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DR. WILLIAM LE ROY WILSON M.D.
NPI 1972598316
Pain Medicine - Interventional Pain Medicine in La Mesa, CA

Active since September 13, 2005PECOS Enrolled
5565 GROSSMONT CENTER DR, BLDG. 3, SUITE 540, LA MESA, CA 91942(619) 460-2700(619) 460-2702 Get Directions Write a Review

NPPES record last updated: February 26, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Feb 26, 2021, Nov 7, 2016 (2 updates tracked since 2016).

About Dr. William Le Roy Wilson M.d. NPPES

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

DR. WILLIAM LE ROY WILSON M.D. (NPI 1972598316) is an individual interventional pain medicine provider in La Mesa, California, licensed in California (G44872) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972598316
Entity TypeIndividualMale
Primary Taxonomy208VP0014X
Provider Legal NameDR. WILLIAM LE ROY WILSONCredential: M.D.
Location Address5565 GROSSMONT CENTER DR, BLDG. 3, SUITE 540La Mesa, CA 91942-3020
Mailing Address5565 Grossmont Center Dr, Bldg. 3, Suite 540La Mesa, CA 91942-3020 · (619) 460-2700 · Fax (619) 460-2702
Phone(619) 460-2700
Fax(619) 460-2702
Sole ProprietorYes
Enumeration DateSeptember 13, 2005
Last NPPES UpdateFebruary 26, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2021
✔ NPI 1972598316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License✔ Licensed in CA · G44872
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
5565 GROSSMONT CENTER DR, La Mesa, CA 91942
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Other Identifiers 1

Medicaid00G448720CA

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 Le Roy Wilson M.d. 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 91942 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

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.

JEREMIAH MOLES MD
Otolaryngology
5565 GROSSMONT CENTER DR, BLDG 3 SUITE 101
LA MESA, CA 91942
San Diego County (619) 464-3353
RONALD M JOHNSON MD MEDICAL CORP
Surgery
5565 GROSSMONT CENTER DR
LA MESA, CA 91942
San Diego County (619) 740-4145
DR. MICHAEL H. FENN M.D.
Otolaryngology
5565 GROSSMONT CENTER DR, SUITE# 352
LA MESA, CA 91942
San Diego County (619) 466-0048
NANCY LYNN NELSON P.T.
Physical Therapist
5565 GROSSMONT CENTER DR
LA MESA, CA 91942
San Diego County (619) 589-0850
PETER F JOHNSON DMD A PROFESSIONAL CORPORATION
Dentist (Prosthodontics)
5565 GROSSMONT CENTER DR, SUITE 110-1
LA MESA, CA 91942
San Diego County (619) 463-3737
MOHAMMED MIRADI MD INC
Internal Medicine (Infectious Disease)
5565 GROSSMONT CENTER DR, STE 211
LA MESA, CA 91942
San Diego County (619) 644-1483
DR. THOMAS GREGORY WADDELL DDS
Dentist (General Practice)
5565 GROSSMONT CENTER DR, SUITE 356
LA MESA, CA 91942
San Diego County (619) 461-1900
DR. KAREN E. ANDERSON, APC
Podiatrist (Foot Surgery)
5565 GROSSMONT CENTER DR, SUITE 152
LA MESA, CA 91942
San Diego County (619) 440-2202

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 Wilson's NPI number?

The NPI number for William Wilson is 1972598316. It was assigned to this individual provider in the NPPES registry on September 13, 2005.

Where is William Wilson located?

William Wilson practices at 5565 Grossmont Center Dr Bldg. 3, Suite 540, La Mesa, CA 91942. The listed phone number is (619) 460-2700.

What is William Wilson's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is William Wilson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for William Wilson was last updated on February 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.