BRIAN PATRICK WILSON D.O.
NPI 1871572404
Obstetrics & Gynecology - Gynecology in Spencer, IA

Q: What is Brian Wilson's NPI number?

The NPI number for Brian Wilson is 1871572404. It was assigned to this individual provider in the NPPES registry on January 12, 2006.

Q: What is Brian Wilson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Q: When was this NPI record last updated?

The NPPES record for Brian Wilson was last updated on June 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 January 12, 2006PECOS EnrolledAccepts Medicare Assignment

1823 HIGHWAY BLVD, SUITE 5, SPENCER, IA 51301(712) 262-6320(712) 264-3007 Get Directions Write a Review

NPPES record last updated: June 19, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Brian Patrick Wilson D.o. NPPES

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

BRIAN PATRICK WILSON D.O. (NPI 1871572404) is an individual gynecology provider in Spencer, Iowa, licensed in Iowa (03049) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Spencer Municipal Hospital, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (1994).

NPPES Registry Identity

NPI1871572404

Entity TypeIndividualMale

Primary Taxonomy207VG0400X

Provider Legal NameBRIAN PATRICK WILSONCredential: D.O.

Location Address1823 HIGHWAY BLVD, SUITE 5Spencer, IA 51301-2226

Mailing Address1823 Highway Blvd, Suite 5Spencer, IA 51301-2226 · (712) 262-6320 · Fax (712) 264-3007

Phone(712) 262-6320

Fax(712) 264-3007

Sole ProprietorNo

Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 1994

Enumeration DateJanuary 12, 2006

Last NPPES UpdateJune 19, 2009

✔ NPI 1871572404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207VG0400X

License✔ Licensed in IA · 03049

Definition

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

1823 HIGHWAY BLVD, Spencer, IA 51301

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Other Identifiers 3

Medicare ID-Type UnspecifiedI5143IA · Individual Number

Medicare UPINH53095IA

Medicaid0250886IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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

Brian Patrick Wilson D.o. 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 ID8325221195

PECOS Enrollment IDI20110524000435

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 18

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.

104 services82 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.

86 services86 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.

71 services61 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

31 services24 patients

Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies 51729

This procedure helps to measure the pressure inside your bladder while passing fluid. It checks how well your bladder and the tube that carries fluid from your bladder are working. It's important for diagnosing issues with fluid flow and storage.

29 services29 patients

Electronic assessment of bladder emptying 51741

Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.

29 services29 patients

Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings 51784

This procedure involves the use of non-invasive devices to record the electrical activity of muscles at specific body openings. It's helpful in understanding muscle function and can assist in diagnosing certain conditions.

29 services29 patients

Insertion of device into abdomen with pressure and urine flow rate study 51797

This procedure involves placing a small device into your abdomen to monitor pressure and urine flow rates. It helps in understanding how well your body is processing and eliminating liquid waste. It's a safe procedure, typically performed under local anesthesia.

29 services29 patients

Creation of sling around urethra in female to control leakage 57288

This procedure involves creating a supportive loop around a tube in your lower body that carries liquid waste. This helps manage any unwanted leakage, providing you with better control and comfort.

28 services28 patients

Biopsy of lining of uterus and/or removal of polyp using an endoscope 58558

This procedure involves using a thin, flexible tool (endoscope) to examine and possibly remove a small tissue sample from the inner layer of your uterus. It may also involve removing a growth. It helps to identify any issues and plan the right treatment.

25 services24 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

22 services22 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

22 services22 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

20 services18 patients

Plastic repair of vagina and tissue separating vagina, rectum, and bladder 57260

This procedure involves the surgical restoration of the body's lower passage and the tissue that separates it from the waste and urine disposal systems. It's done to improve comfort and function due to conditions like injury or aging.

17 services17 patients

Surgical repair of vaginal defect using an endoscope 57425

This procedure involves the use of a special instrument, an endoscope, to help fix an issue within your body. It's a minimally invasive method, meaning less discomfort and quicker recovery compared to traditional surgery.

17 services17 patients

Removal of uterus, tubes, and/or ovaries through abdomen using an endoscope, 250.0 g or less 58571

This procedure involves the removal of certain internal structures through small incisions in the abdomen, using a special tool called an endoscope. It's performed when these structures are causing health issues. The weight reference (250.0 g or less) relates to the size of the structures being removed.

16 services16 patients

Repair of anal muscle for incontinence or prolapse, adult 46750

This procedure addresses issues with the muscle that controls bowel movements. It's done when this muscle is weak or damaged, causing problems like bowel incontinence or a condition where the rectum slips out of place. The goal is to restore normal function.

11 services11 patients

Biopsy of lining of uterus 58100

A biopsy of the uterus lining is a medical procedure where a small sample of tissue is taken from the inner layer of your uterus. This is done to check for any abnormal cells or conditions. It's a common, quick process that helps in diagnosing various health issues.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Spencer Municipal Hospital

Acute Care Hospitals · Spencer, IA

5/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number160112

Location1200 1st Avenue EastSpencer, IA 51301 · Clay County

Emergency services Birthing friendly

Lakes Regional Healthcare

Acute Care Hospitals · Spirit Lake, IA

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number160124

Location2301 Highway 71Spirit Lake, IA 51360 · Dickinson County

Emergency services Birthing friendly

Avera Holy Family Hospital

Critical Access Hospitals · Estherville, IA

OwnershipVoluntary non-profit - Private

CMS Certification Number161351

Location826 North 8th StreetEstherville, IA 51334 · Emmet County

Emergency services

Palo Alto County Hospital

Critical Access Hospitals · Emmetsburg, IA

OwnershipGovernment - Local

CMS Certification Number161357

Location3201 1st StreetEmmetsburg, IA 50536 · Palo Alto County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51301 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

$122.23 typical visit price

range $52.96 – $161.40

Typical copayment $30.55 (range $13.24 – $40.35)

Most-billed visit code 99204

Established Patient

$66.36 typical visit price

range $16.91 – $131.98

Typical copayment $16.59 (range $4.22 – $32.99)

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 6

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

TOM DUDLEY THROCKMORTON M.D.

Surgery

1823 HIGHWAY BLVD, SUITE 5
SPENCER, IA 51301

Clay County (712) 262-6320

BRIAN F LUEPKE M.D.

Surgery

1823 HIGHWAY BLVD, SUITE 5
SPENCER, IA 51301

Clay County (712) 262-6320

DR. JAREN RICKER M.D.

Surgery

1823 HIGHWAY BLVD, STE 5
SPENCER, IA 51301

Clay County (712) 262-6320

JEFFRE D HELMINK M.D.

Surgery

1823 HIGHWAY BLVD, SUITE 5
SPENCER, IA 51301

Clay County (712) 262-6320

PATRICK JAMES SLATTERY M.D.

Surgery

1823 HIGHWAY BLVD, SUITE 5
SPENCER, IA 51301

Clay County (712) 262-6320

DR. JASON ROBERT KEONIN M.D.

Surgery

1823 HIGHWAY BLVD, SUITE 5
SPENCER, IA 51301

Clay County (712) 262-6320

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 Brian Wilson's NPI number?

The NPI number for Brian Wilson is 1871572404. It was assigned to this individual provider in the NPPES registry on January 12, 2006.

Where is Brian Wilson located?

Brian Wilson practices at 1823 Highway Blvd Suite 5, Spencer, IA 51301. The listed phone number is (712) 262-6320.

What is Brian Wilson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Brian Wilson enrolled in Medicare?

Yes. Brian 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 Brian Wilson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 3 other insurers list Brian 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 Brian Wilson affiliated with any hospitals?

According to CMS data, Brian Wilson is affiliated with Spencer Municipal Hospital, Lakes Regional Healthcare, Avera Holy Family Hospital and Palo Alto County Hospital.

When was this NPI record last updated?

The NPPES record for Brian Wilson was last updated on June 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.