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SAMUEL G WILSON MD
NPI 1912948019
Emergency Medicine in Hesperia, CA

Active since June 09, 2006PECOS EnrolledAccepts Medicare Assignment
12021 JACARANDA AVE, 101, HESPERIA, CA 92345(760) 956-5057 Get Directions Write a Review

NPPES record last updated: March 3, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samuel G Wilson Md NPPES

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

SAMUEL G WILSON MD (NPI 1912948019) is an individual emergency medicine provider in Hesperia, California, licensed in California (G55580) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (1984).

NPPES Registry Identity

NPI1912948019
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameSAMUEL G WILSONCredential: MD
Location Address12021 JACARANDA AVE, 101Hesperia, CA 92345-4956
Mailing Address12021 Jacaranda AveHesperia, CA 92345-4978 · (760) 956-5057 · Fax (760) 948-2179
Phone(760) 956-5057
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 1984
Enumeration DateJune 9, 2006
Last NPPES UpdateMarch 3, 2011
✔ NPI 1912948019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CA · G55580
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedGeneral PracticeTaxonomy 208D00000X · License G55580 (CA)
12021 JACARANDA AVE, Hesperia, CA 92345
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Other Identifiers 3

Medicare ID-Type Unspecified00G555800CA
Medicare UPINA52985
Medicaid00G555800CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

Samuel G 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 ID6103958319
PECOS Enrollment IDI20100722000772
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

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 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.
16 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92345 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers24 claims52 services$5.32 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$73.47 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers36 claims36 services$203.91 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 8

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

KEEN MEDICAL GROUP, INC.
Family Medicine
12021 JACARANDA AVE
HESPERIA, CA 92345
San Bernardino County (760) 956-5057
KEEN MEDICAL GROUP INC
Nurse Practitioner (Occupational Health)
12021 JACARANDA AVE, SUITE # 101
HESPERIA, CA 92345
San Bernardino County (760) 956-5057
MRS. ADELA MERCEDES VALENZUELA CERTIFIED WON
Nurse Practitioner (Family)
12021 JACARANDA AVE
HESPERIA, CA 92345
San Bernardino County (760) 956-5334
LIZ C BENDEZU FNP
Nurse Practitioner (Family)
12021 JACARANDA AVE
HESPERIA, CA 92345
San Bernardino County (760) 956-5057
BRYAN A. GUNNOE, MD, INC.
Specialist
12021 JACARANDA AVE, SUITE 202
HESPERIA, CA 92345
San Bernardino County (760) 956-5200
ABRAHAM WILSON INC
Clinic/Center (Urgent Care)
12021 JACARANDA AVE, SUITE #100
HESPERIA, CA 92345
San Bernardino County (760) 956-2636
JAMIE LEE FERREIRA
Registered Nurse (Medical-Surgical)
12021 JACARANDA AVE
HESPERIA, CA 92345
San Bernardino County (760) 956-5057
MRS. PAMELA BRYANT
Nurse Practitioner (Family)
12021 JACARANDA AVE
HESPERIA, CA 92345
San Bernardino County (760) 956-5057

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 Samuel Wilson's NPI number?

The NPI number for Samuel Wilson is 1912948019. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Samuel Wilson located?

Samuel Wilson practices at 12021 Jacaranda Ave 101, Hesperia, CA 92345. The listed phone number is (760) 956-5057.

What is Samuel Wilson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Samuel Wilson enrolled in Medicare?

Yes. Samuel 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 Samuel Wilson accept?

Health plans from Medica list Samuel 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 Samuel Wilson was last updated on March 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.