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

Jack J 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 ID8224100508
PECOS Enrollment IDI20190411001192
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 21

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
979 services515 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
739 services139 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
382 services120 patients
Microscopic genetic analysis of tissue, computer-assisted technology, initial procedure, each multiplex procedure 88374
This procedure involves analyzing tissue at a genetic level using a microscope and advanced computer technology. The initial process involves the collection and preparation of tissue samples. Each multiplex procedure refers to the simultaneous testing of multiple genetic markers to identify abnormalities.
357 services82 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
199 services183 patients
Microscopic genetic analysis of tumor, manual 88360
Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.
184 services105 patients

Hospital Affiliations CMS Care Compare 5

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

Bon Secours St Marys Hospital

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number490059
Location5801 Bremo RdRichmond, VA 23226 · Richmond City County
Emergency services Birthing friendly

Bon Secours Southside Medical Center

Acute Care Hospitals · Petersburg, VA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number490067
Location200 Medical Park BoulevardPetersburg, VA 23805 · Petersburg City County
Emergency services Birthing friendly

Bon Secours Memorial Regional Medical Center

Acute Care Hospitals · Mechanicsville, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number490069
Location8260 Atlee RoadMechanicsville, VA 23116 · Hanover County
Emergency services Birthing friendly

Bon Secours Richmond Community Hospital

Acute Care Hospitals · Richmond, VA
OwnershipVoluntary non-profit - Private
CMS Certification Number490094
Location1500 N. 28th StreetRichmond, VA 23223 · Richmond City County
Emergency services

Bon Secours St Francis Medical Center

Acute Care Hospitals · Midlothian, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number490136
Location13710 St Francis BoulevardMidlothian, VA 23114 · Chesterfield County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23226 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

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.

Emergency Medicine
5801 BREMO RD
RICHMOND, VA 23226
Registered Nurse
5801 BREMO RD
RICHMOND, VA 23226
Registered Nurse
5801 BREMO RD
RICHMOND, VA 23226
Pathology (Anatomic Pathology & Clinical Pathology)
5801 BREMO RD
RICHMOND, VA 23226
Emergency Medicine
5801 BREMO RD, VIRGINIA EMERGENCY ASSOCIATES INC
RICHMOND, VA 23226
Physician Assistant
5801 BREMO RD, ST FRANCIS EMERGENCY DEPARTMENT
RICHMOND, VA 23226
Nurse Anesthetist, Certified Registered
5801 BREMO RD
RICHMOND, VA 23226
Specialist/Technologist, Other (Surgical Assistant)
5801 BREMO RD
RICHMOND, VA 23226

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 Jack Wilson's NPI number?

The NPI number for Jack Wilson is 1851378145. It was assigned to this individual provider in the NPPES registry on December 28, 2005.

Where is Jack Wilson located?

Jack Wilson practices at 5801 Bremo Rd, Richmond, VA 23226. The listed phone number is (804) 281-8100.

What is Jack Wilson's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Jack Wilson enrolled in Medicare?

Yes. Jack 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.

Is Jack Wilson affiliated with any hospitals?

According to CMS data, Jack Wilson is affiliated with Bon Secours St Marys Hospital, Bon Secours Southside Medical Center, Bon Secours Memorial Regional Medical Center, Bon Secours Richmond Community Hospital and Bon Secours St Francis Medical Center.

When was this NPI record last updated?

The NPPES record for Jack Wilson was last updated on January 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.