MATTHEW WHITTEN WISE M.D.
NPI 1245251263
Surgery in New Orleans, LA
NPI Status: Active since July 23, 2006
Contact Information
2820 NAPOLEON AVE
SUITE 810
NEW ORLEANS, LA
ZIP 70115
Phone: (504) 412-1310
Fax: (504) 899-8496
- Individual
- Male
- Years of Experience 28
- Surgery
- Accepts Insurance
- Accepts Medicare Approved Payment
About MATTHEW WISE
This page provides the complete NPI Profile along with additional information for Matthew Wise, a provider established in New Orleans, Louisiana with a medical specialization in Surgery and more than 28 years of experience. He graduated from University Of South Alabama College Of Medicine in 1998. The healthcare provider is registered in the NPI registry with number 1245251263 assigned on July 2006. The practitioner's primary taxonomy code is 208600000X with license number 024879 (LA). The provider is registered as an individual and his NPI record was last updated 16 years ago.
- NPI
- 1245251263
- Provider Name
- MATTHEW WHITTEN WISE M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2820 NAPOLEON AVE SUITE 810 NEW ORLEANS, LA 70115
- Location Phone
- (504) 412-1310
- Location Fax
- (504) 899-8496
- Mailing Address
- 2820 NAPOLEON AVE SUITE 810 NEW ORLEANS, LA 70115
- Mailing Phone
- (504) 412-1310
- Mailing Fax
- (504) 899-8496
- Medical School Name
- UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
- Graduation Year
- 1998
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-23-2006
- Last Update Date
- 12-23-2010
- Code Navigator
A surgeon like Matthew Wise treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery
- Taxonomy Code
- 208600000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 024879
- License State
- LA
- Taxonomy Description
- A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
- MyBlue Health Bronze? 402 - HMO
- Bronze Classic Standard - HMO
- Bronze Elite + PCP Saver Plus - HMO
- Bronze Simple Chronic Care CKM - HMO
- Gold Classic Standard - HMO
- Silver Classic Standard - HMO
- Silver Simple - HMO
- Silver Simple Chronic Care CKM - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 07133512 | MEDICAID (05) | MS | |
| 4A807F669 | MEDICARE PIN (08) | LA | |
| 4A8077061 | MEDICARE PIN (08) | LA | |
| 1570877 | MEDICAID (05) | LA | |
| H50392 | MEDICARE UPIN (02) | ||
| 4A807 | MEDICARE PIN (08) | LA | |
| 4A807F668 | MEDICARE PIN (08) | LA |
Medicare Participation & PECOS Enrollment Status
Matthew Wise is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 5991746539
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20050513000474, I20240509001982
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Complicated repair of wound of trunk, 2.6-7.5 cm
Complicated repair of wound of trunk, each additional 5.0 cm or less
Established patient office or other outpatient visit, 40-54 minutes
Graft using patient's fat removed by liposuction and inserted into trunk, breasts, scalp, arms, or legs, 50.0 cc or less
Graft using patient's fat removed by liposuction and inserted into trunk, breasts, scalp, arms, or legs, each additional 50.0 cc
Mastectomy
New patient office or other outpatient visit, 60-74 minutes
Reconstruction of breast with tissue graft
Surgical change to reconstructed breast
This service involves the intricate repair of a wound on your body's main structure, between your neck and limbs. The wound measures 2.6-7.5 cm. The procedure includes deep-layer stitching and may involve repairing damaged tissue.
This service was performed 22 times for 20 patientsThis procedure involves the complex repair of a wound located on the body's trunk. It's performed for each additional wound up to 5.0 cm in size. The process includes cleaning, stitching, and dressing the wound to promote healing and prevent infections.
This service was performed 181 times for 20 patientsThis service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
This service was performed 22 times for 22 patientsThis procedure involves removing a small amount of fat from one area of your body (through liposuction) and then inserting it into another area, such as your trunk, breasts, scalp, arms, or legs. The volume of fat transferred is 50.0 cc or less.
This service was performed 20 times for 20 patientsThis procedure involves taking your own fat, removed via liposuction, and transplanting it to areas such as the trunk, breasts, scalp, arms, or legs. This process can help reshape or enhance these areas, using an additional 50.0 cc of fat for each treatment.
This service was performed 53 times for 21 patientsA mastectomy is a surgical procedure that involves the removal of all or part of the breast tissue. This is often done to treat or prevent conditions related to abnormal cell growth. There are different types, ranging from removing only the breast tissue to also removing nearby structures. The approach depends on individual health circumstances.
This service was performed for 38 patientsThis is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
This service was performed 14 times for 14 patientsReconstruction of the breast with a tissue graft is a procedure where tissue from another part of your body is used to create a new breast shape. This can help restore the appearance of the breast after surgery. The process is done by skilled professionals and is a common method of breast reconstruction.
This service was performed 23 times for 19 patientsThis procedure involves modifying a previously reconstructed breast. It may be done to improve appearance, comfort, or symmetry with the other breast. It's a common step in the journey towards restoring your natural look after a breast-related health issue.
This service was performed 21 times for 20 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $21.69 for a new patient copayment and $17.36 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 70115 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $86.76
- Minimum New Patient Price $55.5
- Maximum New Patient Price $170.3
- Average New Patient Copayment $21.69
- Minimum New Patient Copayment $13.87
- Maximum New Patient Copayment $42.57
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $69.44
- Minimum Established Patient Price $17.42
- Maximum Established Patient Price $138.03
- Average Established Patient Copayment $17.36
- Minimum Established Patient Copayment $4.35
- Maximum Established Patient Copayment $34.5
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Matthew Wise is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| ST CHARLES SURGICAL HOSPITAL | 1717 ST CHARLES AVE NEW ORLEANS, LA 70130 | (504) 529-6600 | Acute Care Hospitals | |
| MEDICAL CITY PLANO | 3901 W 15TH ST PLANO, TX 75075 | (972) 596-6800 | Acute Care Hospitals |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1245251263, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 57 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
NEW ORLEANS, LA 70115
NEW ORLEANS, LA 70115
NEW ORLEANS, LA 70115
NEW ORLEANS, LA 70115
NEW ORLEANS, LA 70115
NEW ORLEANS, LA 70115
NEW ORLEANS, LA 70115
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245251263, enumerated as an "individual" on July 23, 2006.
The provider is located at 2820 NAPOLEON AVE SUITE 810 NEW ORLEANS, LA 70115 and the phone number is (504) 412-1310.
Surgery with taxonomy code 208600000X.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Oscar Health. Please consult your insurance carrier or call the provider to verify.
Matthew Wise is affiliated with: ST CHARLES SURGICAL HOSPITAL and MEDICAL CITY PLANO.
