JEFFREY K WILSON MD
NPI 1881718286
Family Medicine in Kokomo, IN

Active since March 19, 2007PECOS EnrolledAccepts Medicare Assignment
5111 CLINTON DR, KOKOMO, IN 46902(765) 457-8381(765) 457-4443 Get Directions Write a Review

NPPES record last updated: October 24, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jeffrey K Wilson Md NPPES

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

JEFFREY K WILSON MD (NPI 1881718286) is an individual family medicine provider in Kokomo, Indiana, licensed in Indiana (01037768A) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Central Dupage Hospital, and is a graduate of Indiana University School Of Medicine (1988).

NPPES Registry Identity

NPI1881718286
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJEFFREY K WILSONCredential: MD
Location Address5111 CLINTON DRKokomo, IN 46902-7136
Mailing Address5111 Clinton DrKokomo, IN 46902-7136 · (765) 457-8381 · Fax (765) 457-4443
Fax(765) 457-4443
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1988
Enumeration DateMarch 19, 2007
Last NPPES UpdateOctober 24, 2014
NPI 1881718286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IN · 01037768A
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.
5111 CLINTON DR, Kokomo, IN 46902

Other Identifiers 4

Medicare UPINE48271IN
Other000000524563IN · Bcbs
Medicaid100319130EIN
Medicare PIN170710TIN

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

Jeffrey K 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 ID7214037886
PECOS Enrollment IDI20070711000711
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 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.
102 services95 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
94 services46 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
58 services56 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.
56 services56 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.
32 services31 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
27 services27 patients

Hospital Affiliations CMS Care Compare

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

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46902 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier15 claims15 services$5.65 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 7

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

Clinic/Center (Urgent Care)
5111 CLINTON DR
KOKOMO, IN 46902
Dentist
5111 CLINTON DR
KOKOMO, IN 46902
Emergency Medicine
5111 CLINTON DR
KOKOMO, IN 46902
Dentist (General Practice)
5111 CLINTON DR
KOKOMO, IN 46902
Dentist (General Practice)
5111 CLINTON DR
KOKOMO, IN 46902
Dentist
5111 CLINTON DR
KOKOMO, IN 46902
Preventive Medicine (Occupational Medicine)
5111 CLINTON DR
KOKOMO, IN 46902

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 Jeffrey Wilson's NPI number?

The NPI number for Jeffrey Wilson is 1881718286. It was assigned to this individual provider in the NPPES registry on March 19, 2007.

Where is Jeffrey Wilson located?

Jeffrey Wilson practices at 5111 Clinton Dr, Kokomo, IN 46902. The listed phone number is (765) 457-8381.

What is Jeffrey Wilson's specialty?

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

Is Jeffrey Wilson enrolled in Medicare?

Yes. Jeffrey 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 Jeffrey Wilson accept?

Health plans from CareSource list Jeffrey 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 Jeffrey Wilson affiliated with any hospitals?

According to CMS data, Jeffrey Wilson is affiliated with Northwestern Medicine Central Dupage Hospital.

When was this NPI record last updated?

The NPPES record for Jeffrey Wilson was last updated on October 24, 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.