Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Jonathan Edward Wilson , DO

Surgery • Lees Summit, MO

Active NPI 1649479916 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

112 Nw Hackberry St
Lees Summit, MO 640641476

Call 8169448464 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

112 Nw Hackberry St

Lees Summit, MO 640641476

Telephone 8169448464
Other Listings in Public Data

NPPES lists 3 distinct additional practice-address records in Ankeny, IA; Carrollton, MO; Kansas City, MO. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 3 distinct group names: Carroll County Memorial Hospital; Midwest Aortic And Vascular Institute Pc; Restore Muscle And Joint Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

University Of North Texas Hsc, College Of Osteopathic Med

Graduation Year

2005

Medicare patients

358 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $106,373 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $80,105 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

30-day fills

235 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$1,066 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $1,690.75 across 22 records.

By nature of payment

  • Food and Beverage: $1,690.75 across 22 records.

Reporting-company totals (3 largest of 14)

  • Medtronic, Inc.: $340.86 across 5 records.
  • AngioDynamics, Inc.: $189.25 across 3 records.
  • Abbott Laboratories: $187.38 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

21 years (graduated 2005)

CMS Doctors and Clinicians data list 2005 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Wilson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Wilson as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Lees Summit and Missouri

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 90% of clinicians listed under Surgery in Missouri (2024, 351 clinicians with data). Median for this group: 195. Middle half: 102 to 317.

Too few clinicians listed under Surgery in Lees Summit have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A higher Medicare-allowed amount than 90% of clinicians listed under Surgery in Missouri (2024, 351 clinicians with data). Median for this group: $23,612. Middle half: $10,620 to $45,112.

Too few clinicians listed under Surgery in Lees Summit have Medicare Part B data for 2024 to compare.

Paid by Medicare

A higher Medicare payment amount than 90% of clinicians listed under Surgery in Missouri (2024, 351 clinicians with data). Median for this group: $17,905. Middle half: $8,058 to $34,751.

Too few clinicians listed under Surgery in Lees Summit have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

More Part D prescriptions than 75% of clinicians listed under Surgery in Missouri (2024, 367 clinicians with data). Median for this group: 66. Middle half: 28 to 138.

Too few clinicians listed under Surgery in Lees Summit have Medicare Part D data for 2024 to compare.

Part D drug cost

A higher Part D drug cost than 70% of clinicians listed under Surgery in Missouri (2024, 367 clinicians with data). Median for this group: $376. Middle half: $114 to $1,301.

Too few clinicians listed under Surgery in Lees Summit have Medicare Part D data for 2024 to compare.

6 active clinicians are listed under Surgery with a practice address in Lees Summit, MO (715 in Missouri).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): 22 records totaling $1,690.75.

Manufacturer Payment Nature Product Type Amount ($)
Abbott Laboratories
Food and Beverage
In-kind items and services
ESPRIT General $187.38
Surmodics, Inc.
Food and Beverage
Cash or cash equivalent
Pounce Thrombectomy General $157.17
Medtronic, Inc.
Food and Beverage
In-kind items and services
ENDURANT IIS General $151.68
Cook Medical LLC
Food and Beverage
Cash or cash equivalent
ZENITH General $150.74
AngioDynamics, Inc.
Food and Beverage
In-kind items and services
AURYON LASER SYSTEM 100-120 VAC General $144.69
W. L. Gore & Associates, Inc.
Food and Beverage
In-kind items and services
GORE EXCLUDER Thoracoabdominal Branch Endoprosthesis General $142.13
PolyNovo North America LLC
Food and Beverage
In-kind items and services
NOVOSORB BTM General $134.60
Medtronic, Inc.
Food and Beverage
In-kind items and services
HELI-FX ENDOANCHOR SYSTEM General $128.36
Inari Medical, Inc.
Food and Beverage
In-kind items and services
FLOWTRIEVER CATHETER, S General $126.26
Boston Scientific Corporation
Food and Beverage
In-kind items and services
ENROUTE Transcarotid Stent General $97.26
Teleflex LLC
Food and Beverage
In-kind items and services
QUIKCLOT General $42.39
Medtronic, Inc.
Food and Beverage
In-kind items and services
ENDURANT IIS General $32.59
W. L. Gore & Associates, Inc.
Food and Beverage
In-kind items and services
GORE EXCLUDER Thoracoabdominal Branch Endoprosthesis General $25.19
Smith+Nephew, Inc.
Food and Beverage
In-kind items and services
ALLEVYN HEEL 10.5CM X 13.5CM CTN 5 General $24.38
Koya Medical, Inc.
Food and Beverage
Cash or cash equivalent
KOYA MEDICAL General $22.48
AngioDynamics, Inc.
Food and Beverage
In-kind items and services
AURYON LASER SYSTEM 100-120 VAC General $22.41
AngioDynamics, Inc.
Food and Beverage
In-kind items and services
AURYON LASER SYSTEM 100-120 VAC General $22.15
Bard Peripheral Vascular, Inc.
Food and Beverage
In-kind items and services
LUTONIX Drug Coated Balloon General $20.28
Penumbra, Inc.
Food and Beverage
Cash or cash equivalent
Penumbra System General $17.93
Medtronic, Inc.
Food and Beverage
In-kind items and services
ENDURANT IIS General $15.10
Medtronic, Inc.
Food and Beverage
In-kind items and services
ENDURANT IIS General $13.13
W. L. Gore & Associates, Inc.
Food and Beverage
In-kind items and services
GORE EXCLUDER Thoracoabdominal Branch Endoprosthesis General $12.45

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code 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 study of one arm or leg veins with compression and 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
76937 Ultrasonic guidance for blood vessel access
15 11 $77.25 $36.25
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts
15 15 $466.02 $169.34
36475 Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance
13 12 $3750.95 $993.37
77001 Fluoroscopic guidance for insertion or removal of central vein access device
13 13 $47.85 $17.11

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Clopidogrel Clopidogrel Bisulfate 56 4,100 $645.94 22
Cephalexin Cephalexin 55 92 $127.93 50
Lidocaine-Prilocaine Lidocaine/Prilocaine 25 542 $261.04 22
Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim 18 31 $30.73 14

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-06-26
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

License # reported to NPPES 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Missouri Board of Registration for the Healing Arts.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - VASCULAR SURGERY

Medicare Enrollment ID

I20260316001489

Enrollment State Jurisdiction

IA

PECOS Control ID

0345483426

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

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

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
📍
Updated Practice Location October 16, 2025

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

âś…
NPI Profile Active January 27, 2014

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) January 27, 2014

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

📍
Business Mailing Address (Initial Record) January 27, 2014

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

👤
Provider Name / Credentials (Initial Record) January 27, 2014

Recorded as JONATHAN WILSON, D.O.

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

Surgery (license number reported to NPPES: MO 2008006047)

🟢
Initial NPI Registration & Enumeration July 16, 2007

First registered as active Individual Practitioner in NPPES Database.

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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

Other Surgery Specialists in Lees Summit

Healthcare providers in Lees Summit

Mailing Address

112 Nw Hackberry St

Lees Summit, MO 640641476

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.