Active NPI 1083963334 Individual Practitioner Male Practitioner

Dr. Clark Alexander Wilson , MD

Urology • Tyler, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Clark Wilson, MD is a certified Urology practicing in Tyler, TX. With approximately 15 years of clinical experience since completing medical education in 2011, Dr. Wilson delivers high-quality medical care to the local community at 700 OLYMPIC PLAZA CIR STE 700.

Dr. Wilson is affiliated with Etmc Physician Group, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, chronic care management services, first, diagnostic exam of bladder and urethra using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

700 Olympic Plaza Cir Ste 700

Tyler, TX 757011954

Telephone 0326239009

Fax 9032623993

Associated Practice Facility / Clinic

🏢 Urology Tyler, Pa Facility NPI 1861572968

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Tyler, TX

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs -9.2 yrs vs City Avg

City Avg: 24.2 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

19 Specialists

Practicing in Tyler, TX (1027 Statewide)

Telehealth Adoption Rate

5.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wilson (15 Years) 15 Yrs

Tyler Specialty Average (24.2 Years) 24.2 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	384	254	$221.06	$91.92
99213 Established patient office or other outpatient visit, typically 15 minutes	368	283	$148.54	$62.70
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	194	31	$95.00	$47.75
52000 Diagnostic exam of bladder and urethra using an endoscope	92	78	$283.25	$75.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	83	83	$312.06	$127.18
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	60	19	$61.00	$33.33
99231 Follow-up hospital inpatient care per day, typically 15 minutes	37	25	$103.00	$46.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$206.50	$78.20
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	30	$308.00	$124.16
74420 Imaging of urinary tract	32	27	$54.00	$23.09
76872 Ultrasound scan of pelvic region through rectum	23	23	$194.26	$30.86
52332 Insertion of stent in urinary duct (ureter) using an endoscope	22	18	$480.68	$116.52
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	22	21	$429.27	$129.91
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	16	$163.00	$74.95
51700 Simple bladder irrigation and/or instillation	15	14	$77.20	$28.44
55700 Biopsy of prostate gland	15	15	$337.00	$123.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$81.27	$33.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	464	300	$238.00	$92.71
99213 Established patient office or other outpatient visit, typically 15 minutes	400	312	$160.00	$63.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	133	133	$365.00	$126.24
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	132	24	$95.00	$48.42
52000 Diagnostic exam of bladder and urethra using an endoscope	84	68	$362.00	$75.65
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	65	20	$61.00	$33.54
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	36	35	$308.00	$121.99
74420 Imaging of urinary tract	34	25	$54.00	$22.40
76872 Ultrasound scan of pelvic region through rectum	31	31	$161.19	$30.47
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	19	$163.00	$76.01
55700 Biopsy of prostate gland	25	25	$395.00	$118.27
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	22	$103.00	$47.60
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	21	20	$460.00	$138.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$239.00	$76.54
52356 Crushing of stone of ureter with insertion of stent using an endoscope	20	19	$1230.00	$367.07
52332 Insertion of stent in urinary duct (ureter) using an endoscope	18	17	$522.22	$122.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$96.00	$34.09
51700 Simple bladder irrigation and/or instillation	14	11	$90.00	$28.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	517	318	$238.00	$94.74
99213 Established patient office or other outpatient visit, typically 15 minutes	435	306	$160.00	$64.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	97	97	$365.00	$130.50
52000 Diagnostic exam of bladder and urethra using an endoscope	69	61	$362.00	$76.78
99231 Follow-up hospital inpatient care per day, typically 15 minutes	56	29	$103.00	$35.90
74420 Imaging of urinary tract	45	32	$54.00	$24.12
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	29	27	$460.00	$140.58
52356 Crushing of stone of ureter with insertion of stent using an endoscope	27	24	$1366.67	$409.38
76872 Ultrasound scan of pelvic region through rectum	27	26	$140.15	$31.94
55700 Biopsy of prostate gland	24	24	$395.00	$121.44
52332 Insertion of stent in urinary duct (ureter) using an endoscope	22	22	$470.00	$103.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$239.00	$80.50
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$308.00	$128.79
51700 Simple bladder irrigation and/or instillation	14	11	$90.00	$29.17
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	11	$163.00	$68.06
51600 Injection procedure for X-ray imaging of the bladder or during voiding	13	13	$140.00	$37.26
74430 Radiological supervision and interpretation X-ray of urinary bladder, minimum of 3 views	11	11	$296.00	$14.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	158	129	$238.00	$96.51
99213 Established patient office or other outpatient visit, typically 15 minutes	130	109	$160.00	$65.73
81003 Automated urinalysis test	65	36	$16.00	$2.15
99213 Established patient office or other outpatient visit, typically 15 minutes	50	31	$250.00	$91.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$365.00	$132.40
99231 Follow-up hospital inpatient care per day, typically 15 minutes	42	19	$110.62	$37.43
52000 Diagnostic exam of bladder and urethra using an endoscope	31	31	$362.00	$77.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$565.00	$160.00
74420 Imaging of urinary tract	25	15	$57.64	$24.87
51798 Ultrasound measurement of bladder capacity after voiding	23	17	$97.00	$10.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$239.00	$81.21
52332 Insertion of stent in urinary duct (ureter) using an endoscope	16	12	$1356.50	$152.38
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$345.38	$132.17
36415 Insertion of needle into vein for collection of blood sample	12	11	$20.00	$3.00
51741 Electronic assessment of bladder emptying	12	12	$116.33	$7.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	28	20	$16.00	$2.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$565.00	$169.37
51798 Ultrasound measurement of bladder capacity after voiding	17	13	$97.00	$8.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	188	155	$217.00	$71.03
81000 Manual urinalysis test with examination using microscope, non-automated	175	139	$25.00	$3.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	107	95	$319.00	$102.34
51798 Ultrasound measurement of bladder capacity after voiding	98	80	$36.00	$11.92
36415 Insertion of needle into vein for collection of blood sample	96	87	$15.00	$2.94
84153 Psa (prostate specific antigen) measurement, total	79	72	$105.00	$20.03
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	54	13	$750.00	$210.64
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	33	16	$216.00	$71.41
52000 Diagnostic exam of bladder and urethra using an endoscope	28	28	$554.00	$178.65
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	16	$424.59	$134.47
52332 Insertion of stent in urinary duct (ureter) using an endoscope	17	13	$847.88	$109.12
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	16	13	$89.00	$27.96
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$519.00	$94.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81000 Manual urinalysis test with examination using microscope, non-automated	557	362	$25.00	$3.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	444	319	$314.99	$102.74
99213 Established patient office or other outpatient visit, typically 15 minutes	389	254	$213.00	$69.51
51798 Ultrasound measurement of bladder capacity after voiding	304	220	$45.10	$14.83
36415 Insertion of needle into vein for collection of blood sample	245	175	$15.00	$2.94
84153 Psa (prostate specific antigen) measurement, total	202	144	$105.00	$21.96
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	162	26	$750.00	$205.82
52000 Diagnostic exam of bladder and urethra using an endoscope	83	78	$485.00	$158.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	74	74	$481.00	$158.87
J0696 Injection, ceftriaxone sodium, per 250 mg	62	16	$30.00	$0.63
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	48	26	$215.00	$69.80
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	43	26	$89.09	$28.10
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	29	$403.00	$133.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$315.00	$101.05
51702 Simple insertion of temporary bladder tube	24	14	$187.00	$61.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	23	$128.00	$42.24
51701 Insertion of temporary bladder tube	21	18	$139.00	$45.73
84520 Urea nitrogen level to assess kidney function	19	18	$16.00	$4.78
82565 Blood creatinine level	19	18	$22.00	$6.20
52332 Insertion of stent in urinary duct (ureter) using an endoscope	18	13	$576.89	$124.72
74178 Ct scan of abdomen and pelvis before and after contrast	15	15	$723.00	$233.28
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	13	12	$722.23	$238.56
52356 Crushing of stone of ureter with insertion of stent using an endoscope	12	12	$1255.00	$414.53
80047 Blood test, basic group of blood chemicals (calcium, ionized)	12	11	$150.00	$13.46
G0103 Prostate cancer screening; prostate specific antigen test (psa)	12	12	$105.00	$22.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81000 Manual urinalysis test with examination using microscope, non-automated	479	268	$25.00	$4.24
99213 Established patient office or other outpatient visit, typically 15 minutes	377	265	$213.00	$68.37
51798 Ultrasound measurement of bladder capacity after voiding	317	211	$55.00	$17.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	251	184	$313.00	$98.60
36415 Insertion of needle into vein for collection of blood sample	232	159	$15.00	$2.94
84153 Psa (prostate specific antigen) measurement, total	200	138	$105.00	$24.73
99231 Follow-up hospital inpatient care per day, typically 15 minutes	136	61	$116.00	$37.03
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	100	15	$750.00	$189.17
52000 Diagnostic exam of bladder and urethra using an endoscope	71	55	$478.00	$152.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	52	43	$126.00	$40.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$479.00	$155.26
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	40	39	$404.00	$130.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$314.00	$101.65
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	36	15	$93.00	$27.85
51701 Insertion of temporary bladder tube	34	29	$138.00	$44.70
52332 Insertion of stent in urinary duct (ureter) using an endoscope	25	23	$514.70	$143.06
51725 Simple measurement of pressure of urine flow in bladder	19	17	$542.00	$175.14
52356 Crushing of stone of ureter with insertion of stent using an endoscope	16	15	$1254.00	$370.77
G0103 Prostate cancer screening; prostate specific antigen test (psa)	14	14	$105.00	$24.73
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	13	13	$713.00	$217.58
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$299.00	$96.60

Medical Specialties & State Licenses

CMS Verified: 2021-08-10

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License TX Q7812

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Urology

NUCC Taxonomy Code: 208800000X

State License OH 35.135944

Hospital & Practice Group Affiliations

Etmc Physician Group, Inc.

700 Olympic Plaza Cir, Tyler, TX 757011955

Phone: 9035963504

Etmc Physician Group, Inc.

701 Olympic Plaza Cir, Tyler, TX 757011950

Phone: 9035318109

Etmc Physician Group, Inc.

1000 S Beckham Ave, Tyler, TX 757011908

Phone: 9035905611

Etmc Physician Group, Inc.

18118 Fm 344, Flint, TX 757626010

Phone: 9038253292

Practice Associates & Co-Workers

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

9 Associated Practitioners

Dr. Joseph Decarlo , MD

Urology

NPI 1013954809

Doctor of Medicine (M.D.)

Dr. Charles Dickson , MD

Urology

NPI 1043250533

Doctor of Medicine (M.D.)

Dr. Robert Williams , DO

Urology

NPI 1144269697

Doctor of Osteopathic Medicine (D.O.)

Dr. Stanton Champion , MD

Urology

NPI 1174563639

Doctor of Medicine (M.D.)

Paola Mwenentanda , NP

Nurse Practitioner

NPI 1285506295

Nurse Practitioner

Kirsten Perricone , APRN

Nurse Practitioner - Family

NPI 1528678406

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

13 Historical Events

📍

Updated Practice Location August 10, 2021

Registered at 700 OLYMPIC PLAZA CIR STE 700, TYLER, TX 757011954 (Tel: 0326239009)

📍

Updated Business Mailing Address August 10, 2021

Registered at 700 OLYMPIC PLAZA CIR STE 700, TYLER, TX 757011954 (Tel: 0326239009)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2021

Urology (License #35.135944 in OH)

📍

Updated Practice Location August 04, 2020

Registered at 901 W 38TH ST STE 200, AUSTIN, TX 787051165 (Tel: 5124214235)

📍

Updated Business Mailing Address August 04, 2020

Registered at PO BOX 911230, DALLAS, TX 753911230 (Tel: 9729978000)

📍

Updated Practice Location July 05, 2019

Registered at 9500 EUCLID AVE # Q10, CLEVELAND, OH 441950002 (Tel: 2164445437)

📍

Updated Business Mailing Address July 05, 2019

Registered at 9500 EUCLID AVE # Q10, CLEVELAND, OH 441950002

✅

NPI Profile Active July 25, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location July 25, 2016

Registered at 601 TEXAN TRL, SUITE 100, CORPUS CHRISTI, TX 784112547 (Tel: 3618846381)

📍

Updated Business Mailing Address July 25, 2016

Registered at 601 TEXAN TRL, SUITE 100, CORPUS CHRISTI, TX 784112547 (Tel: 3618846381)

👤

Provider Name / Credentials Updated July 25, 2016

Recorded as CLARK WILSON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2016

Urology (License #Q7812 in TX)

🟢

Initial NPI Registration & Enumeration September 02, 2012

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: 1083963334

Entity Type:

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

Enumeration Date: September 02, 2012

Last Update: August 10, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

700 Olympic Plaza Cir Ste 700

Tyler, TX 757011954

Phone: 0326239009

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.