DR. HAL B WILSON M.D.
NPI 1851397624
Family Medicine in Scottsdale, AZ

Active since June 24, 2005PECOS EnrolledAccepts Medicare Assignment
11000 N SCOTTSDALE RD, SUITE 225, SCOTTSDALE, AZ 85254(602) 508-8055(602) 508-8325 Get Directions Write a Review

NPPES record last updated: November 4, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Hal B Wilson M.d. NPPES

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

DR. HAL B WILSON M.D. (NPI 1851397624) is an individual family medicine provider in Scottsdale, Arizona, licensed in Arizona (AZ22876) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Missouri, Columbia School Of Medicine (1989).

NPPES Registry Identity

NPI1851397624
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. HAL B WILSONCredential: M.D.
Location Address11000 N SCOTTSDALE RD, SUITE 225Scottsdale, AZ 85254-6130
Mailing Address11000 N Scottsdale Rd, Suite 225Scottsdale, AZ 85254-6130 · (602) 508-8055 · Fax (602) 508-8325
Fax(602) 508-8325
Sole ProprietorYes
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 1989
Enumeration DateJune 24, 2005
Last NPPES UpdateNovember 4, 2014
✔ NPI 1851397624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AZ · AZ22876
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License AZ22876 (AZ)
11000 N SCOTTSDALE RD, Scottsdale, AZ 85254

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Hal B 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 ID4183611833
PECOS Enrollment IDI20040427000004
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Hal Wilson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Care
70 S VAL VISTA DR STE A3-621
Gilbert, AZ 85296
  • Reassigned Medicare billing, Arizona enrollment
  • 263 clinicians in this Medicare group
Rural
ARIZONA HIGHWAY 191
Ganado, AZ 86505
  • Reassigned Medicare billing, Arizona enrollment
  • 204 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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.

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.
164 services49 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.
113 services42 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
104 services42 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
96 services95 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
65 services27 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
44 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85254 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Psychologist
11000 N SCOTTSDALE RD, SUITE 163
SCOTTSDALE, AZ 85254
Naturopath
11000 N SCOTTSDALE RD
SCOTTSDALE, AZ 85254
Community/Behavioral Health
11000 N SCOTTSDALE RD, SUITE 163
SCOTTSDALE, AZ 85254
Physical Therapist
11000 N SCOTTSDALE RD, STE 130
SCOTTSDALE, AZ 85254
Surgery (Plastic and Reconstructive Surgery)
11000 N SCOTTSDALE RD, STE 130
SCOTTSDALE, AZ 85254
Home Health
11000 N SCOTTSDALE RD, SUITE 215
SCOTTSDALE, AZ 85254
Psychologist
11000 N SCOTTSDALE RD, STE. 163
SCOTTSDALE, AZ 85254
Specialist
11000 N SCOTTSDALE RD, SUITE 190
SCOTTSDALE, AZ 85254

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 Hal Wilson's NPI number?

The NPI number for Hal Wilson is 1851397624. It was assigned to this individual provider in the NPPES registry on June 24, 2005.

Where is Hal Wilson located?

Hal Wilson practices at 11000 N Scottsdale Rd Suite 225, Scottsdale, AZ 85254. The listed phone number is (602) 508-8055.

What is Hal Wilson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Hal Wilson enrolled in Medicare?

Yes. Hal 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.

Which organizations bill Medicare for Hal Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hal Wilson reassigns Medicare benefits to 2 organizations: Tec Emergency Physicians Of Arizona, LLC (Gilbert, AZ) and Navajo Health Foundation-Sage Memorial Hospital, Inc. (Ganado, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Hal Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hal Wilson accept?

Health plans from Blue Cross Blue Shield of Arizona list Hal 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 Hal Wilson was last updated on November 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.