Doctor profile · Federal record
Dr. Jack Wilson, MD
Surgery Physician (CMS: General Surgery) · Lemoyne, PA
- NPI 1790756542
- Accepts Medicare
- MIPS 82.5 / 100 · 2023
- 46 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
3 Walnut St Ste 100
Lemoyne, PA 17043
(717) 761-4141
fax (717) 761-1456 - Mailing address
-
409 S 2Nd St, Suite 2F
Harrisburg, PA 171041612
Credentials & registration
- NPI registered
- January 2006 — 20 yrs on file
- Profile last updated
- January 23, 2021
- Year of graduation
- 1980 — 46 yrs since
- Specialty taxonomy
- 208600000X — NUCC code
- State license (1)
- Pennsylvania #MD025597E
- Medicaid
- PA #000971496
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1790756542. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
200
Distinct HCPCS
7
Medicare allowed
$21,455
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 60 | 34 | $78 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 57 | 42 | $86 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 30 | 30 | $168 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 14 | 14 | $109 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 14 | 14 | $162 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 14 | 14 | $117 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 11 | 11 | $128 |
In context: peer comparison
Among 4 peers in Lemoyne Surgery Physician, average services per provider: 32. This provider delivers 6.3× the peer median.Open Payments
Industry payments received
All-time total
$34
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Medtronic, INC. | 2 | $34.37 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
12
Patients
0
Total drug cost
$176
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Pantoprazole Sodium | Generic | 12 | 0 | $176 |
Frequently asked questions
What is Dr. Jack Wilson's medical specialty?
Dr. Jack Wilson practices Surgery Physician in Lemoyne, PA.
Where does Dr. Jack Wilson practice?
Dr. Jack Wilson practices at 3 Walnut St Ste 100, Lemoyne, PA 17043. Office phone: 7177614141.
What is Dr. Jack Wilson's NPI?
Dr. Jack Wilson's National Provider Identifier (NPI) is 1790756542, issued by NPPES.
Does Dr. Jack Wilson accept Medicare assignment?
Yes. Dr. Jack Wilson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jack Wilson commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Established patient office or other outpatient visit (HCPCS 99213); Initial hospital care with moderate level of medical decision making (HCPCS 99223). Source: CMS Medicare Physician & Other Practitioners file.