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GERALD WISNIEWSKI MD
NPI 1164432647
Internal Medicine in Racine, WI

Active since August 08, 2006PECOS Enrolled
82.39/100
CMS Quality Rating

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Gerald Wisniewski Md NPPES

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

GERALD WISNIEWSKI MD (NPI 1164432647) is an individual internal medicine provider in Racine, Wisconsin, licensed in Wisconsin (19072) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164432647
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameGERALD WISNIEWSKICredential: MD
Location Address1 MAIN STRacine, WI 53403-1079
Mailing Address1 Main StRacine, WI 53403-1079 · (262) 687-6100
Phone(262) 687-6100
Sole ProprietorNo
Enumeration DateAugust 8, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1164432647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WI · 19072
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.
1 MAIN ST, Racine, WI 53403
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Other Identifiers 1

Medicare UPINB57682WI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gerald Wisniewski 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 53403 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.88
Promoting Interoperability81
Improvement Activities40
Cost74.38

Other Providers at the Same Location NPPES 5

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

JUDITH A. BAGLEY N.P.
Nurse Practitioner (Adult Health)
1 MAIN ST
RACINE, WI 53403
Racine County (262) 687-6100
JAMES P. GIERAHN M.D.
Internal Medicine (Geriatric Medicine)
1 MAIN ST
RACINE, WI 53403
Racine County (262) 687-6100
SUSAN NOSALIK NP
Nurse Practitioner
1 MAIN ST
RACINE, WI 53403
Racine County (262) 687-6100
SUZANNE L. COOPER N.P.
Nurse Practitioner (Gerontology)
1 MAIN ST
RACINE, WI 53403
Racine County (262) 687-6100
DANIEL B. ROSS M.D.
Internal Medicine
1 MAIN ST
RACINE, WI 53403
Racine County (262) 687-6100

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 Gerald Wisniewski's NPI number?

The NPI number for Gerald Wisniewski is 1164432647. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Where is Gerald Wisniewski located?

Gerald Wisniewski practices at 1 Main St, Racine, WI 53403. The listed phone number is (262) 687-6100.

What is Gerald Wisniewski's specialty?

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

Is Gerald Wisniewski enrolled in Medicare?

Yes. Gerald Wisniewski is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gerald Wisniewski was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.