JACK M WILSON M.D.
NPI 1033125299
Emergency Medicine in San Diego, CA
NPI Status: Active since July 31, 2006
Contact Information
6655 ALVARADO RD
SAN DIEGO, CA
ZIP 92120
Phone: (619) 229-3130
- Individual
- Male
- Years of Experience 45
- Emergency Medicine
- Accepts Insurance
- Accepts Medicare Approved Payment
About JACK WILSON
This page provides the complete NPI Profile along with additional information for Jack Wilson, a provider established in San Diego, California with a medical specialization in Emergency Medicine and more than 45 years of experience. He graduated from University Of California, San Diego School Of Medicine in 1981. The healthcare provider is registered in the NPI registry with number 1033125299 assigned on July 2006. The practitioner's primary taxonomy code is 207P00000X with license number G49906 (CA). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1033125299
- Provider Name
- JACK M WILSON M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 6655 ALVARADO RD SAN DIEGO, CA 92120
- Location Phone
- (619) 229-3130
- Mailing Address
- 2100 POWELL ST SUITE 900 EMERYVILLE, CA 94608
- Mailing Phone
- (510) 350-2777
- Medical School Name
- UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
- Graduation Year
- 1981
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-31-2006
- Last Update Date
- 01-31-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- G49906
- License State
- CA
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207P00000X | Allopathic & Osteopathic Physicians | Emergency Medicine | 2645 (MN) |
| 2 | 207P00000X | Allopathic & Osteopathic Physicians | Emergency Medicine | 320064 (NY) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 4 - HMO
- Bronze 8 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 12 - HMO
- Gold 8 - HMO
- Gold 8 with Rx Copay - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 1 with Rx Copay and Adult Vision Services - HMO
- Silver 12 - HMO
- Silver 12 with first 4 free PCP or MH visits - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Silver 9 - HMO
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Jack Wilson is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 5395828974
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20080206000397
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Physician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $23.71 for a new patient copayment and $27.1 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 92120 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $94.87
- Minimum New Patient Price $62.1
- Maximum New Patient Price $184.71
- Average New Patient Copayment $23.71
- Minimum New Patient Copayment $15.52
- Maximum New Patient Copayment $46.17
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $108.42
- Minimum Established Patient Price $20.62
- Maximum Established Patient Price $151.42
- Average Established Patient Copayment $27.1
- Minimum Established Patient Copayment $5.15
- Maximum Established Patient Copayment $37.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 3 | 3 | 1 | 2 | 5 | 2 | 9 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 6 | 3 | 2 | 2 | 10 | 2 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 6 + 3 + 2 + 2 + 1 + 0 + 2 + 1 + 8 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1033125299 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1306842950 | FERNANDO ANTONIO ZAMUDIO MD Individual | Internal Medicine (Cardiovascular Disease) | 6655 ALVARADO RD SAN DIEGO, CA 92120 (619) 583-0511 |
| 1487617148 | DR. CURTIS AUSTIN MCGUYER MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 6655 ALVARADO RD SAN DIEGO, CA 92120 (619) 229-3135 |
| 1205892908 | REZA H TIRGARI MD Individual | Emergency Medicine | 6655 ALVARADO RD SAN DIEGO, CA 92120 (619) 287-3270 |
| 1144257320 | ABDO SHOWAH MD Individual | Anesthesiology | 6655 ALVARADO RD SAN DIEGO, CA 92120 (619) 287-3271 |
| 1437186756 | LORI ANN HINKELMAN MD Individual | Anesthesiology | 6655 ALVARADO RD SAN DIEGO, CA 92120 (619) 287-3271 |
| 1598794042 | DR. RICHARD EDWARD SAFRIN MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 6655 ALVARADO RD SAN DIEGO, CA 92120 (619) 229-3135 |
| 1700800109 | CALIFORNIA EMERGENCY PHYSC MED GRP Organization | Emergency Medicine | 6655 ALVARADO RD SAN DIEGO, CA 92120 (619) 229-3130 |
| 1851305478 | PETER M. BERKMAN M.D. Individual | Emergency Medicine | 6655 ALVARADO RD SAN DIEGO, CA 92120 (619) 229-3130 |
| 1205840634 | ALVARADO PATHOLOGY ASSOCIATES, A MEDICAL CORPORATION Organization | Pathology (Anatomic Pathology & Clinical Pathology) | 6655 ALVARADO RD SAN DIEGO, CA 92120 (619) 229-3135 |
| 1699781955 | JAMES D FOSTER M.D. Individual | Emergency Medicine | 6655 ALVARADO RD SAN DIEGO, CA 92120 (619) 229-3130 |
| 1972519189 | JAMES M. LARSON M.D. Individual | Emergency Medicine | 6655 ALVARADO RD SAN DIEGO, CA 92120 (619) 229-3130 |
| 1700892932 | DAMON N. LONDON M.D. Individual | Emergency Medicine | 6655 ALVARADO RD SAN DIEGO, CA 92120 (619) 229-3130 |
| 1952407561 | JOHN JAHAN, MD, INC Organization | Physical Medicine & Rehabilitation (Pain Medicine) | 6655 ALVARADO RD SAN DIEGO, CA 92120 (619) 445-1755 |
| 1558540286 | ANTHONY W HUMPHREY RD Individual | Dietitian, Registered | 6655 ALVARADO RD SAN DIEGO, CA 92120 (619) 229-4611 |
| 1861704074 | JEANNE GUENTHER Individual | Dietitian, Registered | 6655 ALVARADO RD SAN DIEGO, CA 92120 (619) 229-3111 |
| 1912206640 | ALVARADO ANESTHESIA ASSOCIATES, INC Organization | Anesthesiology | 6655 ALVARADO RD SAN DIEGO, CA 92120 (619) 287-3270 |
| 1548301799 | DR. ANTHONY P. MOROCCO M.D. Individual | Emergency Medicine | 6655 ALVARADO RD SAN DIEGO, CA 92120 (619) 287-3270 |
| 1386991347 | DR. KATHLEEN NGOC PHAM PHARM.D. Individual | Pharmacist | 6655 ALVARADO RD SAN DIEGO, CA 92120 (619) 229-3150 |
| 1417286725 | FERNANDO A ZAMUDIO MD INC Organization | Internal Medicine (Cardiovascular Disease) | 6655 ALVARADO RD SAN DIEGO, CA 92120 (760) 230-1353 |
| 1609175173 | DINO N BARHOUM M.D. Individual | Emergency Medicine | 6655 ALVARADO RD SAN DIEGO, CA 92120 (619) 229-3130 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033125299, enumerated in the NPI registry as an "individual" on July 31, 2006
The provider is located at 6655 Alvarado Rd San Diego, Ca 92120 and the phone number is (619) 229-3130
The provider's speciality is Emergency Medicine with taxonomy code 207P00000X
The provider has more than 45 years of experience. He graduated from University Of California, San Diego School Of Medicine in 1981.
The provider might be accepting Accepts: Molina Healthcare and Premera Blue Cross Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Medicare beneficiaries should expect a typical cost of $94.87 with an average copayment of $23.71 for new patient appointments. Established patients should expect a typical charge of $108.42 and an average copayment of 27.1. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on July 31, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.