DR. JEREMY DOUGLAS WISEMAN MD
NPI 1114188497
Family Medicine in Cedar Park, TX

Q: What is Jeremy Wiseman's NPI number?

The NPI number for Jeremy Wiseman is 1114188497. It was assigned to this individual provider in the NPPES registry on June 19, 2008.

Q: What is Jeremy Wiseman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeremy Wiseman was last updated on February 7, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 19, 2008PECOS Enrolled

2500 S LAKELINE BLVD STE 100, CEDAR PARK, TX 78613(512) 345-8970(512) 345-6689 Get Directions Write a Review

NPPES record last updated: February 7, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 7, 2022, May 21, 2020, Dec 12, 2018 and 1 more (4 updates tracked since 2018).

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About Dr. Jeremy Douglas Wiseman Md NPPES

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

DR. JEREMY DOUGLAS WISEMAN MD (NPI 1114188497) is an individual family medicine provider in Cedar Park, Texas, licensed in Texas (M9746) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with St David's Medical Center, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1114188497

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JEREMY DOUGLAS WISEMANCredential: MD

Location Address2500 S LAKELINE BLVD STE 100Cedar Park, TX 78613-2968

Mailing Address2500 S Lakeline Blvd Ste 100Cedar Park, TX 78613-2968 · (512) 345-8970 · Fax (512) 345-6689

Phone(512) 345-8970

Fax(512) 345-6689

Sole ProprietorYes

Medical School CMSOtherGraduated 2006

Enumeration DateJune 19, 2008

Last NPPES UpdateFebruary 7, 20224 updates tracked since enumeration

NPPES CertifiedFebruary 7, 2022

✔ NPI 1114188497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · M9746

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2500 S LAKELINE BLVD STE 100, Cedar Park, TX 78613

Open in Google Maps ↗

Secondary Practice Locations 5

Location 1173 Fm 3237 Ste AWimberley, TX 78676-5373 · Phone (512) 600-2870 · Fax (855) 220-9655

Location 23000 Medical Arts StAustin, TX 78705-3305 · Phone (512) 222-1380 · Fax (512) 222-1466

Location 33010 Bee Cave Rd Ste 200Austin, TX 78746-5526 · Phone (512) 600-9898 · Fax (512) 243-8675

Location 46611 River Place Blvd Ste 302Austin, TX 78730-1162 · Phone (512) 538-2989

Location 5115 S Randolph St Ste 101San Angelo, TX 76903-6425 · Phone (325) 617-4583 · Fax (855) 220-9655

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

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. Jeremy Douglas Wiseman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810180171

PECOS Enrollment IDI20101019000659

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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

177 services113 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

89 services59 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

28 services28 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

18 services18 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

13 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St David's Medical Center

Acute Care Hospitals · Austin, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450431

Location919 E 32nd StAustin, TX 78705 · Travis County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78613 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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

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

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

6 suppliers11 claims11 services$43.77 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 15

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

SELLMA VLLASI-WHITE FNP

Nurse Practitioner (Family)