Active NPI 1649479916 Individual Practitioner Male Practitioner

Dr. Jonathan Edward Wilson , DO

Surgery • Lees Summit, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Wilson, DO is a certified Surgery practicing in Lees Summit, MO. With approximately 21 years of clinical experience since graduating from University Of North Texas Hsc, College Of Osteopathic Med in 2005, Dr. Wilson delivers high-quality medical care to the local community at 112 NW HACKBERRY ST.

Dr. Wilson maintains professional affiliations with Restore Muscle And Joint Llc, Midwest Aortic And Vascular Institute Pc, Carroll County Memorial Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, ultrasound study of arm or leg veins with compression and maneuvers. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

112 Nw Hackberry St

Lees Summit, MO 640641476

Telephone 8169448464

Medicare Profile & Education

Medical School

University Of North Texas Hsc, College Of Osteopathic Med

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Lees Summit, MO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs +0.8 yrs vs City Avg

City Avg: 20.2 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

6 Specialists

Practicing in Lees Summit, MO (766 Statewide)

Telehealth Adoption Rate

16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wilson (21 Years) 21 Yrs

Lees Summit Specialty Average (20.2 Years) 20.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	135	135	$407.27	$156.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	118	95	$264.45	$123.04
93970 Ultrasound study of arm or leg veins with compression and maneuvers	108	108	$452.60	$169.80
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	67	66	$341.52	$123.17
93922 Ultrasound study of arm and leg arteries	52	43	$216.92	$76.98
93880 Ultrasound of both sides of head and neck blood flow	51	42	$465.87	$178.34
93925 Ultrasound of leg arteries or artery grafts	48	39	$463.20	$215.49
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	27	23	$294.55	$111.47
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	17	$179.55	$71.61
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	15	15	$466.02	$169.34
76937 Ultrasonic guidance for blood vessel access	15	11	$77.25	$36.25
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	13	12	$3750.95	$993.37
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	13	13	$47.85	$17.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93970 Ultrasound study of arm or leg veins with compression and maneuvers	94	94	$452.60	$175.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$407.27	$160.96
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	54	53	$341.52	$126.37
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	53	50	$49.00	$20.78
93970 Ultrasound study of arm or leg veins with compression and maneuvers	42	41	$75.00	$32.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$266.12	$106.41
93880 Ultrasound of both sides of head and neck blood flow	35	32	$465.87	$183.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	32	$264.45	$119.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	27	$80.00	$33.97
93923 Complete ultrasound study of arm and leg arteries	26	26	$49.00	$21.41
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	24	$356.87	$173.08
93922 Ultrasound study of arm and leg arteries	24	21	$216.92	$78.47
93925 Ultrasound of leg arteries or artery grafts	24	21	$463.20	$229.80
93880 Ultrasound of both sides of head and neck blood flow	21	21	$86.00	$34.84
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	19	16	$294.55	$114.44
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	12	12	$466.02	$173.28
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	12	$47.36	$17.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	126	110	$49.00	$21.52
93970 Ultrasound study of arm or leg veins with compression and maneuvers	80	80	$452.60	$184.02
93970 Ultrasound study of arm or leg veins with compression and maneuvers	73	67	$75.00	$33.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	66	66	$266.12	$107.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	29	$80.00	$36.11
93880 Ultrasound of both sides of head and neck blood flow	30	30	$86.00	$38.87
99202 New patient office or other outpatient visit, typically 20 minutes	27	27	$110.00	$48.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	22	$264.45	$125.37
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$339.39	$131.62
93880 Ultrasound of both sides of head and neck blood flow	17	17	$465.87	$181.52
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$150.00	$66.26
93923 Complete ultrasound study of arm and leg arteries	14	14	$49.00	$22.16
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	11	11	$294.55	$109.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	131	115	$50.79	$21.64
93970 Ultrasound study of arm or leg veins with compression and maneuvers	95	91	$76.56	$33.77
93970 Ultrasound study of arm or leg veins with compression and maneuvers	56	56	$452.60	$192.21
93880 Ultrasound of both sides of head and neck blood flow	46	46	$88.87	$38.94
99213 Established patient office or other outpatient visit, typically 15 minutes	41	36	$130.10	$67.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$266.12	$109.06
93923 Complete ultrasound study of arm and leg arteries	32	32	$49.56	$21.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	27	$74.87	$36.13
93880 Ultrasound of both sides of head and neck blood flow	26	26	$465.87	$190.38
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	20	19	$44.06	$18.05
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$339.49	$127.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	19	$264.45	$127.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$182.58	$83.94
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	17	16	$679.24	$241.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$294.25	$136.70
93926 Ultrasound of one leg arteries or artery grafts	16	15	$53.50	$23.64
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	14	14	$466.02	$185.26
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	12	12	$128.50	$56.67
76937 Ultrasonic guidance for blood vessel access	11	11	$33.43	$13.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	163	140	$52.00	$22.60
93970 Ultrasound study of arm or leg veins with compression and maneuvers	110	100	$79.00	$35.35
99213 Established patient office or other outpatient visit, typically 15 minutes	57	50	$116.00	$52.23
93923 Complete ultrasound study of arm and leg arteries	54	54	$51.00	$22.75
93880 Ultrasound of both sides of head and neck blood flow	37	37	$92.00	$40.67
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	33	$340.62	$140.22
93880 Ultrasound of both sides of head and neck blood flow	32	31	$465.87	$192.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	30	$179.00	$80.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	16	$58.00	$26.30
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	23	18	$608.00	$240.35
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	22	20	$43.22	$18.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$293.00	$131.93
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	16	$179.55	$73.29
93926 Ultrasound of one leg arteries or artery grafts	16	15	$56.00	$24.94
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	14	14	$466.02	$187.32
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	14	14	$132.00	$58.92
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	14	13	$91.00	$40.37
93922 Ultrasound study of arm and leg arteries	13	12	$29.00	$12.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	209	171	$48.06	$22.91
93970 Ultrasound study of arm or leg veins with compression and maneuvers	124	113	$76.87	$35.09
99213 Established patient office or other outpatient visit, typically 15 minutes	76	67	$109.82	$51.07
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	63	60	$340.73	$134.53
93923 Complete ultrasound study of arm and leg arteries	53	53	$49.42	$22.60
93880 Ultrasound of both sides of head and neck blood flow	43	42	$88.58	$40.80
93880 Ultrasound of both sides of head and neck blood flow	42	41	$465.87	$192.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	33	$56.40	$25.30
93922 Ultrasound study of arm and leg arteries	29	26	$216.92	$83.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$285.00	$130.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$168.67	$76.88
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	20	$179.55	$72.55
93926 Ultrasound of one leg arteries or artery grafts	19	17	$55.16	$24.75
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	16	$98.25	$39.31
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	18	18	$466.02	$184.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$165.90	$76.30
93925 Ultrasound of leg arteries or artery grafts	17	16	$463.20	$250.34
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	16	14	$608.13	$254.24
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	16	15	$126.38	$58.70
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	15	14	$42.45	$18.95
93990 Ultrasound of dialysis access	12	12	$55.50	$25.22
93925 Ultrasound of leg arteries or artery grafts	12	12	$89.17	$37.34
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	11	11	$87.82	$40.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	106	96	$44.00	$22.59
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	92	85	$340.98	$134.09
93970 Ultrasound study of arm or leg veins with compression and maneuvers	82	79	$75.00	$34.59
11042 Removal of skin and tissue, 20.0 sq cm or less	64	13	$286.32	$61.58
99213 Established patient office or other outpatient visit, typically 15 minutes	49	43	$179.32	$71.91
93880 Ultrasound of both sides of head and neck blood flow	49	46	$465.87	$196.28
93923 Complete ultrasound study of arm and leg arteries	46	45	$48.00	$22.30
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	45	37	$179.55	$72.51
93922 Ultrasound study of arm and leg arteries	40	33	$216.92	$83.22
99213 Established patient office or other outpatient visit, typically 15 minutes	35	29	$110.93	$50.32
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	16	$93.49	$25.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$266.12	$103.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	30	$264.45	$106.11
99231 Follow-up hospital inpatient care per day, typically 15 minutes	30	26	$98.25	$39.09
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	26	25	$466.02	$176.22
93880 Ultrasound of both sides of head and neck blood flow	26	26	$85.00	$40.22
75625 Radiological supervision and interpretation X-ray of abdominal aorta	23	21	$178.54	$56.08
93926 Ultrasound of one leg arteries or artery grafts	23	19	$374.15	$133.03
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	18	16	$204.45	$86.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$113.07	$64.56
93923 Complete ultrasound study of arm and leg arteries	17	17	$338.12	$126.03
36565 Insertion of central venous catheters for infusion, two catheters in two veins	16	15	$1379.17	$321.36
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	16	15	$42.94	$18.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	14	$136.95	$76.45
35301 Removal of blood clot and portion of artery of neck	13	12	$2943.19	$1023.65
76536 Ultrasound of head and neck	12	11	$69.87	$28.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$407.27	$162.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$188.44	$98.46
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	11	11	$122.00	$58.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	112	26	$289.08	$60.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	85	72	$341.52	$135.25
99213 Established patient office or other outpatient visit, typically 15 minutes	75	54	$97.84	$49.37
99213 Established patient office or other outpatient visit, typically 15 minutes	61	56	$179.32	$70.19
97597 Removal of tissue from wound, 20.0 sq cm or less	56	19	$183.90	$23.15
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	55	52	$44.00	$22.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	39	$107.22	$74.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	21	$100.11	$25.14
93880 Ultrasound of both sides of head and neck blood flow	42	41	$465.87	$195.46
99231 Follow-up hospital inpatient care per day, typically 15 minutes	41	32	$98.25	$38.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$74.92	$57.85
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	34	29	$179.55	$71.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$111.57	$85.11
93922 Ultrasound study of arm and leg arteries	32	28	$216.92	$84.89
93970 Ultrasound study of arm or leg veins with compression and maneuvers	31	31	$75.00	$34.73
75625 Radiological supervision and interpretation X-ray of abdominal aorta	30	28	$190.40	$55.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$266.12	$101.01
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	28	27	$466.02	$175.81
93923 Complete ultrasound study of arm and leg arteries	26	26	$338.12	$132.83
93923 Complete ultrasound study of arm and leg arteries	26	25	$48.00	$22.49
93926 Ultrasound of one leg arteries or artery grafts	22	19	$374.15	$130.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	19	$264.45	$104.97
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	22	21	$156.06	$55.82
93970 Ultrasound study of arm or leg veins with compression and maneuvers	19	19	$452.60	$180.55
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	19	19	$47.51	$18.90
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	17	14	$1929.63	$201.41
35301 Removal of blood clot and portion of artery of neck	17	15	$2977.87	$1105.17
76536 Ultrasound of head and neck	16	14	$70.77	$27.99
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	14	13	$802.00	$135.57
93880 Ultrasound of both sides of head and neck blood flow	13	13	$85.00	$40.03
37224 Balloon dilation of arteries in one leg, endovascular, accessed through the skin or open procedure	12	12	$4799.88	$376.91

Medical Specialties & State Licenses

CMS Verified: 2026-06-26

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MO 2008006047

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.

Hospital & Practice Group Affiliations

Midwest Aortic And Vascular Institute Pc

2750 Clay Edwards Dr, North Kansas City, MO 641163256

Phone: 8168425555

Restore Muscle And Joint Llc

4119 Nw Barry Rd, Kansas City, MO 641541100

Phone: 8164524488

Carroll County Memorial Hospital

1502 N Jefferson St, Carrollton, MO 646331948

Phone: 6605421695

Midwest Aortic And Vascular Institute Pc

2521 Glenn Hendren Dr, Liberty, MO 640683388

Phone: 8168425555

Secondary Practice Locations

4119 Nw Barry Rd

Kansas City, MO 641541100

Phone: 8164524488

210 Ne Delaware Ave Ste 230

Ankeny, IA 500216714

Phone: 5154945258

1502 N Jefferson St

Carrollton, MO 646331948

Phone: 6605421695

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location October 16, 2025

Registered at 112 NW HACKBERRY ST, LEES SUMMIT, MO 640641476 (Tel: 8169448464)

✅

NPI Profile Active January 27, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location January 27, 2014

Registered at 2750 CLAY EDWARDS DR STE 304, NORTH KANSAS CITY, MO 641163256 (Tel: 8168425555)

📍

Updated Business Mailing Address January 27, 2014

Registered at 112 NW HACKBERRY ST, LEES SUMMIT, MO 640641476

👤

Provider Name / Credentials Updated January 27, 2014

Recorded as JONATHAN WILSON, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2014

Surgery (License #2008006047 in MO)

🟢

Initial NPI Registration & Enumeration July 16, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1649479916

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 16, 2007

Last Update: June 26, 2026

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

112 Nw Hackberry St

Lees Summit, MO 640641476

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.