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JEFFREY JOHN WISINSKI DO
NPI 1275989667
Family Medicine - Sports Medicine in Columbia, SC

Active since May 04, 2016PECOS EnrolledAccepts Medicare Assignment
99.32/100
CMS Quality Rating
3209 COLONIAL DR, COLUMBIA, SC 29203(803) 434-6113(803) 758-0106 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 6, 2023, Jul 1, 2020 (2 updates tracked since 2020).

About Jeffrey John Wisinski Do NPPES

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

JEFFREY JOHN WISINSKI DO (NPI 1275989667) is an individual sports medicine provider in Columbia, South Carolina, licensed in South Carolina (87924) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Prisma Health Richland Hospital, and maintains a secondary practice location in State College.

NPPES Registry Identity

NPI1275989667
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameJEFFREY JOHN WISINSKICredential: DO
Location Address3209 COLONIAL DRColumbia, SC 29203-6930
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8603
Phone(803) 434-6113
Fax(803) 758-0106
Sole ProprietorNo
Medical School CMSLake Erie Col Of Osteopathic Medicine, BradentonGraduated 2016
Enumeration DateMay 4, 2016
Last NPPES UpdateMarch 6, 20232 updates tracked since enumeration
NPPES CertifiedMarch 6, 2023
✔ NPI 1275989667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
Licenses✔ Licensed in SC · 87924✔ Licensed in PA · OS020477
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
3209 COLONIAL DR, Columbia, SC 29203
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Secondary Practice Location 1

Location 11850 E Park Ave Ste 112State College, PA 16803-6706 · Phone (814) 865-3566 · Fax (814) 235-4780

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jeffrey John Wisinski Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931487196
PECOS Enrollment IDI20230320001899
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 11

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 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.
83 services51 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
77 services48 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.
73 services67 patients
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.
54 services47 patients
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.
27 services19 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This 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.
27 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Prisma Health Richland Hospital

Acute Care Hospitals · Columbia, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420018
Location5 Medical ParkColumbia, SC 29203 · Richland County
Emergency services Birthing friendly

Prisma Health Baptist Parkridge

Acute Care Hospitals · Columbia, SC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420106
Location400 Palmetto Health ParkwayColumbia, SC 29212 · Lexington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29203 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

99.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality90.59
Promoting Interoperability100
Improvement Activities40

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.

DR. CHARLES JOSEPH CARTER JR. M.D.
Family Medicine
3209 COLONIAL DR
COLUMBIA, SC 29203
Richland County (803) 434-6113
ERIN RENAE JONES NP
Nurse Practitioner (Family)
3209 COLONIAL DR
COLUMBIA, SC 29203
Richland County (803) 466-4323
KRISTIAN JORGENSEN DO
Family Medicine
3209 COLONIAL DR
COLUMBIA, SC 29203
Richland County (803) 434-7399
KAITLIN RESTREPO
Family Medicine
3209 COLONIAL DR
COLUMBIA, SC 29203
Richland County (803) 434-2420
DR. JUDE OKECHUKWU ONUOHA MD
Preventive Medicine (Public Health & General Preventive Medicine)
3209 COLONIAL DR
COLUMBIA, SC 29203
Richland County (803) 434-7399
IVORIE STANLEY MD
Preventive Medicine (Occupational Medicine)
3209 COLONIAL DR
COLUMBIA, SC 29203
Richland County (803) 434-6113
DR. TIMOTHY MYLES AYER MD
Family Medicine
3209 COLONIAL DR
COLUMBIA, SC 29203
Richland County (803) 434-6113
DYNE EDMONDSON
Student in an Organized Health Care Education/Training Program
3209 COLONIAL DR
COLUMBIA, SC 29203
Richland County (989) 439-4847

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 Wisinski's NPI number?

The NPI number for Jeffrey Wisinski is 1275989667. It was assigned to this individual provider in the NPPES registry on May 4, 2016.

Where is Jeffrey Wisinski located?

Jeffrey Wisinski practices at 3209 Colonial Dr, Columbia, SC 29203. The listed phone number is (803) 434-6113.

What is Jeffrey Wisinski's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Jeffrey Wisinski enrolled in Medicare?

Yes. Jeffrey Wisinski is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jeffrey Wisinski accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and BlueCross BlueShield of South Carolina list Jeffrey Wisinski as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jeffrey Wisinski affiliated with any hospitals?

According to CMS data, Jeffrey Wisinski is affiliated with Prisma Health Richland Hospital and Prisma Health Baptist Parkridge.

When was this NPI record last updated?

The NPPES record for Jeffrey Wisinski was last updated on March 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.