1. Home
  2. Directory
  3. Washington
  4. Edmonds
  5. Physician Assistant
  6. NPI Profile

DAVID MICHAEL WISDOM PA-C
NPI 1396227583
Physician Assistant in Edmonds, WA

Active since September 04, 2018PECOS Enrolled
94.62/100
CMS Quality Rating
21601 76TH AVE W, EDMONDS, WA 98026(425) 640-4000 Get Directions Write a Review

NPPES record last updated: October 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 12, 2023, Sep 4, 2018 (2 updates tracked since 2018).

About David Michael Wisdom Pa-c NPPES

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

DAVID MICHAEL WISDOM PA-C (NPI 1396227583) is an individual physician assistant in Edmonds, Washington, licensed in Washington (PA61471148) and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396227583
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDAVID MICHAEL WISDOMCredential: PA-C
Location Address21601 76TH AVE WEdmonds, WA 98026-7507
Mailing Address1713 Overbrook LnRaymore, MO 64083-8172 · (816) 868-5374
Phone(425) 640-4000
Sole ProprietorNo
Enumeration DateSeptember 4, 2018
Last NPPES UpdateOctober 17, 20252 updates tracked since enumeration
NPPES CertifiedOctober 17, 2025
✔ NPI 1396227583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WA · PA61471148
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
21601 76TH AVE W, Edmonds, WA 98026
Open in Google Maps ↗

Other Identifiers 1

Other1138002National Commission On Certification Of Physician Assistants

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Michael Wisdom Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
95 services93 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
54 services53 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98026 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

94.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.67
Improvement Activities40
Cost97.14

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.

BARBARA R FAYETTE PA C
Physician Assistant
21601 76TH AVE W
EDMONDS, WA 98026
Snohomish County (425) 640-4000
ALEXANDER C CHUNG MD
Hospitalist
21601 76TH AVE W
EDMONDS, WA 98026
Snohomish County (425) 640-4000
PHD#2 OF SNOHOMISH COUNTY
Psychiatric Unit
21601 76TH AVE W
EDMONDS, WA 98026
Snohomish County (425) 640-4000
CARISSA RENEE KONO PT
Physical Therapist
21601 76TH AVE W
EDMONDS, WA 98026
Snohomish County (425) 640-4145
SWEDISH EDMONDS
General Acute Care Hospital
21601 76TH AVE W
EDMONDS, WA 98026
Snohomish County (425) 640-4000
DR. JAMES FREDERICK BARTSCHER M.D.
Psychiatry & Neurology (Neurology)
21601 76TH AVE W
EDMONDS, WA 98026
Snohomish County (206) 215-2520
JENNIFER N KWOK PHARM.D.
Pharmacist
21601 76TH AVE W
EDMONDS, WA 98026
Snohomish County (425) 640-4180
SWEDISH EDMONDS
Psychiatry & Neurology (Psychiatry)
21601 76TH AVE W
EDMONDS, WA 98026
Snohomish County (425) 640-4000

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 David Wisdom's NPI number?

The NPI number for David Wisdom is 1396227583. It was assigned to this individual provider in the NPPES registry on September 4, 2018.

Where is David Wisdom located?

David Wisdom practices at 21601 76th Ave W, Edmonds, WA 98026. The listed phone number is (425) 640-4000.

What is David Wisdom's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is David Wisdom enrolled in Medicare?

Yes. David Wisdom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for David Wisdom was last updated on October 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.