DR. PAUL EDWARD WISE MD
NPI 1619076056
Colon & Rectal Surgery in Saint Louis, MO

Active since September 22, 2006PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating
4500 FOREST PARK AVE, DIV SURG COLON/RECTAL, 5TH FL, SAINT LOUIS, MO 63108(314) 454-7177(888) 425-7946 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 25, 2024, Apr 10, 2024, Nov 17, 2021 and 2 more (5 updates tracked since 2015).

About Dr. Paul Edward Wise Md NPPES

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

DR. PAUL EDWARD WISE MD (NPI 1619076056) is an individual colon & rectal surgery provider in Saint Louis, Missouri, licensed in Missouri (2012011934) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Barnes Jewish Hospital, and is a graduate of Johns Hopkins University School Of Medicine (1996).

NPPES Registry Identity

NPI1619076056
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameDR. PAUL EDWARD WISECredential: MD
Location Address4500 FOREST PARK AVE, DIV SURG COLON/RECTAL, 5TH FLSaint Louis, MO 63108-2114
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 454-7177 · Fax (888) 425-7946
Fax(888) 425-7946
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 1996
Enumeration DateSeptember 22, 2006
Last NPPES UpdateApril 17, 20255 updates tracked since enumeration
NPI 1619076056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License Licensed in MO · 2012011934
Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Also ListedSurgeryTaxonomy 208600000X · License 2012011934 (MO)
4500 FOREST PARK AVE, Saint Louis, MO 63108

Other Identifiers 1

Medicaid209625003MO

Accepted 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

Dr. Paul Edward 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 ID6901880699
PECOS Enrollment IDI20120803000718
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 6

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 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.
80 services28 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.
55 services49 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.
36 services35 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.
31 services31 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
31 services29 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.
15 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Barnes Jewish Hospital

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260032
LocationOne Barnes-Jewish Hospital PlazaSaint Louis, MO 63110 · St. Louis City County
Emergency services Birthing friendly

Missouri Baptist Medical Center

Acute Care Hospitals · Town And Country, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260108
Location3015 N Ballas RdTown And Country, MO 63131 · St. Louis County
Emergency services Birthing friendly

Barnes-Jewish West County Hospital

Acute Care Hospitals · Creve Coeur, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260162
Location12634 Olive BoulevardCreve Coeur, MO 63141 · St. Louis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63108 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.46
Promoting Interoperability100
Improvement Activities40
Cost59.51

Referred Medical Equipment & Supplies CMS DME claims 11

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

Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
6 suppliers22 claims930 services$3.18 avg. paid by Medicare
Ostomy belt, each A4367
DME-Orthotic Devices · category DF010N
3 suppliers12 claims15 services$7.08 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
7 suppliers40 claims960 services$4.81 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
5 suppliers22 claims280 services$2.50 avg. paid by Medicare
Ostomy skin barrier, pectin-based, paste, per ounce A4406
DME-Orthotic Devices · category DF010N
4 suppliers12 claims62 services$5.17 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
4 suppliers21 claims605 services$8.05 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.

Pharmacy (Community/Retail Pharmacy)
4500 FOREST PARK AVE
SAINT LOUIS, MO 63108
Nurse Practitioner
4500 FOREST PARK AVE, DIV IM HEMATOLOGY, 6TH FL
SAINT LOUIS, MO 63108
Internal Medicine (Medical Oncology)
4500 FOREST PARK AVE, DIV IM BONE MARROW TRANSPLANT, 5TH, 6TH, 8TH FL
SAINT LOUIS, MO 63108
Nurse Practitioner (Adult Health)
4500 FOREST PARK AVE, DIV IM HEMATOLOGY, 6TH FL
SAINT LOUIS, MO 63108
Nurse Practitioner
4500 FOREST PARK AVE, DIV IM BONE MARROW TRANSPLANT, 5TH, 6TH, 8TH FL
SAINT LOUIS, MO 63108
Internal Medicine (Medical Oncology)
4500 FOREST PARK AVE, DIV IM BONE MARROW TRANSPLANT, 5TH, 6TH, 8TH FL
SAINT LOUIS, MO 63108
Internal Medicine (Medical Oncology)
4500 FOREST PARK AVE, DIV IM BONE MARROW TRANSPLANT, 5TH, 6TH, 8TH FL
SAINT LOUIS, MO 63108
Nurse Practitioner (Adult Health)
4500 FOREST PARK AVE, DIV SURG ONCOLOGY, 8TH FL
SAINT LOUIS, MO 63108

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 Paul Wise's NPI number?

The NPI number for Paul Wise is 1619076056. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Where is Paul Wise located?

Paul Wise practices at 4500 Forest Park Ave Div Surg Colon/Rectal, 5th Fl, Saint Louis, MO 63108. The listed phone number is (314) 454-7177.

What is Paul Wise's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Paul Wise enrolled in Medicare?

Yes. Paul 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 Paul Wise accept?

Health plans from Cox HealthPlans list Paul 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 Paul Wise affiliated with any hospitals?

According to CMS data, Paul Wise is affiliated with Barnes Jewish Hospital, Missouri Baptist Medical Center and Barnes-Jewish West County Hospital.

When was this NPI record last updated?

The NPPES record for Paul Wise was last updated on April 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.