MR. WILLIAM ROBERT WILSON JR. M.D.
NPI 1245203629
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Portsmouth, NH
NPI Status: Active since February 08, 2006
Contact Information
333 BORTHWICK AVE
STE 402
PORTSMOUTH, NH
ZIP 03801
Phone: (603) 559-4111
Fax: (603) 559-4110
- Individual
- Male
- Years of Experience 44
- Thoracic Surgery (Cardiothoracic Vascula...
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About WILLIAM WILSON
This page provides the complete NPI Profile along with additional information for William Wilson, a provider established in Portsmouth, New Hampshire with a medical specialization in Thoracic Surgery (cardiothoracic Vascular Surgery) and more than 44 years of experience. He graduated from University Of Connecticut School Of Medicine in 1982. The healthcare provider is registered in the NPI registry with number 1245203629 assigned on February 2006. The practitioner's primary taxonomy code is 208G00000X with license number 14182 (NH). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1245203629
- Provider Name
- MR. WILLIAM ROBERT WILSON JR. M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 333 BORTHWICK AVE STE 402 PORTSMOUTH, NH 03801
- Location Phone
- (603) 559-4111
- Location Fax
- (603) 559-4110
- Mailing Address
- 333 BORTHWICK AVE MOB 402 PORTSMOUTH, NH 03801
- Mailing Phone
- (603) 559-4111
- Mailing Fax
- (603) 559-4110
- Medical School Name
- UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
- Graduation Year
- 1982
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-08-2006
- Last Update Date
- 02-01-2022
- 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
Thoracic Surgery (Cardiothoracic Vascular Surgery)
- Taxonomy Code
- 208G00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 14182
- License State
- NH
- Taxonomy Description
- A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
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 | 2086S0129X | Allopathic & Osteopathic Physicians | Surgery | E4575 (AR) |
| 2 | 208G00000X | Allopathic & Osteopathic Physicians | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 35.061928 (OH) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Preferred Blue PPO 5000/10%/8000 w/HSA - PPO
- Anthem Bronze Preferred Blue PPO 5000/20%/8000 w/HSA - PPO
- Anthem Bronze Preferred Blue PPO 6500/30%/9200 Value - PPO
- Anthem Bronze Preferred Blue PPO 7000/50%/8000 w/HSA - PPO
- Anthem Bronze Preferred Blue PPO 8500/50%/9200 - PPO
- Anthem Gold Preferred Blue PPO 1000/20%/7500 - PPO
- Anthem Gold Preferred Blue PPO 2000/0%/6500 RxD - PPO
- Anthem Gold Preferred Blue PPO 2000/10%/4600 w/HSA - PPO
- Anthem Gold Preferred Blue PPO 2000/10%/7500 - PPO
- Anthem Gold Preferred Blue PPO 2000/20%/4600 w/HSA - PPO
- Anthem Gold Preferred Blue PPO 3000/0%/5500 RxD - PPO
- Anthem Gold Preferred Blue PPO 500/25%/7000 - PPO
- Anthem Platinum Preferred Blue PPO 250/10%/3500 - PPO
- Anthem Silver Preferred Blue PPO 2000/30%/9000 Value - PPO
- Anthem Silver Preferred Blue PPO 3000/20%/8500 - PPO
- Anthem Silver Preferred Blue PPO 3000/30%/9000 Value - PPO
- Anthem Silver Preferred Blue PPO 3500/20%/7250 w/HSA - PPO
- Anthem Silver Preferred Blue PPO 4000/0%/8500 - PPO
- Anthem Silver Preferred Blue PPO 4000/0%/8500 RxD - PPO
- Anthem Silver Preferred Blue PPO 4000/10%/7250 w/HSA - PPO
- Anthem Bronze Pathway X Enhanced 6000/35% HSA - HMO
- Anthem Bronze Pathway X Enhanced 6500/40% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway X Enhanced 7500/50% ($0 Virtual PCP + $0 Select Drugs) Standard - HMO
- Anthem Catastrophic Pathway X Enhanced 9200/0% - HMO
- Anthem Gold Pathway X Enhanced 1200/20% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Gold Pathway X Enhanced 1500/25% ($0 Virtual PCP + $0 Select Drugs) Standard - HMO
- Anthem Gold Pathway X Enhanced 700/40% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Bronze Pathway X Enhanced 6000/30% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Silver Pathway X Enhanced 4000/0% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway X Enhanced 4500/20% HSA - HMO
- Anthem Silver Pathway X Enhanced 5000/40% ($0 Virtual PCP + $0 Select Drugs) Standard - HMO
- Anthem Silver Pathway X Enhanced 5500/20% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Bronze Pathway X HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Pathway X HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Pathway X HMO 6500/30%/9200 Value - HMO
- NH Local Choice HMO Bronze 8000 - HMO
- NH Local Choice HMO Gold - HMO
- NH Local Choice HMO Gold 1400 - HMO
- NH Local Choice HMO HSA Bronze 6000 - HMO
- NH Local Choice HMO Silver 3500 - HMO
- NH Local Choice HMO Silver 5000 - HMO
- NH Local HMO Bronze 7500 Standard - HMO
- NH Local HMO Gold 1500 Standard - HMO
- NH Local HMO Silver 5000 Standard - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3099751 | MEDICAID (05) | NH |
Medicare Participation & PECOS Enrollment Status
William 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.
William Wilson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
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.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 547285181
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: I20090420000284, I20170519000752
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.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Coronary artery bypass graft (CABG)
Coronary artery bypass using artery graft, 1 graft
Established patient office or other outpatient visit, 30-39 minutes
Harvest of vein using an endoscope
Leg revascularization (restoring blood flow)
New patient office or other outpatient visit, 30-44 minutes
New patient office or other outpatient visit, 45-59 minutes
Replacement of aortic valve through the skin and femoral artery
Coronary artery bypass graft (CABG) is a surgery to improve blood flow to your heart. It involves taking a blood vessel from another part of your body and using it to reroute blood around a blocked or narrowed artery in your heart. This can help reduce chest pain and minimize the risk of heart attacks.
This service was performed for 1-10 patientsA coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
This service was performed 11 times for 11 patientsThis 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.
This service was performed 32 times for 26 patientsHarvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.
This service was performed 14 times for 14 patientsLeg revascularization is a procedure aimed at restoring proper blood flow to your legs. It's often needed when blood vessels in your legs are blocked or narrowed. The process may involve surgery or less invasive methods to remove or bypass blockages, helping to alleviate pain and prevent serious complications.
This service was performed for 1-10 patientsThis service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
This service was performed 17 times for 17 patientsThis is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
This service was performed 20 times for 20 patientsThis procedure, known as Transcatheter Aortic Valve Replacement (TAVR), involves replacing a damaged aortic valve through a small incision in the leg. A catheter is inserted into the femoral artery and guided up to the heart. The new valve is then positioned and deployed, restoring normal blood flow.
This service was performed 29 times for 29 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $43.56 for a new patient copayment and $17.96 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 03801 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99205
- Average New Patient Price $174.26
- Minimum New Patient Price $57.75
- Maximum New Patient Price $174.26
- Average New Patient Copayment $43.56
- Minimum New Patient Copayment $14.43
- Maximum New Patient Copayment $43.56
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $71.85
- Minimum Established Patient Price $18.7
- Maximum Established Patient Price $142.15
- Average Established Patient Copayment $17.96
- Minimum Established Patient Copayment $4.67
- Maximum Established Patient Copayment $35.53
* 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.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. William Wilson is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| PORTSMOUTH REGIONAL HOSPITAL | 333 BORTHWICK AVE PORTSMOUTH, NH 03801 | (603) 436-5110 | Acute Care Hospitals |
Reviews for MR. WILLIAM ROBERT WILSON JR. M.D.
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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 | 2 | 4 | 5 | 2 | 0 | 3 | 6 | 2 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 8 | 5 | 4 | 0 | 6 | 6 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 8 + 5 + 4 + 0 + 6 + 6 + 4 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1245203629 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 |
|---|---|---|---|
| 1306847710 | DR. ANDREW JOSEPH KULESZA MD Individual | Anesthesiology | 333 BORTHWICK AVE PORTSMOUTH, NH 03801 (603) 436-5110 |
| 1417958737 | MISS MARY LOU CARR CRNA Individual | Nurse Anesthetist, Certified Registered | 333 BORTHWICK AVE PORTSMOUTH, NH 03801 (603) 436-5110 |
| 1336140714 | DR. RICHARD JAMES DUFFY MD Individual | Anesthesiology | 333 BORTHWICK AVE PORTSMOUTH, NH 03801 (603) 436-5110 |
| 1306847520 | MR. WILLIAM PERRY CRNA Individual | Nurse Anesthetist, Certified Registered | 333 BORTHWICK AVE PORTSMOUTH, NH 03801 (603) 436-5110 |
| 1467453688 | MR. ERNEST OTTO SCHMEISSER CRNA Individual | Nurse Anesthetist, Certified Registered | 333 BORTHWICK AVE PORTSMOUTH, NH 03801 (603) 436-5110 |
| 1376544411 | MR. DOUGLAS FERGUSON CRNA Individual | Nurse Anesthetist, Certified Registered | 333 BORTHWICK AVE PORTSMOUTH, NH 03801 (603) 436-5110 |
| 1982606042 | DR. BRIAN CARGILL DUNBAR DO Individual | Anesthesiology | 333 BORTHWICK AVE PORTSMOUTH, NH 03801 (603) 436-5110 |
| 1932101318 | DR. THOMAS SCOTT MENKE DO Individual | Anesthesiology | 333 BORTHWICK AVE PORTSMOUTH, NH 03801 (603) 436-5110 |
| 1376539387 | DR. THOMAS VAILL KING MD Individual | Orthopaedic Surgery | 333 BORTHWICK AVE MEDICAL OFFICE BUILDING SUITE 301 PORTSMOUTH, NH 03801 (603) 431-5858 |
| 1881683415 | APPLEDORE MEDICAL GROUP II INC Organization | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 333 BORTHWICK AVE SUITE 402 PORTSMOUTH, NH 03801 (603) 559-4111 |
| 1952386245 | ATLANTIC PATHOLOGY, PA Organization | Clinical Medical Laboratory | 333 BORTHWICK AVE PORTSMOUTH, NH 03801 (603) 433-4907 |
| 1225007891 | SONYA M SCHWAEGERLE MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 333 BORTHWICK AVE PORTSMOUTH, NH 03801 (603) 433-4907 |
| 1750345039 | WILLIAM P BERRY M.D. Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 333 BORTHWICK AVE SUITE 402 PORTSMOUTH, NH 03801 (603) 559-4111 |
| 1619921285 | DR. NINA GOKHMAN M.D., PH.D Individual | Psychiatry & Neurology (Psychiatry) | 333 BORTHWICK AVE PORTSMOUTH, NH 03801 (603) 433-5294 |
| 1912954967 | GARY KISH MD Individual | Orthopaedic Surgery | 333 BORTHWICK AVE WOUND CARE CENTER PORTSMOUTH, NH 03801 (603) 433-6994 |
| 1134166234 | MRS. KIMBERLEE I CHUTE PA-C Individual | Physician Assistant (Surgical) | 333 BORTHWICK AVE SUITE 402 PORTSMOUTH, NH 03801 (603) 559-4111 |
| 1710923511 | PORTSMOUTH EMERGENCY PHYSICIANS PC Organization | Emergency Medicine (Emergency Medical Services) | 333 BORTHWICK AVE PORTSMOUTH, NH 03801 (603) 433-4012 |
| 1861579302 | DAVID L LEGRO MD Individual | Internal Medicine | 333 BORTHWICK AVE PORTSMOUTH, NH 03801 (603) 433-5106 |
| 1053484865 | OLIVERA JANJIC QUITKIN M.D. Individual | Anesthesiology | 333 BORTHWICK AVE PORTSMOUTH ANESTHESIA ASSOCIATES PORTSMOUTH, NH 03801 (603) 436-5110 |
| 1780759027 | DONAVON R ALBERTSON MD Individual | Emergency Medicine | 333 BORTHWICK AVE PORTSMOUTH, NH 03801 (603) 433-4012 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245203629, enumerated in the NPI registry as an "individual" on February 08, 2006
The provider is located at 333 Borthwick Ave Ste 402 Portsmouth, Nh 03801 and the phone number is (603) 559-4111
The provider's speciality is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X
The provider has more than 44 years of experience. He graduated from University Of Connecticut School Of Medicine in 1982.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Sheld, Anthem Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $174.26 with an average copayment of $43.56 for new patient appointments. Established patients should expect a typical charge of $71.85 and an average copayment of 17.96. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Coronary artery bypass graft (CABG), Coronary artery bypass using artery graft, 1 graft, Established patient office or other outpatient visit, 30-39 minutes, Harvest of vein using an endoscope, Leg revascularization (restoring blood flow), New patient office or other outpatient visit, 30-44 minutes, New patient office or other outpatient visit, 45-59 minutes and Replacement of aortic valve through the skin and femoral artery.
The practitioner is affiliated to the following hospital(s): PORTSMOUTH REGIONAL HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on February 08, 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.