Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BENNETT LEROY WILSON DO
NPI 1891223616
Pathology - Clinical Pathology/Laboratory Medicine in Madison, WI

Q: What is Bennett Wilson's NPI number?

The NPI number for Bennett Wilson is 1891223616. It was assigned to this individual provider in the NPPES registry on May 24, 2017.

Q: What is Bennett Wilson's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Pathology/Laboratory Medicine, with taxonomy code 207ZP0105X.

Q: When was this NPI record last updated?

The NPPES record for Bennett Wilson was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days 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 May 24, 2017PECOS Enrolled

600 HIGHLAND AVE, MADISON, WI 53792(608) 263-8443 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Mar 24, 2021, May 24, 2017 (3 updates tracked since 2017).

On this page

About Bennett Leroy Wilson Do NPPES

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

BENNETT LEROY WILSON DO (NPI 1891223616) is an individual clinical pathology/laboratory medicine provider in Madison, Wisconsin, licensed in Wisconsin (82161-21) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (2017).

NPPES Registry Identity

NPI1891223616

Entity TypeIndividualMale

Primary Taxonomy207ZP0105X

Provider Legal NameBENNETT LEROY WILSONCredential: DO

Location Address600 HIGHLAND AVEMadison, WI 53792-0001

Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531

Phone(608) 263-8443

Sole ProprietorYes

Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 2017

Enumeration DateMay 24, 2017

Last NPPES UpdateJune 25, 20263 updates tracked since enumeration

NPPES CertifiedJune 25, 2026

✔ NPI 1891223616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Clinical Pathology/Laboratory MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0105X

License✔ Licensed in WI · 82161-21

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.

600 HIGHLAND AVE, Madison, WI 53792

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Other Identifiers 1

Medicaid0039NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bennett Leroy Wilson Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143792242

PECOS Enrollment IDI20260618003196

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53792 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

JASON ALAN CHRISTENSEN PHARMD

Pharmacist

600 HIGHLAND AVE, COMPLIANCE MAIL CODE 2433
MADISON, WI 53792

Dane County (608) 662-0817

LAURA JEAN KOPPLIN MD, PHD

Ophthalmology