Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Nicholas B Wilson, MD

Individual provider Orthopaedic Surgery Physician · NPI 1902225766

Dr. Nicholas B Wilson, MD is an Orthopedic Surgery in O Fallon, Missouri. Graduated from Saint Louis University School of Medicine in 2014, 12 years ago. Practices with Physician Groups Lc, a 524-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arkansas, Missouri and South Carolina.

Years since qualifying
12
Trained at
Saint Louis University School of Medicine
Licensed in
AR, MO, SC
In the registry since
2014
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

9323 Phoenix Village Pkwy
O Fallon, MO 63368-4281
Phone: (636) 561-0871
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5320 W Markham St, Little Rock, AR 72205-3528 — (501) 975-5633
  • 200 Patewood Dr Ste C100, Greenville, SC 29615 — (864) 454-7422

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 2022030421 (MO)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 82172 (SC)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence E-13197 (AR)

Record details

NPI number1902225766
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 9, 2014
Last updated in NPPESOctober 5, 2023
Certification dateOctober 5, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Physician Groups Lc — 524 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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