DR. MERRILL S WISE III M.D.
NPI 1922089192
Internal Medicine - Sleep Medicine in Memphis, TN

Active since November 07, 2005PECOS EnrolledAccepts Medicare Assignment
90.88/100
CMS Quality Rating
5050 POPLAR AVE, SUITE 800, MEMPHIS, TN 38157(901) 276-2662(901) 274-2033 Get Directions Write a Review

NPPES record last updated: February 17, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 17, 2020, Nov 12, 2019 (2 updates tracked since 2019).

About Dr. Merrill S Wise Iii M.d. NPPES

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

DR. MERRILL S WISE III M.D. (NPI 1922089192) is an individual sleep medicine provider in Memphis, Tennessee, licensed in Tennessee (41144) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1984).

NPPES Registry Identity

NPI1922089192
Entity TypeIndividualMale
Primary Taxonomy207RS0012X
Provider Legal NameDR. MERRILL S WISE IIICredential: M.D.
Location Address5050 POPLAR AVE, SUITE 800Memphis, TN 38157-0101
Mailing Address5050 Poplar Ave, Suite 800Memphis, TN 38157-0101 · (901) 276-2662
Fax(901) 274-2033
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1984
Enumeration DateNovember 7, 2005
Last NPPES UpdateFebruary 17, 20202 updates tracked since enumeration
NPI 1922089192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RS0012X
License Licensed in TN · 41144
Definition
An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Also ListedPediatrics · Sleep MedicineTaxonomy 2080S0012X · License 41144 (TN)
5050 POPLAR AVE, Memphis, TN 38157

Other Identifiers 1

Medicaid117214001TX

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. Merrill S Wise Iii M.d. 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 ID5890792980
PECOS Enrollment IDI20061102000502
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.

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.
196 services178 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.
80 services57 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
58 services55 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
50 services50 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
43 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38157 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

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.

90.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.74
Promoting Interoperability98
Improvement Activities40
Cost65.4

Referred Medical Equipment & Supplies CMS DME claims 16

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
14 suppliers131 claims131 services$31.79 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
17 suppliers309 claims309 services$69.48 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
14 suppliers192 claims335 services$29.11 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
16 suppliers391 claims948 services$15.35 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
12 suppliers152 claims367 services$11.96 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
17 suppliers539 claims539 services$45.66 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.

Internal Medicine (Critical Care Medicine)
5050 POPLAR AVE, STE 800
MEMPHIS, TN 38157
Counselor (Professional)
5050 POPLAR AVE, SUITE # 1118
MEMPHIS, TN 38157
Internal Medicine (Critical Care Medicine)
5050 POPLAR AVE, SUITE 800
MEMPHIS, TN 38157
Internal Medicine (Critical Care Medicine)
5050 POPLAR AVE, SUITE 800
MEMPHIS, TN 38157
Internal Medicine (Critical Care Medicine)
5050 POPLAR AVE, SUITE 800
MEMPHIS, TN 38157
Internal Medicine
5050 POPLAR AVE, SUITE 718
MEMPHIS, TN 38157
Internal Medicine (Sleep Medicine)
5050 POPLAR AVE, SUITE 800
MEMPHIS, TN 38157
Specialist/Technologist, Other
5050 POPLAR AVE, STE 718
MEMPHIS, TN 38157

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 Merrill Wise's NPI number?

The NPI number for Merrill Wise is 1922089192. It was assigned to this individual provider in the NPPES registry on November 7, 2005.

Where is Merrill Wise located?

Merrill Wise practices at 5050 Poplar Ave Suite 800, Memphis, TN 38157. The listed phone number is (901) 276-2662.

What is Merrill Wise's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sleep Medicine, with taxonomy code 207RS0012X.

Is Merrill Wise enrolled in Medicare?

Yes. Merrill 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 Merrill Wise accept?

Health plans from Alliant Health Plans, Inc., BlueCross BlueShield of Tennessee, Oscar Insurance Company and UnitedHealthcare list Merrill 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 Merrill Wise was last updated on February 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.