BIRGIT WISWE MD
NPI 1376515122
Family Medicine in Collegeville, PA

Q: What is Birgit Wiswe's NPI number?

The NPI number for Birgit Wiswe is 1376515122. It was assigned to this individual provider in the NPPES registry on February 6, 2006.

Q: What is Birgit Wiswe's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Birgit Wiswe was last updated on December 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 February 06, 2006PECOS EnrolledAccepts Medicare Assignment

555 2ND AVE, SUITE C300, COLLEGEVILLE, PA 19426(610) 454-7750(610) 454-1367 Get Directions Write a Review

NPPES record last updated: December 17, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 17, 2019, Jul 13, 2016 (2 updates tracked since 2016).

On this page

About Birgit Wiswe Md NPPES

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

BIRGIT WISWE MD (NPI 1376515122) is an individual family medicine provider in Collegeville, Pennsylvania, licensed in Pennsylvania (MD046620L) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1376515122

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameBIRGIT WISWECredential: MD

Location Address555 2ND AVE, SUITE C300Collegeville, PA 19426-3600

Mailing Address1601 Medical DrPottstown, PA 19464-3241 · (610) 327-4200 · Fax (610) 327-8160

Phone(610) 454-7750

Fax(610) 454-1367

Sole ProprietorNo

Medical School CMSOtherGraduated 1989

Enumeration DateFebruary 6, 2006

Last NPPES UpdateDecember 17, 20192 updates tracked since enumeration

✔ NPI 1376515122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in PA · MD046620L

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

555 2ND AVE, Collegeville, PA 19426

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Birgit Wiswe Md 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 ID8022108950

PECOS Enrollment IDI20100303000916

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 Birgit Wiswe reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pmsi Collegeville Family Practice

2.2 mi

Family Medicine

555 SECOND AVENUE, SUITE 300
Collegeville, PA 19426

Reassigned Medicare billing, Pennsylvania enrollment
Medicare enrollment name: Pottstown Medical Specialists Inc
42 clinicians in this Medicare group

NPI 1942324330 (610) 454-7750

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 18

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

769 services121 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.

584 services314 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

202 services202 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

185 services185 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.

111 services95 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

85 services51 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

71 services70 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

68 services67 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.

34 services19 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428

This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.

28 services26 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

24 services20 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

22 services22 patients

Annual alcohol misuse screening, 5 to 15 minutes G0442

An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.

22 services22 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

17 services17 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

13 services13 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

13 services13 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

12 services12 patients

Testing for presence of drug, read by direct observation 80305

Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390111

Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County

Emergency services Birthing friendly

Pottstown Hospital

Acute Care Hospitals · Pottstown, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390123

Location1600 East High StreetPottstown, PA 19464 · Montgomery County

Emergency services

Phoenixville Hospital

Acute Care Hospitals · Phoenixville, PA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number390127

Location140 Nutt RoadPhoenixville, PA 19460 · Chester County

Emergency services Birthing friendly

Paoli Hospital

Acute Care Hospitals · Paoli, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390153

Location255 West Lancaster AvenuePaoli, PA 19301 · Chester County

Emergency services Birthing friendly

Einstein Medical Center Montgomery

Acute Care Hospitals · East Norriton, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390329

Location559 West Germantown PikeEast Norriton, PA 19403 · Montgomery County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19426 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

13 suppliers35 claims111 services$6.43 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

8 suppliers13 claims20 services$1.10 avg. paid by Medicare

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352

DME-Orthotic Devices · category DF008N

1 supplier11 claims2,200 services$6.15 avg. paid by Medicare

Transport chair, adult size, patient weight capacity up to and including 300 pounds E1038

DME-Other DME · category DE000N

1 supplier12 claims12 services$8.78 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

7 suppliers56 claims56 services$184.55 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

CINDY D SCHMELTZ DNP, CRNP

Nurse Practitioner

555 2ND AVE, SUITE 300
COLLEGEVILLE, PA 19426

Montgomery County (610) 454-7750

ADELE MARIE GUERNICA D.O.

Allergy & Immunology

555 2ND AVE, SUITE 750, BUILDING C
COLLEGEVILLE, PA 19426

Montgomery County (610) 409-9440

MRS. RACHELLE L BEVILACQUA M.S., LPC

Counselor (Professional)

555 2ND AVE, BLDG B., SUITE 350
COLLEGEVILLE, PA 19426

Montgomery County (215) 500-0397

INTERPRETIVE NEURODIAGNOSTICS LLC

Psychiatry & Neurology (Neurology)

555 2ND AVE, SUITE C-850
COLLEGEVILLE, PA 19426

Montgomery County (610) 489-6803

DR. JENNIFER RACHEL RANERI AU.D.

Audiologist

555 2ND AVE, SUITE D-204
COLLEGEVILLE, PA 19426

Montgomery County (610) 454-1177

ANAND PSYCHOTHERAPY CONCEPTS

Clinic/Center (Adult Mental Health)

555 2ND AVE, B350
COLLEGEVILLE, PA 19426

Montgomery County (484) 753-3141

DR. CAROLYN ANN PHILLIPS

Dentist (Endodontics)

555 2ND AVE, G 108
COLLEGEVILLE, PA 19426

Montgomery County (610) 831-1901

BLOSSOM COUNSELING AND WELLNESS, LLC

Counselor (Professional)

555 2ND AVE, STE B101
COLLEGEVILLE, PA 19426

Montgomery County (484) 938-8461

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 Birgit Wiswe's NPI number?

The NPI number for Birgit Wiswe is 1376515122. It was assigned to this individual provider in the NPPES registry on February 6, 2006.

Where is Birgit Wiswe located?

Birgit Wiswe practices at 555 2nd Ave Suite C300, Collegeville, PA 19426. The listed phone number is (610) 454-7750.

What is Birgit Wiswe's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Birgit Wiswe enrolled in Medicare?

Yes. Birgit Wiswe 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 organization bills Medicare for Birgit Wiswe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Birgit Wiswe reassigns Medicare benefits to Pmsi Collegeville Family Practice (Collegeville, PA). 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 Birgit Wiswe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Birgit Wiswe accept?

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

According to CMS data, Birgit Wiswe is affiliated with Hospital Of Univ Of Pennsylvania, Pottstown Hospital, Phoenixville Hospital, Paoli Hospital and Einstein Medical Center Montgomery.

When was this NPI record last updated?

The NPPES record for Birgit Wiswe was last updated on December 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.