DOUGLAS M WISNER M.D.
NPI 1932360641
Ophthalmology in Plymouth Meeting, PA

Q: What is Douglas Wisner's NPI number?

The NPI number for Douglas Wisner is 1932360641. It was assigned to this individual provider in the NPPES registry on June 24, 2008.

Q: What is Douglas Wisner's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Douglas Wisner was last updated on May 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since June 24, 2008PECOS EnrolledAccepts Medicare Assignment

88.33/100

CMS Quality Rating

4060 BUTLER PIKE, SUITE 100, PLYMOUTH MEETING, PA 19462(215) 836-1290(215) 233-3421 Get Directions Write a Review

NPPES record last updated: May 31, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Douglas M Wisner M.d. NPPES

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

DOUGLAS M WISNER M.D. (NPI 1932360641) is an individual ophthalmology provider in Plymouth Meeting, Pennsylvania, licensed in Pennsylvania (MD444936) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Wills Eye Hospital, and is a graduate of Pennsylvania State University College Of Medicine (2008).

NPPES Registry Identity

NPI1932360641

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDOUGLAS M WISNERCredential: M.D.

Location Address4060 BUTLER PIKE, SUITE 100Plymouth Meeting, PA 19462-1560

Mailing Address4060 Butler Pike, Suite 100Plymouth Meeting, PA 19462-1560 · (215) 836-1290 · Fax (215) 233-3421

Phone(215) 836-1290

Fax(215) 233-3421

Sole ProprietorNo

Medical School CMSPennsylvania State University College Of MedicineGraduated 2008

Enumeration DateJune 24, 2008

Last NPPES UpdateMay 31, 2017

✔ NPI 1932360641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in PA · MD444936

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

4060 BUTLER PIKE, Plymouth Meeting, PA 19462

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Other Identifiers 1

Medicaid1027305650001PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.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

Douglas M Wisner 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 ID5698935872

PECOS Enrollment IDI20120326000498

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 16

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 complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

709 services689 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

440 services429 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

310 services196 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

290 services202 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.

281 services249 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.

221 services189 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

114 services111 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

92 services92 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.

92 services92 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

87 services67 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

81 services75 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

49 services48 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

30 services28 patients

Incision to improve eye fluid flow 65820

This procedure, known as a trabeculectomy, involves creating a small opening in the eye to improve fluid flow. This can help lower eye pressure in conditions like glaucoma. It's a common, safe procedure to protect your eye health.

26 services18 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

21 services21 patients

Measurement of corneal curvature and depth of eye 92136

17 services14 patients

Hospital Affiliations CMS Care Compare

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

Wills Eye Hospital

Acute Care Hospitals · Philadelphia, PA

OwnershipVoluntary non-profit - Private

CMS Certification Number390331

Location840 Walnut StreetPhiladelphia, PA 19107 · Philadelphia County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19462 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

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.

88.33/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

91.67

Promoting Interoperability

100

Improvement Activities

Cost

69.44

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.

MITCHELL S. FINEMAN MD

Ophthalmology

4060 BUTLER PIKE, SUITE 200
PLYMOUTH MEETING, PA 19462

Montgomery County (800) 331-6634

RICHARD S KAISER MD

Ophthalmology

4060 BUTLER PIKE, SUITE 200
PLYMOUTH MEETING, PA 19462

Montgomery County (800) 331-6634

DR. LOV K SARIN M.D.

Ophthalmology

4060 BUTLER PIKE, SUITE 200
PLYMOUTH MEETING, PA 19462

Montgomery County (800) 331-6634

PHILIP A KOSVITCH O.D.

Optometrist

4060 BUTLER PIKE, SUITE 100
PLYMOUTH MEETING, PA 19462

Montgomery County (215) 836-1290

DR. ALLEN CHIANG M.D.

Ophthalmology

4060 BUTLER PIKE, SUITE 200
PLYMOUTH MEETING, PA 19462

Montgomery County (800) 331-6634

OMESH PARKASH GUPTA MD

Ophthalmology

4060 BUTLER PIKE, SUITE 200
PLYMOUTH MEETING, PA 19462

Montgomery County (800) 331-6634

MICHAEL ADRIAN KLUFAS M.D.

Ophthalmology

4060 BUTLER PIKE, STE 200
PLYMOUTH MEETING, PA 19462

Montgomery County (800) 331-6634

GARY C. BROWN MD

Ophthalmology

4060 BUTLER PIKE, SUITE 200
PLYMOUTH MEETING, PA 19462

Montgomery County (800) 331-6634

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 Douglas Wisner's NPI number?

The NPI number for Douglas Wisner is 1932360641. It was assigned to this individual provider in the NPPES registry on June 24, 2008.

Where is Douglas Wisner located?

Douglas Wisner practices at 4060 Butler Pike Suite 100, Plymouth Meeting, PA 19462. The listed phone number is (215) 836-1290.

What is Douglas Wisner's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Douglas Wisner enrolled in Medicare?

Yes. Douglas Wisner 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 Douglas Wisner accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 6 other insurers list Douglas Wisner 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 Douglas Wisner affiliated with any hospitals?

According to CMS data, Douglas Wisner is affiliated with Wills Eye Hospital.

When was this NPI record last updated?

The NPPES record for Douglas Wisner was last updated on May 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.