Active NPI 1790756542 Individual Practitioner Male Practitioner

Dr. Jack Edward Wilson , MD

Surgery • Lemoyne, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jack Wilson, MD is a certified Surgery practicing in Lemoyne, PA. With approximately 46 years of clinical experience since graduating from Temple University School Of Medicine in 1980, Dr. Wilson delivers high-quality medical care to the local community at 3 WALNUT ST STE 100.

Dr. Wilson is affiliated with Pinnacle Health Medical Services and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3 Walnut St Ste 100

Lemoyne, PA 17043

Telephone 7177614141

Fax 7177611456

Associated Practice Facility / Clinic

🏢 Heritage Medical Group, Llp Facility NPI 1972757102

Medicare Profile & Education

Medical School

Temple University School Of Medicine

Graduation Year

1980

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Lemoyne, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

46 Yrs +20.3 yrs vs City Avg

City Avg: 25.7 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

11 Specialists

Practicing in Lemoyne, PA (1976 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

60.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wilson (46 Years) 46 Yrs

Lemoyne Specialty Average (25.7 Years) 25.7 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
99213 Established patient office or other outpatient visit, typically 15 minutes	41	31	$178.00	$86.26
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	41	29	$218.00	$111.55
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	32	32	$402.69	$165.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$376.00	$158.93
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	14	$165.80	$74.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$247.00	$105.79
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	12	12	$613.00	$165.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	60	34	$168.00	$77.64
99213 Established patient office or other outpatient visit, typically 15 minutes	57	42	$178.00	$86.28
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	30	30	$402.30	$168.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$376.00	$162.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$251.00	$116.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$247.00	$108.97
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$333.82	$127.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	61	47	$170.18	$89.24
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	45	34	$166.53	$70.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$247.00	$110.27
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	17	$340.00	$132.72
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	15	15	$580.00	$213.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$113.00	$55.40
49505 Repair of groin hernia (5 years or older)	11	11	$1359.27	$546.06
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$466.00	$73.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	87	59	$169.00	$89.60
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	64	39	$167.31	$71.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$247.00	$111.10
99221 Initial hospital inpatient care per day, typically 30 minutes	22	22	$223.91	$99.89
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$337.50	$134.49
99231 Follow-up hospital inpatient care per day, typically 15 minutes	13	11	$87.00	$38.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	73	57	$169.00	$72.69
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	54	39	$167.59	$72.83
99221 Initial hospital inpatient care per day, typically 30 minutes	27	27	$223.22	$102.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	17	$113.00	$44.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$247.00	$106.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$236.00	$107.45
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$316.00	$138.82
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	17	17	$580.00	$201.48
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	16	$87.00	$39.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$376.00	$153.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	115	80	$151.64	$72.56
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	89	48	$151.02	$72.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	34	$220.15	$106.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$221.07	$106.54
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	24	$290.67	$136.79
99221 Initial hospital inpatient care per day, typically 30 minutes	24	23	$215.58	$101.44
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	19	19	$552.00	$226.52
49421 Insertion of abdominal cavity catheter for drainage or dialysis, open procedure	14	14	$529.00	$219.77
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	14	$430.50	$123.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$341.38	$162.31
99231 Follow-up hospital inpatient care per day, typically 15 minutes	13	13	$80.23	$39.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	84	58	$143.00	$69.97
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	40	33	$118.80	$71.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	36	$211.00	$102.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$323.00	$160.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$212.00	$105.23
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$253.50	$134.96
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	14	$66.00	$38.73
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	17	17	$609.53	$200.42
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$183.00	$100.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$85.00	$42.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	78	66	$142.15	$69.78
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	54	40	$126.26	$69.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$321.25	$154.63
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	20	$71.04	$38.53
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	23	$246.04	$129.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$210.43	$104.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$208.35	$103.65
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	17	17	$620.06	$187.46
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$169.13	$99.62
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	15	15	$829.13	$199.56
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	12	$641.77	$119.44

Medical Specialties & State Licenses

CMS Verified: 2021-01-23

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License PA MD025597E

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

000971496 (PA)

Hospital & Practice Group Affiliations

Pinnacle Health Medical Services

3 Walnut St, Lemoyne, PA 170431168

Phone: 7177614141

Practice Associates & Co-Workers

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

18 Associated Practitioners

Dr. Britton Mehr , MD

Surgery

NPI 1003228529

Doctor of Medicine (M.D.)

Samantha Tantillo , CRNP

Nurse Practitioner - Acute Care

NPI 1184268567

Certified Registered Nurse Practitioner

Dr. Ronald Barsanti , MD

Surgery

NPI 1265491682

Doctor of Medicine (M.D.)

Monica Brown-Luke , CRNP

Nurse Practitioner - Gerontology

NPI 1265880678

Certified Registered Nurse Practitioner

Dr. Michael Page , MD

Surgery

NPI 1346200318

Doctor of Medicine (M.D.)

Melissa Elaine Hong , ARNP

Nurse Practitioner - Gerontology

NPI 1366904930

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

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

12 Historical Events

📍

Updated Practice Location September 07, 2018

Registered at 3 WALNUT ST STE 100, LEMOYNE, PA 17043 (Tel: 7177614141)

✅

NPI Profile Active December 15, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location December 15, 2017

Registered at 3 WALNUT ST STE 100, LEMOYNE, PA 170431168 (Tel: 7177614141)

📍

Updated Business Mailing Address December 15, 2017

Registered at 409 S 2ND ST, SUITE 2F, HARRISBURG, PA 171041612

👤

Provider Name / Credentials Updated December 15, 2017

Recorded as JACK WILSON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2017

Surgery (License #MD025597E in PA)

✅

NPI Profile Active April 19, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location April 19, 2016

Registered at 3 WALNUT STREET, LEYMOYNE, PA 17043 (Tel: 7177614141)

📍

Updated Business Mailing Address April 19, 2016

Registered at 409 S 2ND ST, SUITE 2F, HARRISBURG, PA 171041612

👤

Provider Name / Credentials Updated April 19, 2016

Recorded as JACK WILSON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2016

Specialist (License #MD025597-E in PA)

🟢

Initial NPI Registration & Enumeration January 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1790756542

Entity Type:

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

Enumeration Date: January 30, 2006

Last Update: January 23, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

409 S 2nd St, Suite 2f

Harrisburg, PA 171041612

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.