WILLIAM HENRY WISMER DO
NPI 1346292406
Internal Medicine - Gastroenterology in Erie, PA

Active since May 17, 2006PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
2010 W 38TH ST UPPR LEVEL, ERIE, PA 16508(814) 866-3986(814) 866-6837 Get Directions Write a Review

NPPES record last updated: May 4, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 4, 2023, Mar 22, 2017, Feb 5, 2016 (3 updates tracked since 2016).

About William Henry Wismer Do NPPES

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

WILLIAM HENRY WISMER DO (NPI 1346292406) is an individual gastroenterology provider in Erie, Pennsylvania, licensed in Pennsylvania (OS-011918) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Meadville Medical Center, and maintains a secondary practice location in Corry.

NPPES Registry Identity

NPI1346292406
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameWILLIAM HENRY WISMERCredential: DO
Location Address2010 W 38TH ST UPPR LEVELErie, PA 16508-2004
Mailing Address1 Lecom PlErie, PA 16505-2571 · Fax (814) 868-2522
Fax(814) 866-6837
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2000
Enumeration DateMay 17, 2006
Last NPPES UpdateMay 4, 20233 updates tracked since enumeration
NPPES CertifiedMay 4, 2023
✔ NPI 1346292406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in PA · OS-011918
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
2010 W 38TH ST UPPR LEVEL, Erie, PA 16508

Secondary Practice Location 1

Location 1965 Shamrock LnCorry, PA 16407-9121 · Phone (814) 665-8288

Other Identifiers 1

Medicaid1016247190001PA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

William Henry Wismer 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 ID2062403041
PECOS Enrollment IDI20040520001127
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 Reassignments

3

Medicare enrollment records show William Wismer reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surgery
2010 W 38TH ST
Erie, PA 16508
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 69 clinicians in this Medicare group
Critical Access
965 SHAMROCK LN
Corry, PA 16407
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Also billed through NPI 1841268877 (Pennsylvania), NPI 1124406376 (Pennsylvania)
  • 29 clinicians in this Medicare group
Family Medicine
2 CRESCENT PARK W
Warren, PA 16365
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 40 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 7

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.

Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
80 services79 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.
65 services52 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.
58 services52 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
36 services35 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
23 services23 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
22 services22 patients

Hospital Affiliations CMS Care Compare 4

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

Meadville Medical Center

Acute Care Hospitals · Meadville, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390113
Location751 Liberty StreetMeadville, PA 16335 · Crawford County
Emergency services Birthing friendly

Warren General Hospital

Acute Care Hospitals · Warren, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390146
LocationTwo Crescent Park WestWarren, PA 16365 · Warren County
Emergency services Birthing friendly

Millcreek Community Hospital

Acute Care Hospitals · Erie, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390198
Location5515 Peach StreetErie, PA 16509 · Erie County
Emergency services

Lecom Health Corry Memorial Hospital

Critical Access Hospitals · Corry, PA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number391308
Location965 Shamrock LaneCorry, PA 16407 · Erie County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16508 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

Colon & Rectal Surgery
2010 W 38TH ST UPPR LEVEL
ERIE, PA 16508
Internal Medicine (Gastroenterology)
2010 W 38TH ST UPPR LEVEL
ERIE, PA 16508
Internal Medicine (Gastroenterology)
2010 W 38TH ST UPPR LEVEL
ERIE, PA 16508

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 William Wismer's NPI number?

The NPI number for William Wismer is 1346292406. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is William Wismer located?

William Wismer practices at 2010 W 38th St Uppr Level, Erie, PA 16508. The listed phone number is (814) 866-3986.

What is William Wismer's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is William Wismer enrolled in Medicare?

Yes. William Wismer 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.

Which organizations bill Medicare for William Wismer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Wismer reassigns Medicare benefits to 3 organizations: Medical Associates Of Erie (Erie, PA), Corry Memorial Hospital Association (Corry, PA) and Warren General Hospital (Warren, PA). Each 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 William Wismer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does William Wismer accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list William Wismer 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 William Wismer affiliated with any hospitals?

According to CMS data, William Wismer is affiliated with Meadville Medical Center, Warren General Hospital, Millcreek Community Hospital and Lecom Health Corry Memorial Hospital.

When was this NPI record last updated?

The NPPES record for William Wismer was last updated on May 4, 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.