DR. JOHN M. WILSON MD NPI 1902944606

NPI Information

  • NPI: 1902944606
  • Provider Name: DR. JOHN M. WILSON, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1235 E CHEROKEE ST
    SPRINGFIELD, MO
    ZIP 65804
  • Phone: (417) 820-9729

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NPI Details

DR. John M. Wilson, MD is a diagnostic radiology radiology in Springfield, MO. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. John M. Wilson, MD NPI is 1902944606. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1235 E CHEROKEE ST
SPRINGFIELD, MO
ZIP 65804-203
Phone: (417) 820-9729
Fax: (417) 820-6471

The NPI 1902944606 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.

  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Fluoroscopic guidance for insertion or removal of central vein access device (HCPCS:77001)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of blood vessels of abdomen and pelvis with contrast (HCPCS:74174)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Imaging for evaluation of swallowing function (HCPCS:74230)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • Ct scan of chest with contrast (HCPCS:71260)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Limited ultrasound scan behind abdominal cavity (HCPCS:76775)
  • Insertion of central venous tube with port (5 years or older) (HCPCS:36561)
  • Insertion of tunneled central venous tube for infusion (5 years or older) (HCPCS:36558)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Ct scan of blood vessels of abdomen and pelvis with contrast (HCPCS:74174)
  • Ultrasound of abdomen and pelvis artery and vein blood flow (HCPCS:93976)
  • Aspiration of fluid from chest cavity using imaging guidance (HCPCS:32555)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Ultrasonic guidance for needle placement (HCPCS:76942)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Review by radiologist of ct guidance for needle placement (HCPCS:77012)

The enumeration date for this NPI number is 2/2/2007 and was last updated on 3/12/2014.

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
12085R0202XRadiologyDiagnostic RadiologyR3L99MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1202845509MEDICAIDMISSOURI
281802OTHERARKANSASARK BLUE SHIELD
3128675001MEDICAIDARKANSAS
4090013268MEDICARE PINMISSOURI
5E29018MEDICARE UPIN
6173098OTHERMISSOURIMO BLUE SHIELD

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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