DR. JOHN M. WILSON MD
NPI 1902944606
Radiology - Diagnostic Radiology in Springfield, MO

Active since February 02, 2007PECOS Enrolled
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804(417) 820-9729(417) 820-6471 Get Directions Write a Review

NPPES record last updated: March 12, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. John M. Wilson Md NPPES

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

DR. JOHN M. WILSON MD (NPI 1902944606) is an individual diagnostic radiology provider in Springfield, Missouri, licensed in Missouri (R3L99) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902944606
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. JOHN M. WILSONCredential: MD
Location Address1235 E CHEROKEE STSpringfield, MO 65804-2203
Mailing AddressPo Box 505164Saint Louis, MO 63150-5164 · (417) 829-4620
Fax(417) 820-6471
Sole ProprietorNo
Enumeration DateFebruary 2, 2007
Last NPPES UpdateMarch 12, 2014
✔ NPI 1902944606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in MO · R3L99
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1235 E CHEROKEE ST, Springfield, MO 65804

Other Identifiers 6

Medicaid202845509MO
Other81802AR · Ark Blue Shield
Medicaid128675001AR
Medicare PIN090013268MO
Medicare UPINE29018
Other173098MO · Mo Blue Shield

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John M. Wilson Md 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

2

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

Family Medicine
3231 S NATIONAL AVE STE 220
Springfield, MO 65807
  • Reassigned Medicare billing, Missouri enrollment
  • 1,565 clinicians in this Medicare group
Emergency Medicine
3125 DR RUSSELL SMITH WAY
Carthage, MO 64836
  • Reassigned Medicare billing, Missouri enrollment
  • 562 clinicians in this Medicare group

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 65804 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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 20

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

Internal Medicine
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Emergency Medicine
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Anesthesiology
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Nurse Anesthetist, Certified Registered
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Speech-Language Pathologist
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Nurse Practitioner (Gerontology)
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Physician Assistant
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Nurse Anesthetist, Certified Registered
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804

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 John Wilson's NPI number?

The NPI number for John Wilson is 1902944606. It was assigned to this individual provider in the NPPES registry on February 2, 2007.

Where is John Wilson located?

John Wilson practices at 1235 E Cherokee St, Springfield, MO 65804. The listed phone number is (417) 820-9729.

What is John Wilson's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is John Wilson enrolled in Medicare?

Yes. John Wilson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for John Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Wilson reassigns Medicare benefits to 2 organizations: Mercy Clinic Springfield Communities (Springfield, MO) and Mercy Clinic Joplin LLC (Carthage, MO). Each 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 John Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Wilson accept?

Health plans from Health Advantage and Octave list John 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.

When was this NPI record last updated?

The NPPES record for John Wilson was last updated on March 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.