RONALD E WISE MD
NPI 1386636843
Ophthalmology - Cornea and External Diseases Specialist in Denver, CO

Active since August 19, 2005PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
1435 WAZEE ST, # 101, DENVER, CO 80202(303) 299-9473(303) 299-9472 Get Directions Write a Review

NPPES record last updated: March 28, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ronald E Wise Md NPPES

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

RONALD E WISE MD (NPI 1386636843) is an individual cornea and external diseases specialist in Denver, Colorado, licensed in Colorado (34013) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1386636843
Entity TypeIndividualMale
Primary Taxonomy207WX0120X
Provider Legal NameRONALD E WISECredential: MD
Location Address1435 WAZEE ST, # 101Denver, CO 80202-1491
Mailing AddressPo Box 110429Aurora, CO 80042-0429 · (303) 493-7000
Fax(303) 299-9472
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateAugust 19, 2005
Last NPPES UpdateMarch 28, 2018
✔ NPI 1386636843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOphthalmology · Cornea and External Diseases SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0120X
License✔ Licensed in CO · 34013
Definition
An ophthalmologist who specializes in diseases of the cornea, sclera, eyelids, conjunctiva, and anterior segment of the eye.
Also ListedOphthalmologyTaxonomy 207W00000X · License 34013 (CO)
Also ListedSurgeryTaxonomy 208600000X · License 34013 (CO)
1435 WAZEE ST, Denver, CO 80202

Other Identifiers 14

Medicaid200539900AKS
Other41535CO · Avesis
Other180025514CO · Railroad Medicare
Other18827CO · Spectera
Other34013CO · Vision Benefits Of Amer
Other0815699CO · Aetna
Other106500KS · Ks Blue Shield
Medicaid1340132CO
Other1467405928Group Npi
Other841353910CO · Tax Id#
OtherWI12401CO · Co Blue Shield
Other1841407392Ks Npi
Other919991020591CO · Eye Specialists
OtherCO4013CO · Eyemed

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

Ronald E Wise 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 ID648223271
PECOS Enrollment IDI20050223000828
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

2

Medicare enrollment records show Ronald Wise reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Maternal & Fetal Medicine
1875 LAWRENCE ST STE 350
Denver, CO 80202
  • Reassigned Medicare billing, Colorado enrollment
  • 4,283 clinicians in this Medicare group
General Practice
777 BANNOCK ST
Denver, CO 80204
  • Reassigned Medicare billing, Colorado enrollment
  • 2,259 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 13

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
765 services492 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
266 services187 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
223 services172 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
220 services161 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
219 services163 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
62 services62 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80202 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

Nutritionist
1435 WAZEE ST, APT 504
DENVER, CO 80202
Ophthalmology
1435 WAZEE ST, #101
DENVER, CO 80202

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 Ronald Wise's NPI number?

The NPI number for Ronald Wise is 1386636843. It was assigned to this individual provider in the NPPES registry on August 19, 2005.

Where is Ronald Wise located?

Ronald Wise practices at 1435 Wazee St # 101, Denver, CO 80202. The listed phone number is (303) 299-9473.

What is Ronald Wise's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Cornea and External Diseases Specialist, with taxonomy code 207WX0120X.

Is Ronald Wise enrolled in Medicare?

Yes. Ronald Wise 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 Ronald Wise's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ronald Wise reassigns Medicare benefits to 2 organizations: University Physicians Incorporated (Denver, CO) and Denver Health And Hospital Authority (Denver, CO). 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 Ronald Wise's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ronald Wise accept?

Health plans from UnitedHealthcare list Ronald Wise 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.

When was this NPI record last updated?

The NPPES record for Ronald Wise was last updated on March 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.