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JAMES P WILSON OD
NPI 1952330425
Optometrist in Peoria, IL

Active since June 30, 2006PECOS EnrolledAccepts Medicare Assignment
81.66/100
CMS Quality Rating
2000 W PIONEER PKWY, SUITE 23, PEORIA, IL 61615(309) 690-3336 Get Directions Write a Review

NPPES record last updated: February 7, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About James P Wilson Od NPPES

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

JAMES P WILSON OD (NPI 1952330425) is an individual optometrist in Peoria, Illinois and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (1984).

NPPES Registry Identity

NPI1952330425
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJAMES P WILSONCredential: OD
Location Address2000 W PIONEER PKWY, SUITE 23Peoria, IL 61615-1835
Mailing Address2000 W Pioneer Pkwy, Suite 23Peoria, IL 61615-1835 · (309) 690-3336
Phone(309) 690-3336
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1984
Enumeration DateJune 30, 2006
Last NPPES UpdateFebruary 7, 2008
✔ NPI 1952330425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
2000 W PIONEER PKWY, Peoria, IL 61615
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Other Identifiers 2

Medicare UPINT39017IL
Medicare ID-Type Unspecified936180IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.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

James P Wilson Od 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 ID9335134386
PECOS Enrollment IDI20080221000385
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 4

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
236 services234 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
32 services32 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.
26 services20 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61615 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

81.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.6
Improvement Activities40
Cost43.38

Other Providers at the Same Location NPPES 9

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

MRS. SYLVIA ANA MURPHY LCSW, MA
Social Worker (Clinical)
2000 W PIONEER PKWY, SUITE 3
PEORIA, IL 61615
Peoria County (309) 402-0666
SNYDER COUNSELING SERVICES, PLLC
Social Worker (Clinical)
2000 W PIONEER PKWY, SUITE 20
PEORIA, IL 61615
Peoria County (309) 678-3957
WILSON EYE CARE CENTER LTD
Optometrist
2000 W PIONEER PKWY, SUITE 23
PEORIA, IL 61615
Peoria County (309) 690-3336
B & B COUNSELING SERVICES, LLC
Counselor (Mental Health)
2000 W PIONEER PKWY, SUITE 20
PEORIA, IL 61615
Peoria County (309) 648-9939
BRENDA SNYDER LCSW
Social Worker (Clinical)
2000 W PIONEER PKWY
PEORIA, IL 61615
Peoria County (309) 678-3957
AEON SOCIAL EMOTIONAL HEALTH LTD.
Counselor (Mental Health)
2000 W PIONEER PKWY, SUITE 10 A
PEORIA, IL 61615
Peoria County (309) 573-4834
MARK CRAIG LCPC
Counselor (Professional)
2000 W PIONEER PKWY, SUITE 20
PEORIA, IL 61615
Peoria County (309) 258-6473
DR. SAMUEL HENDRICKS DC
Chiropractor
2000 W PIONEER PKWY, SUITE 18A
PEORIA, IL 61615
Peoria County (309) 670-2800

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 James Wilson's NPI number?

The NPI number for James Wilson is 1952330425. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is James Wilson located?

James Wilson practices at 2000 W Pioneer Pkwy Suite 23, Peoria, IL 61615. The listed phone number is (309) 690-3336.

What is James Wilson's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is James Wilson enrolled in Medicare?

Yes. James 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 James Wilson accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list James 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 James Wilson was last updated on February 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.