DR. WILLIAM L WILEY DDS
NPI 1972507499
Dentist - Periodontics in College Staton, TX
NPI Status: Active since June 13, 2005
Contact Information
1505 EMERALD PLAZA
COLLEGE STATON, TX
ZIP 77845
Phone: (979) 764-7101
Fax: (979) 764-7115
- Individual
- Male
- Dentist
- Periodontics
- PECOS Enrolled
- Opted-Out Medicare
About WILLIAM WILEY
This page provides the complete NPI Profile along with additional information for William Wiley, a provider established in College Staton, Texas with a medical specialization in Dentist, focusing in periodontics . The healthcare provider is registered in the NPI registry with number 1972507499 assigned on June 2005. The practitioner's primary taxonomy code is 1223P0300X with license number 10460 (TX). The provider is registered as an individual and his NPI record was last updated 16 years ago.
- NPI
- 1972507499
- Provider Name
- DR. WILLIAM L WILEY DDS
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1505 EMERALD PLAZA COLLEGE STATON, TX 77845
- Location Phone
- (979) 764-7101
- Location Fax
- (979) 764-7115
- Mailing Address
- 1505 EMERALD PLAZA COLLEGE STATION, TX 77845
- Mailing Phone
- (979) 764-7101
- Mailing Fax
- (979) 764-7115
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-13-2005
- Last Update Date
- 06-01-2009
- Code Navigator
A dentist like William Wiley is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. William Wiley opted out of Medicare effective on 07-01-2014 until 07-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
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
Dentist Periodontics
- Taxonomy Code
- 1223P0300X
- Type
- Dental Providers
- License No.
- 10460
- License State
- TX
- Taxonomy Description
- That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Medicare Participation & PECOS Enrollment Status
William Wiley 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) and a Home Health Agency (HHA).
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
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 07-01-2014
Opt-Out End Date: 07-01-2026
Eligible to Order and Refer? Yes
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: No
Physician Visit Costs
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 77845 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.92
- Minimum New Patient Price $54.84
- Maximum New Patient Price $166.88
- Average New Patient Copayment $21.23
- Minimum New Patient Copayment $13.71
- Maximum New Patient Copayment $41.72
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $68.55
- Minimum Established Patient Price $17.52
- Maximum Established Patient Price $136.11
- Average Established Patient Copayment $17.13
- Minimum Established Patient Copayment $4.38
- Maximum Established Patient Copayment $34.02
* 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.
Reviews for DR. WILLIAM L WILEY DDS
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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 | 9 | 7 | 2 | 5 | 0 | 7 | 4 | 9 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 14 | 2 | 10 | 0 | 14 | 4 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 4 + 2 + 1 + 0 + 0 + 1 + 4 + 4 + 1 + 8 + 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 1972507499 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 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1205829041 | DR. CHARLES M GRAY D.D.S. Individual | Dentist (Oral and Maxillofacial Surgery) | 1505 EMERALD PLAZA COLLEGE STATION, TX 77845 (979) 764-7101 |
| 1144216599 | DR. MONTA CUTBIRTH KENNADY DDS Individual | Dentist (Oral and Maxillofacial Surgery) | 1505 EMERALD PLAZA COLLEGE STATION, TX 77845 (979) 764-7101 |
| 1952397135 | DR. JAMES CURTIS GARRETT D.D.S. Individual | Dentist (Oral and Maxillofacial Surgery) | 1505 EMERALD PLAZA COLLEGE STATION, TX 77845 (979) 764-7101 |
| 1194931303 | BRAZOS VALLEY OMS PLLC Organization | Dentist | 1505 EMERALD PLAZA COLLEGE STATION, TX 77845 (979) 764-7101 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972507499, enumerated in the NPI registry as an "individual" on June 13, 2005
The provider is located at 1505 Emerald Plaza College Staton, Tx 77845 and the phone number is (979) 764-7101
The provider's speciality is Dentist with taxonomy code 1223P0300X with a focus in Periodontics
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) and a Home Health Agency (HHA).
Medicare beneficiaries should expect a typical cost of $84.92 with an average copayment of $21.23 for new patient appointments. Established patients should expect a typical charge of $68.55 and an average copayment of 17.13. Please review your insurance plan or contact the provider directly to determine your specific costs.
No, the provider signed an affidavit on July 01, 2014 to opt-out of the Medicare program. The provider is excluded from the Medicare program until July 01, 2026.
This NPI record was last updated on June 13, 2005. 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].
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