DR. NICHOLAS B WILSON M.D.
NPI 1902225766
Orthopaedic Surgery in O Fallon, MO

Q: What is Nicholas Wilson's NPI number?

The NPI number for Nicholas Wilson is 1902225766. It was assigned to this individual provider in the NPPES registry on April 9, 2014.

Q: What is Nicholas Wilson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Wilson was last updated on October 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 09, 2014PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

9323 PHOENIX VILLAGE PKWY, O FALLON, MO 63368(636) 561-0871 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 5, 2023, Sep 9, 2020, Jul 16, 2019 (3 updates tracked since 2019).

On this page

About Dr. Nicholas B Wilson M.d. NPPES

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

DR. NICHOLAS B WILSON M.D. (NPI 1902225766) is an individual orthopaedic surgery provider in O Fallon, Missouri, licensed in Missouri (2022030421) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1902225766

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. NICHOLAS B WILSONCredential: M.D.

Location Address9323 PHOENIX VILLAGE PKWYO Fallon, MO 63368-4281

Mailing Address9323 Phoenix Village PkwyO Fallon, MO 63368-4281 · (636) 561-0871

Phone(636) 561-0871

Sole ProprietorNo

Medical School CMSSaint Louis University School Of MedicineGraduated 2014

Enumeration DateApril 9, 2014

Last NPPES UpdateOctober 5, 20233 updates tracked since enumeration

NPPES CertifiedOctober 5, 2023

✔ NPI 1902225766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Licenses✔ Licensed in MO · 2022030421✔ Licensed in SC · 82172✔ Licensed in AR · E-13197

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

9323 PHOENIX VILLAGE PKWY, O Fallon, MO 63368

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Secondary Practice Locations 2

Location 15320 W Markham StLittle Rock, AR 72205-3528 · Phone (501) 975-5633 · Fax (501) 227-0710

Location 2200 Patewood Dr Ste C100Greenville, SC 29615 · Phone (864) 454-7422 · Fax (864) 454-8265

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.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. Nicholas 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 ID9537497219

PECOS Enrollment IDI20220811001676

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 Reassignment

Medicare enrollment records show Nicholas Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physician Groups Lc

16 mi

Multi-Specialty

670 MASON RIDGE CENTER DR STE 300
Saint Louis, MO 63141

Reassigned Medicare billing, Missouri enrollment
611 clinicians in this Medicare group

NPI 1285664268 (314) 996-7644

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 17

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

1,444 services157 patients

Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg J7322

Hymovis is a treatment involving the injection of a substance called hyaluronan into a joint. This substance, naturally found in the body, helps lubricate and cushion your joints. The treatment can help reduce joint pain and improve mobility.

888 services13 patients

Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg J3304

Triamcinolone acetonide is a long-lasting, preservative-free steroid injection. It's delivered in tiny, slow-releasing particles (microspheres) to manage inflammation or related conditions. The dose given is 1 mg. It's generally safe with few side effects.

640 services11 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

332 services167 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.

138 services94 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

105 services101 patients

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.

97 services79 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

79 services51 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.

79 services79 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

72 services52 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.

61 services61 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

21 services21 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

18 services16 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

17 services11 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

17 services12 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

13 services12 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260020

Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County

Emergency services Birthing friendly

Missouri Baptist Medical Center

Acute Care Hospitals · Town And Country, MO

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260108

Location3015 N Ballas RdTown And Country, MO 63131 · St. Louis County

Emergency services Birthing friendly

St Lukes Hospital

Acute Care Hospitals · Chesterfield, MO

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260179

Location232 S Woods Mill RdChesterfield, MO 63017 · St. Louis County

Emergency services Birthing friendly

Barnes-Jewish St Peters Hospital

Acute Care Hospitals · Saint Peters, MO

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number260191

Location10 Hospital DrSaint Peters, MO 63376 · St. Charles County

Emergency services

Progress West Hospital

Acute Care Hospitals · O Fallon, MO

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260219

Location2 Progress Point PkwyO Fallon, MO 63368 · St. Charles County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63368 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

$86.32 typical visit price

range $55.65 – $169.38

Typical copayment $21.58 (range $13.91 – $42.34)

Most-billed visit code 99203

Established Patient

$69.50 typical visit price

range $17.76 – $137.92

Typical copayment $17.37 (range $4.44 – $34.48)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

91.92

Promoting Interoperability

100

Improvement Activities

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.

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

4 suppliers12 claims12 services$47.90 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 4

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

DR. MATTHEW PAUL MELANDER DO

Orthopaedic Surgery (Sports Medicine)

9323 PHOENIX VILLAGE PKWY
O FALLON, MO 63368

St. Charles County (636) 561-5030

JEFFREY STEVEN BOBERG D.P.M.

Podiatrist (Foot & Ankle Surgery)

9323 PHOENIX VILLAGE PKWY
O FALLON, MO 63368

St. Charles County (636) 561-0871

ROBERT A. SCIORTINO M.D.

Orthopaedic Surgery

9323 PHOENIX VILLAGE PKWY
O FALLON, MO 63368

St. Charles County (314) 434-3240

SAMANTHA ANN STEVENS FNP

Nurse Practitioner

9323 PHOENIX VILLAGE PKWY
O FALLON, MO 63368

St. Charles County (636) 561-0871

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 Nicholas Wilson's NPI number?

The NPI number for Nicholas Wilson is 1902225766. It was assigned to this individual provider in the NPPES registry on April 9, 2014.

Where is Nicholas Wilson located?

Nicholas Wilson practices at 9323 Phoenix Village Pkwy, O Fallon, MO 63368. The listed phone number is (636) 561-0871.

What is Nicholas Wilson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Nicholas Wilson enrolled in Medicare?

Yes. Nicholas 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 organization bills Medicare for Nicholas Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Wilson reassigns Medicare benefits to Physician Groups Lc (Saint Louis, MO). The 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 Nicholas Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicholas Wilson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list Nicholas 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 Nicholas Wilson affiliated with any hospitals?

According to CMS data, Nicholas Wilson is affiliated with Mercy Hospital St Louis, Missouri Baptist Medical Center, St Lukes Hospital, Barnes-Jewish St Peters Hospital and Progress West Hospital.

When was this NPI record last updated?

The NPPES record for Nicholas Wilson was last updated on October 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.