DR. JONATHAN EDWARD WILSON (D.O.) – Surgery Physician, NPI 1649479916
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
145 VASCULAR SURGERY in MO
Provider Addresses for DR. JONATHAN EDWARD WILSON (D.O.)
2750 CLAY EDWARDS DR STE 304
NORTH KANSAS CITY, MO 641163256
Phone: (816) 842-5555
Type: Location
112 NW HACKBERRY ST
LEES SUMMIT, MO 640641476
Phone:
Type: Mailing
1502 N Jefferson St
Carrollton, MO 646331948
Phone: (660) 542-1695
Type: Location
4119 NW Barry Rd
Kansas City, MO 641541100
Phone: (816) 452-4488
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 58 Open Payments records for all available years, with a total value of $4,790.
Total Amount is formed as General ($4,790) + Research ($0) + Ownership ($0) = $4,790.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Endologix LLC ($1,761).
Total Amount
$4,790
General + Research + Ownership
Payments
58
Total payment records
General Amount
$4,790
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Endologix LLC | $1,761 |
| W. L. Gore & Associates, Inc. | $563 |
| AngioDynamics, Inc. | $554 |
| Medtronic, Inc. | $488 |
| Silk Road Medical, Inc. | $242 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2013-08-21
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130821000958 | I | Vascular Surgery | MO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 93970 | Ultrasound study of arm or leg veins with compression and maneuvers | 136 | 135 | $0 |
| 93971 | Ultrasound study of one arm or leg veins with compression and maneuvers | 72 | 66 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 69 | 69 | $0 |
| 93880 | Ultrasound of both sides of head and neck blood flow | 56 | 53 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 54 | 53 | $0 |
Insurance plans in this area (ZIP 64116)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| VASCULAR SURGERY | MO | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 35 | 35 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | MO | |
| Vascular Surgery, General Surgery | MO | |
| C H I R O P R A C T I C | MO | |
| Physical Therapist In Private Practice | MO | |
| Nurse Practitioner | MO | |
| C H I R O P R A C T I C | MO | |
| Physical Therapist In Private Practice | MO | |
| C H I R O P R A C T I C | KS | |
| - | SC | |
| Nurse Practitioner | MO |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.