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DR. MARY CLAIRE WISE M.D.
NPI 1730190570
Family Medicine in Rochester, NY

Active since August 10, 2006Opted out of Medicare · through Jan 1, 2028
4138 W HENRIETTA RD, ROCHESTER, NY 14623(585) 334-8020(585) 334-8034 Get Directions Write a Review

NPPES record last updated: March 15, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mary Claire Wise M.d. NPPES

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

DR. MARY CLAIRE WISE M.D. (NPI 1730190570) is an individual family medicine provider in Rochester, New York, licensed in New York (146532) and active in the NPI registry since August 2006. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1730190570
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARY CLAIRE WISECredential: M.D.
Location Address4138 W HENRIETTA RDRochester, NY 14623-5224
Mailing Address4238 W Henrietta RdRochester, NY 14623 · (585) 334-8020 · Fax (585) 334-8034
Phone(585) 334-8020
Fax(585) 334-8034
Sole ProprietorYes
Enumeration DateAugust 10, 2006
Last NPPES UpdateMarch 15, 2011
✔ NPI 1730190570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 146532
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.
4138 W HENRIETTA RD, Rochester, NY 14623
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Mary Claire Wise M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2014 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2014
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14623 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Other Providers at the Same Location NPPES 4

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

DR. RUSSELL S CAMPANELLA D.C.
Chiropractor
4138 W HENRIETTA RD
ROCHESTER, NY 14623
Monroe County (585) 334-4060
DR. MARIA CARMELA ZALONE D.C.
Chiropractor
4138 W HENRIETTA RD
ROCHESTER, NY 14623
Monroe County (585) 334-4060
MS. DIANE L GARCIA LMT
Specialist
4138 W HENRIETTA RD
ROCHESTER, NY 14623
Monroe County (585) 334-4060
CARLA FAE COOMBS GARWOOD LMT
Specialist
4138 W HENRIETTA RD
ROCHESTER, NY 14623
Monroe County (585) 334-4060

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 Mary Wise's NPI number?

The NPI number for Mary Wise is 1730190570. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Where is Mary Wise located?

Mary Wise practices at 4138 W Henrietta Rd, Rochester, NY 14623. The listed phone number is (585) 334-8020.

What is Mary Wise's specialty?

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

Is Mary Wise enrolled in Medicare?

No. Mary Wise has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Mary Wise was last updated on March 15, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.