DALE G WILSON M.D. NPI 1891051314

NPI Information

  • NPI: 1891051314
  • Provider Name: DALE G WILSON, M.D.
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1100 GOETHALS DR STE E
    RICHLAND, WA
    ZIP 99352
  • Phone: (509) 942-3095

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NPI Details

Dale G Wilson, M.D. is a vascular surgery surgery in Richland, WA with 14 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Dale G Wilson, M.D. NPI is 1891051314. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduation Year:2012

The provider's business location address is:

1100 GOETHALS DR STE E
RICHLAND, WA
ZIP 99352-301
Phone: (509) 942-3095
Fax: (509) 942-3097

The NPI 1891051314 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Review by radiologist of arm or leg artery image (HCPCS:75710)
  • Balloon dilation of artery of leg (HCPCS:37224)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Review by radiologist of abdominal aorta image (HCPCS:75625)
  • Balloon dilation of artery of leg, initial vessel (HCPCS:37228)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Review by radiologist of both arms or legs arteries image (HCPCS:75716)
  • Relocation of arm vein with connection to arm artery for hemodialysis (HCPCS:36821)
  • Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist (HCPCS:36902)
  • Insertion of stent and blood clot protection device in neck artery with review by radiologist (HCPCS:37215)
  • Review by radiologist of additional artery image (HCPCS:75774)
  • Exposure of groin artery for delivery of graft (HCPCS:34713)
  • Insertion of stent in arteries of leg (HCPCS:37226)
  • Removal of blood clot and portion of chest, neck, or brain artery (HCPCS:35301)
  • Repair of infrarenal aorta and groin artery with graft for other than rupture on both sides with review by radiologist (HCPCS:34705)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Insertion of tube into abdominal, pelvic, or leg artery, initial second order branch (HCPCS:36246)
  • Varicose vein removal (HCPCS:NAN08)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 4/10/2012 and was last updated on 9/9/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0129XSurgeryVascular SurgeryMD60957094WASHINGTONYes
2208600000XSurgeryMD60957094WASHINGTONNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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