MR. PAUL PENCE WISMAN JR. M.D.
NPI 1235115650
Pediatrics in Charlottesville, VA

Q: What is Paul Wisman's NPI number?

The NPI number for Paul Wisman is 1235115650. It was assigned to this individual provider in the NPPES registry on December 17, 2005.

Q: What is Paul Wisman's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Paul Wisman was last updated on September 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since December 17, 2005PECOS Enrolled

1011 E JEFFERSON ST, CHARLOTTESVILLE, VA 22902(434) 296-9161(434) 296-1036 Get Directions Write a Review

NPPES record last updated: September 29, 2012. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Mr. Paul Pence Wisman Jr. M.d. NPPES

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

MR. PAUL PENCE WISMAN JR. M.D. (NPI 1235115650) is an individual pediatrics provider in Charlottesville, Virginia, licensed in Virginia (0101049022) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235115650

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameMR. PAUL PENCE WISMAN JR.Credential: M.D.

Location Address1011 E JEFFERSON STCharlottesville, VA 22902-5354

Mailing Address104 Kerry LnCharlottesville, VA 22901-2925 · (434) 973-3806

Phone(434) 296-9161

Fax(434) 296-1036

Sole ProprietorNo

Enumeration DateDecember 17, 2005

Last NPPES UpdateSeptember 29, 2012

✔ NPI 1235115650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in VA · 0101049022

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1011 E JEFFERSON ST, Charlottesville, VA 22902

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Other Identifiers 6

Other12211500001VA · Southern Health

Other333848VA · Anthem

Medicaid006725856VA

Other42728VA · Vetri

Other010724VA · Cigna

Other267258VA · Mamsi/alliance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Paul Pence Wisman Jr. M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Paul Wisman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dlp Twin County Physician Practices LLC

152 mi

Rural Health

702 PINE ST
Hillsville, VA 24343

Reassigned Medicare billing, Virginia enrollment
91 clinicians in this Medicare group

NPI 1396431466 (276) 728-4311

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22902 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

Other Providers at the Same Location NPPES 20

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

MARION ELIZABETH SZWEDO M.D.

Pediatrics