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JEFFREY SCOTT WISEMAN M.D.
NPI 1235469974
Colon & Rectal Surgery in Johnson City, NY

Active since December 31, 2009PECOS Enrolled
81.3/100
CMS Quality Rating
30 HARRISON ST STE 455, JOHNSON CITY, NY 13790(607) 763-8100(607) 763-8048 Get Directions Write a Review

NPPES record last updated: January 28, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jeffrey Scott Wiseman M.d. NPPES

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

JEFFREY SCOTT WISEMAN M.D. (NPI 1235469974) is an individual colon & rectal surgery provider in Johnson City, New York, licensed in New York (190990) and active in the NPI registry since December 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235469974
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameJEFFREY SCOTT WISEMANCredential: M.D.
Location Address30 HARRISON ST STE 455Johnson City, NY 13790-2176
Mailing Address346 Grand AveJohnson City, NY 13790-2580 · (607) 763-8100 · Fax (607) 763-8048
Phone(607) 763-8100
Fax(607) 763-8048
Sole ProprietorNo
Enumeration DateDecember 31, 2009
Last NPPES UpdateJanuary 28, 2014
✔ NPI 1235469974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in NY · 190990
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
Also ListedSurgeryTaxonomy 208600000X · License 190990 (NY)
30 HARRISON ST STE 455, Johnson City, NY 13790
Open in Google Maps ↗

Other Identifiers 2

Medicare PINJ400059213NY
Medicaid01236451NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffrey Scott Wiseman 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 Jeffrey Wiseman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

United Health Services Hospitals, Inc.
0.1 mi
Multi-Specialty
33-57 HARRISON ST.
Johnson City, NY 13790
  • Reassigned Medicare billing, New York enrollment
  • 854 clinicians in this Medicare group
NPI 1962463851 (607) 762-3027

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 13790 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
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.

81.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.8
Promoting Interoperability100
Improvement Activities40
Cost65.21

Other Providers at the Same Location NPPES 7

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

CURTIS FREDERICK MD
Surgery
30 HARRISON ST STE 455
JOHNSON CITY, NY 13790
Broome County (607) 763-8100
MICHELLE MARIA MATHESON PA
Physician Assistant
30 HARRISON ST STE 455
JOHNSON CITY, NY 13790
Broome County (607) 763-8100
ASHLIN KOCAN PA
Physician Assistant
30 HARRISON ST STE 455
JOHNSON CITY, NY 13790
Broome County (607) 763-8100
HEATHER L. EDMONDSON PA-C
Physician Assistant
30 HARRISON ST STE 455
JOHNSON CITY, NY 13790
Broome County (607) 763-8100
MS. KENISHA DANIA ATWELL M.D.
Surgery
30 HARRISON ST STE 455
JOHNSON CITY, NY 13790
Broome County (607) 763-8100
CATHERINE DICKINSON M.D.
Surgery
30 HARRISON ST STE 455
JOHNSON CITY, NY 13790
Broome County (607) 763-8100
MISS SHANNON ELIZABETH BARANSKY PA
Physician Assistant
30 HARRISON ST STE 455
JOHNSON CITY, NY 13790
Broome County (607) 763-8100

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 Jeffrey Wiseman's NPI number?

The NPI number for Jeffrey Wiseman is 1235469974. It was assigned to this individual provider in the NPPES registry on December 31, 2009.

Where is Jeffrey Wiseman located?

Jeffrey Wiseman practices at 30 Harrison St Ste 455, Johnson City, NY 13790. The listed phone number is (607) 763-8100.

What is Jeffrey Wiseman's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Jeffrey Wiseman enrolled in Medicare?

Yes. Jeffrey Wiseman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jeffrey Wiseman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Wiseman reassigns Medicare benefits to United Health Services Hospitals, Inc. (Johnson City, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeffrey Wiseman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jeffrey Wiseman was last updated on January 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.