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DR. EMILY REBECCA WISTAR MD
NPI 1063774883
Internal Medicine in San Francisco, CA

Active since June 08, 2012PECOS Enrolled
1001 POTRERO AVENUE, BUILDING 10, 3RD FLOOR, WARD 13, SAN FRANCISCO, CA 94143(415) 206-5164 Get Directions Write a Review

NPPES record last updated: March 29, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Emily Rebecca Wistar Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EMILY REBECCA WISTAR MD (NPI 1063774883) is an individual internal medicine provider in San Francisco, California, licensed in California (A128587) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063774883
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. EMILY REBECCA WISTARCredential: MD
Location Address1001 POTRERO AVENUE, BUILDING 10, 3RD FLOOR, WARD 13San Francisco, CA 94143-1364
Mailing Address1001 Potrero Ave, Building 5h18San Francisco, CA 94110-3518
Phone(415) 206-5164
Sole ProprietorNo
Enumeration DateJune 8, 2012
Last NPPES UpdateMarch 29, 2017
✔ NPI 1063774883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A128587
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1001 POTRERO AVENUE, San Francisco, CA 94143
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Emily Rebecca Wistar Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94143 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers22 claims44 services$5.00 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers15 claims19 services$0.91 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers29 claims29 services$184.58 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SUNITA HIRANI
Preventive Medicine (Occupational Medicine)
1001 POTRERO AVENUE, OCCUPATIONAL MEDICINE SFGH
SAN FRANCISCO, CA 94143
San Francisco County (415) 206-5427

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emily Wistar's NPI number?

The NPI number for Emily Wistar is 1063774883. It was assigned to this individual provider in the NPPES registry on June 8, 2012.

Where is Emily Wistar located?

Emily Wistar practices at 1001 Potrero Avenue Building 10, 3rd Floor, Ward 13, San Francisco, CA 94143. The listed phone number is (415) 206-5164.

What is Emily Wistar's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Emily Wistar enrolled in Medicare?

Yes. Emily Wistar is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Emily Wistar was last updated on March 29, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.