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Active NPI 1245301084 Individual Practitioner Male Practitioner

Dr. Stephen M Wilson , MD

Surgery • Fullerton, CA

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Wilson, MD is a registered healthcare professional specializing in Surgery in Fullerton, CA. Practice services are available at 1950 SUNNYCREST DR under active NPI credentials.

Frequently performed procedures and clinical services include diagnostic examination of rectum and large bowel using an endoscope, established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1950 Sunnycrest Dr
Suite 2600

Fullerton, CA 928353638

Telephone 7144465260
Fax 7144465265
Associated Practice Facility / Clinic
🏢 James Park Dds, Inc. Facility NPI 1790936060

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Fullerton, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.0 Yrs
State Avg: 27.4 Yrs
Regional Practice Density
14 Specialists

Practicing in Fullerton, CA (3346 Statewide)

Telehealth Adoption Rate
21.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
28.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
45300 Diagnostic examination of rectum and large bowel using an endoscope
12 12 $220.00 $157.00

Medical Specialties & State Licenses

CMS Verified: 2020-10-21
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CA G23030

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Specialist

NUCC Taxonomy Code: 174400000X

State License CA G23030

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1518961911

Doctor of Medicine (M.D.)

Cynthia Mejia , PA-C

Family Medicine

NPI 1871602839

Physician Assistant (Certified)

Grace Lee , PA-C

Physician Assistant - Surgical

NPI 1912961038

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address August 27, 2020

Registered at 1950 SUNNY CREST DR STE 2600, FULLERTON, CA 928353644 (Tel: 7144465260)

NPI Profile Active April 29, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location April 29, 2013

Registered at 1950 SUNNYCREST DR, SUITE 2600, FULLERTON, CA 928353638 (Tel: 7144465260)

📍
Updated Business Mailing Address April 29, 2013

Registered at 279 IMPERIAL HWY, SUITE 730, FULLERTON, CA 928351041 (Tel: 7144494841)

👤
Provider Name / Credentials Updated April 29, 2013

Recorded as STEPHEN WILSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 29, 2013

Specialist (License #G23030 in CA)

🟢
Initial NPI Registration & Enumeration November 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245301084
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 13, 2006
Last Update: October 21, 2020
Sole Proprietor: No

Mailing Address

1950 Sunny Crest Dr Ste 2600

Fullerton, CA 928353644

Phone: 7144465260

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.