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DR. WILLIAM L WILEY DDS
NPI 1972507499
Dentist - Periodontics in College Staton, TX

Active since June 13, 2005PECOS Enrolled
1505 EMERALD PLAZA, COLLEGE STATON, TX 77845(979) 764-7101(979) 764-7115 Get Directions Write a Review

NPPES record last updated: June 1, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. William L Wiley Dds NPPES

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

DR. WILLIAM L WILEY DDS (NPI 1972507499) is an individual periodontics provider in College Staton, Texas, licensed in Texas (10460) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972507499
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. WILLIAM L WILEYCredential: DDS
Location Address1505 EMERALD PLAZACollege Staton, TX 77845-1501
Mailing Address1505 Emerald PlazaCollege Station, TX 77845-1501 · (979) 764-7101 · Fax (979) 764-7115
Phone(979) 764-7101
Fax(979) 764-7115
Sole ProprietorNo
Enumeration DateJune 13, 2005
Last NPPES UpdateJune 1, 2009
✔ NPI 1972507499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in TX · 10460
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
1505 EMERALD PLAZA, College Staton, TX 77845
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. William L Wiley Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77845 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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 4

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

DR. MONTA CUTBIRTH KENNADY DDS
Dentist (Oral and Maxillofacial Surgery)
1505 EMERALD PLAZA
COLLEGE STATION, TX 77845
Brazos County (979) 764-7101
BRAZOS VALLEY OMS PLLC
Dentist
1505 EMERALD PLAZA
COLLEGE STATION, TX 77845
Brazos County (979) 764-7101
DR. CHARLES M GRAY D.D.S.
Dentist (Oral and Maxillofacial Surgery)
1505 EMERALD PLAZA
COLLEGE STATION, TX 77845
Brazos County (979) 764-7101
DR. JAMES CURTIS GARRETT D.D.S.
Dentist (Oral and Maxillofacial Surgery)
1505 EMERALD PLAZA
COLLEGE STATION, TX 77845
Brazos County (979) 764-7101

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 William Wiley's NPI number?

The NPI number for William Wiley is 1972507499. It was assigned to this individual provider in the NPPES registry on June 13, 2005.

Where is William Wiley located?

William Wiley practices at 1505 Emerald Plaza, College Staton, TX 77845. The listed phone number is (979) 764-7101.

What is William Wiley's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is William Wiley enrolled in Medicare?

Yes. William Wiley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for William Wiley was last updated on June 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.