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DUSTIN BRYANT WISE M.D.
NPI 1811945769
Pediatrics in Pleasant Grove, UT

Active since May 04, 2006PECOS Enrolled
1888 W 800 N, PLEASANT GROVE, UT 84062(801) 492-7851(801) 492-7883 Get Directions Write a Review

NPPES record last updated: September 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dustin Bryant Wise M.d. NPPES

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

DUSTIN BRYANT WISE M.D. (NPI 1811945769) is an individual pediatrics provider in Pleasant Grove, Utah, licensed in Utah (52479661205) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811945769
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDUSTIN BRYANT WISECredential: M.D.
Location Address1888 W 800 NPleasant Grove, UT 84062-4097
Mailing Address1888 W 800 NPleasant Grove, UT 84062 · (801) 492-7851 · Fax (801) 492-7883
Phone(801) 492-7851
Fax(801) 492-7883
Sole ProprietorYes
Enumeration DateMay 4, 2006
Last NPPES UpdateSeptember 9, 2021
NPPES CertifiedSeptember 9, 2021
✔ NPI 1811945769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in UT · 52479661205
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1888 W 800 N, Pleasant Grove, UT 84062
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Other Identifiers 1

Other107017722102UT · Ihc Health Plans

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dustin Bryant Wise M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84062 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
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

RYAN JAY RASMUSSEN
Nurse Practitioner (Family)
1888 W 800 N
PLEASANT GROVE, UT 84062
Utah County (801) 492-7851
DR. CRAIG D CHAPPELL DO
Neuromusculoskeletal Medicine & OMM
1888 W 800 N
PLEASANT GROVE, UT 84062
Utah County (801) 610-7321
DUSTIN B. WISE, M.D., P.C.
Pediatrics
1888 W 800 N
PLEASANT GROVE, UT 84062
Utah County (801) 492-7851
IN2IT MEDICAL LLC
Family Medicine
1888 W 800 N
PLEASANT GROVE, UT 84062
Utah County (801) 898-6114

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 Dustin Wise's NPI number?

The NPI number for Dustin Wise is 1811945769. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Dustin Wise located?

Dustin Wise practices at 1888 W 800 N, Pleasant Grove, UT 84062. The listed phone number is (801) 492-7851.

What is Dustin Wise's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Dustin Wise enrolled in Medicare?

Yes. Dustin Wise is registered in the Medicare PECOS enrollment system.

What insurance does Dustin Wise accept?

Health plans from Select Health list Dustin 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 Dustin Wise was last updated on September 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.