CAMERON L WILSON M.D.
NPI 1861855058
Internal Medicine in Portland, OR

Q: What is Cameron Wilson's NPI number?

The NPI number for Cameron Wilson is 1861855058. It was assigned to this individual provider in the NPPES registry on April 4, 2016.

Q: What is Cameron Wilson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Cameron Wilson was last updated on February 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 04, 2016PECOS Enrolled

4805 NE GLISAN ST STE BG05, PORTLAND, OR 97213(503) 215-2392 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 4, 2022, Mar 25, 2021, Sep 11, 2020 and 1 more (4 updates tracked since 2017).

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About Cameron L Wilson M.d. NPPES

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

CAMERON L WILSON M.D. (NPI 1861855058) is an individual internal medicine provider in Portland, Oregon, licensed in Oregon (MD198716) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1861855058

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameCAMERON L WILSONCredential: M.D.

Location Address4805 NE GLISAN ST STE BG05Portland, OR 97213-2933

Mailing AddressPo Box 3158Portland, OR 97208-3158

Phone(503) 215-2392

Sole ProprietorNo

Enumeration DateApril 4, 2016

Last NPPES UpdateFebruary 4, 20224 updates tracked since enumeration

NPPES CertifiedMarch 25, 2021

✔ NPI 1861855058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in OR · MD198716

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4805 NE GLISAN ST STE BG05, Portland, OR 97213

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Secondary Practice Location 1

Location 15050 NE Hoyt St Ste 540Portland, OR 97213-2985 · Phone (503) 215-6600

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cameron L Wilson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

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

Legacy Clinics LLC

4.1 mi

Clinic/Center

1130 NW 22ND AVE STE 220
Portland, OR 97210

Reassigned Medicare billing, Oregon enrollment
1,248 clinicians in this Medicare group

NPI 1902827272 (503) 413-2901

Legacy Salmon Creek Hospital

13 mi

Clinic/Center

2211 NE 139TH ST
Vancouver, WA 98686

Reassigned Medicare billing, Washington enrollment
754 clinicians in this Medicare group

NPI 1356357784 (360) 487-2878

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97213 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

$134.16 typical visit price

range $58.99 – $176.88

Typical copayment $33.54 (range $14.74 – $44.22)

Most-billed visit code 99204

Established Patient

$103.51 typical visit price

range $19.32 – $144.79

Typical copayment $25.87 (range $4.83 – $36.19)

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 12

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

ELISE A LARSON MD

Internal Medicine