MR. JEFFREY S WILSON DPM
NPI 1972522068
Podiatrist in Mansfield, OH

Active since July 19, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
381 CLINE AVE, MANSFIELD, OH 44907(419) 756-6612(419) 756-8418 Get Directions Write a Review

NPPES record last updated: August 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jeffrey S Wilson Dpm NPPES

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

MR. JEFFREY S WILSON DPM (NPI 1972522068) is an individual podiatrist in Mansfield, Ohio, licensed in Ohio (36002880W) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Licking Memorial Hospital, and maintains 9 additional practice locations.

NPPES Registry Identity

NPI1972522068
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameMR. JEFFREY S WILSONCredential: DPM
Location Address381 CLINE AVEMansfield, OH 44907
Mailing AddressPo Box 27940, 3255 E Livingston AveColumbus, OH 43227 · (614) 239-0399 · Fax (614) 239-6374
Fax(419) 756-8418
Sole ProprietorNo
Medical School CMSKent State University College Of Podiatric MedicineGraduated 1994
Enumeration DateJuly 19, 2006
Last NPPES UpdateAugust 17, 2021
NPPES CertifiedAugust 17, 2021
NPI 1972522068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in OH · 36002880W
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
381 CLINE AVE, Mansfield, OH 44907

Secondary Practice Locations 9

Location 13255 E. Livingston AvenueColumbus, OH 43227-1967 · Phone (614) 239-9444 · Fax (614) 239-1080
Location 2245 Stocksdale DriveMarysville, OH 43040-1563 · Phone (614) 239-9444 · Fax (614) 239-1080
Location 31272 W Main Street, Building 1Newark, OH 43055-2053 · Phone (614) 239-9444 · Fax (614) 239-1080
Location 4900 East Franklin StreetKenton, OH 43326-2170 · Phone (614) 239-9444 · Fax (614) 239-1080
Location 53713 S High StreetColumbus, OH 43207-4011 · Phone (614) 239-9444 · Fax (614) 239-1080
Location 63722 US Highway 68 SouthBellefontaine, OH 43311-9450 · Phone (614) 239-9444 · Fax (614) 239-1080
Location 7396 Portland Way NorthGalion, OH 44833-1115 · Phone (194) 683-6684 · Fax (419) 462-5037
Location 81641 Venture Drive, Ste AMount Vernon, OH 43050-7001 · Phone (740) 393-3338 · Fax (740) 393-1138
Location 93663 Ridge Mill Drive, Ste 104Hilliard, OH 43026-7799 · Phone (614) 529-7800 · Fax (614) 529-7800

Other Identifiers 1

Medicaid0135222OH

Accepted 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

Mr. Jeffrey S Wilson Dpm 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 ID8123925203
PECOS Enrollment IDI20031231000084
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 30

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.

Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
731 services242 patients
Trimming of dystrophic nails, any number G0127
Trimming of dystrophic nails involves the careful cutting and shaping of thickened or deformed nails. This is often required when nails are affected by conditions such as fungus or psoriasis. The procedure helps to reduce discomfort and improve nail health.
717 services237 patients
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.
420 services235 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.
268 services146 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
254 services42 patients
Application of vein wound compression bandages on lower leg, ankle, and foot 29581
Compression bandages are applied to your lower leg, ankle, and foot to promote healing of vein wounds. The bandages apply pressure to improve blood flow, reduce swelling, and accelerate wound healing. It's a safe, non-invasive treatment.
229 services82 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Licking Memorial Hospital

Acute Care Hospitals · Newark, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360218
Location1320 West Main StreetNewark, OH 43055 · Licking County
Emergency services Birthing friendly

Avita Ontario

Acute Care Hospitals · Ontario, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360365
Location715 Richland MallOntario, OH 44906 · Richland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44907 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Documentation of Current Medications in the Medical Record
89%2,405 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
97%627 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
98%1,296 patients5/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
1%2,859 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 90% · 832 patients
Patients screened: 94% · 832 patients
80%149 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 660 patients
Patients totalRate: 0% · 660 patients
0%660 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 8

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

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
4 suppliers40 claims80 services$59.70 avg. paid by Medicare
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512
DME-Orthotic Devices · category DF000N
4 suppliers40 claims240 services$25.09 avg. paid by Medicare
Collagen based wound filler, dry form, sterile, per gram of collagen A6010
DME-Medical/Surgical Supplies · category DA023N
4 suppliers15 claims73 services$30.01 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212
DME-Medical/Surgical Supplies · category DA023N
4 suppliers56 claims853 services$9.18 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing A6213
DME-Medical/Surgical Supplies · category DA023N
4 suppliers16 claims218 services$9.91 avg. paid by Medicare
Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard A6266
DME-Medical/Surgical Supplies · category DA023N
4 suppliers88 claims118 services$1.82 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

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

Durable Medical Equipment & Medical Supplies
381 CLINE AVE
MANSFIELD, OH 44907

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 Jeffrey Wilson's NPI number?

The NPI number for Jeffrey Wilson is 1972522068. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Jeffrey Wilson located?

Jeffrey Wilson practices at 381 Cline Ave, Mansfield, OH 44907. The listed phone number is (419) 756-6612.

What is Jeffrey Wilson's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Jeffrey Wilson enrolled in Medicare?

Yes. Jeffrey 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 Jeffrey Wilson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list Jeffrey 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.

Is Jeffrey Wilson affiliated with any hospitals?

According to CMS data, Jeffrey Wilson is affiliated with Licking Memorial Hospital and Avita Ontario.

When was this NPI record last updated?

The NPPES record for Jeffrey Wilson was last updated on August 17, 2021. 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.