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KEVIN BRANTLEY WISE MD
NPI 1427344233
Surgery in Millcreek, UT

Active since June 21, 2011PECOS EnrolledAccepts Medicare Assignment
1200 E 3900 S STE 4E, MILLCREEK, UT 84124(385) 347-3773 Get Directions Write a Review

NPPES record last updated: March 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 30, 2023, Feb 9, 2023, Aug 21, 2020 and 5 more (8 updates tracked since 2016).

About Kevin Brantley Wise Md NPPES

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

KEVIN BRANTLEY WISE MD (NPI 1427344233) is an individual surgery provider in Millcreek, Utah, licensed in Utah (13005654-1205) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Northeastern Nevada Regional Hospital, and is a graduate of Vanderbilt University School Of Medicine (2011).

NPPES Registry Identity

NPI1427344233
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameKEVIN BRANTLEY WISECredential: MD
Location Address1200 E 3900 S STE 4EMillcreek, UT 84124-1300
Mailing Address1220 E 3900 S Ste 4eMillcreek, UT 84124-1343 · (385) 347-3773
Phone(385) 347-3773
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 2011
Enumeration DateJune 21, 2011
Last NPPES UpdateMarch 30, 20238 updates tracked since enumeration
NPPES CertifiedMarch 30, 2023
✔ NPI 1427344233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in UT · 13005654-1205✔ Licensed in MN · 55513
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License 13005654-1205 (UT)
Also ListedSurgery · Trauma SurgeryTaxonomy 2086S0127X · License Q8190 (TX)
1200 E 3900 S STE 4E, Millcreek, UT 84124
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah.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

Kevin Brantley 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 ID1658528187
PECOS Enrollment IDI20221209002030
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
57 services49 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
52 services46 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
39 services39 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
33 services33 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Northeastern Nevada Regional Hospital

Acute Care Hospitals · Elko, NV
1/5 CMS rating
OwnershipProprietary
CMS Certification Number290008
Location2001 Errecart BlvdElko, NV 89801 · Elko County
Emergency services Birthing friendly

St Mark's Hospital

Acute Care Hospitals · Salt Lake City, UT
3/5 CMS rating
OwnershipProprietary
CMS Certification Number460047
Location1200 East 3900 SouthSalt Lake City, UT 84124 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84124 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

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 Kevin Wise's NPI number?

The NPI number for Kevin Wise is 1427344233. It was assigned to this individual provider in the NPPES registry on June 21, 2011.

Where is Kevin Wise located?

Kevin Wise practices at 1200 E 3900 S Ste 4E, Millcreek, UT 84124. The listed phone number is (385) 347-3773.

What is Kevin Wise's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Kevin Wise enrolled in Medicare?

Yes. Kevin 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.

What insurance does Kevin Wise accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Utah list Kevin 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.

Is Kevin Wise affiliated with any hospitals?

According to CMS data, Kevin Wise is affiliated with Northeastern Nevada Regional Hospital and St Mark's Hospital.

When was this NPI record last updated?

The NPPES record for Kevin Wise was last updated on March 30, 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.