PHILIP JOSEPH WILSON III D.O.
NPI 1962842476
Ophthalmology in Jefferson City, MO

Active since June 28, 2013PECOS EnrolledAccepts Medicare Assignment
83.39/100
CMS Quality Rating
1241 W STADIUM BLVD, JEFFERSON CITY, MO 65109(573) 556-7709(573) 556-1709 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Sep 16, 2021, Jul 20, 2017 and 1 more (4 updates tracked since 2016).

About Philip Joseph Wilson Iii D.o. NPPES

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

PHILIP JOSEPH WILSON III D.O. (NPI 1962842476) is an individual ophthalmology provider in Jefferson City, Missouri, licensed in Missouri (2017021706) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (2013).

NPPES Registry Identity

NPI1962842476
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NamePHILIP JOSEPH WILSON IIICredential: D.O.
Location Address1241 W STADIUM BLVDJefferson City, MO 65109-6023
Mailing Address1241 W. Stadium Blvd.Jefferson City, MO 65109-6023 · (573) 556-7709 · Fax (573) 556-1709
Fax(573) 556-1709
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2013
Enumeration DateJune 28, 2013
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2021
NPI 1962842476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in MO · 2017021706
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1241 W STADIUM BLVD, Jefferson City, MO 65109

Other Names 1

Professional Name (2)Philip Joseph Wilson Do

Other Identifiers 1

Medicaid200029781MO

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

Philip Joseph Wilson Iii D.o. 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 ID6103053483
PECOS Enrollment IDI20170803000514
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 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.

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.
524 services451 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.
267 services184 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
254 services134 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
237 services133 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
204 services134 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.
147 services147 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65109 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
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.

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.

83.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.79
Improvement Activities40

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 (Pulmonary Disease)
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109
Nurse Practitioner (Family)
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109
Nurse Practitioner (Family)
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109
Nurse Practitioner
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109
Family Medicine
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109
Family Medicine
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109
Radiology (Diagnostic Radiology)
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109
Nurse Practitioner
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109

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 Philip Wilson's NPI number?

The NPI number for Philip Wilson is 1962842476. It was assigned to this individual provider in the NPPES registry on June 28, 2013. The provider is also known as Philip Joseph Wilson Do.

Where is Philip Wilson located?

Philip Wilson practices at 1241 W Stadium Blvd, Jefferson City, MO 65109. The listed phone number is (573) 556-7709.

What is Philip Wilson's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Philip Wilson enrolled in Medicare?

Yes. Philip 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.

When was this NPI record last updated?

The NPPES record for Philip Wilson was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.