DOUGLAS M WISNER M.D.
NPI 1932360641
Ophthalmology in Plymouth Meeting, PA
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
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Douglas Wisner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Plymouth Meeting, PA 19462
- Reassigned Medicare billing, Pennsylvania enrollment
- 7 clinicians in this Medicare group
Philadelphia, PA 19107
- Reassigned Medicare billing, Pennsylvania enrollment
- 230 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, PAPhysician 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.
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.
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.
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.
Which organizations bill Medicare for Douglas Wisner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Wisner reassigns Medicare benefits to 2 organizations: Thorp Bailey Weber Eye Associates, Ltd. (Plymouth Meeting, PA) and Wills Eye Ophthalmology Clinic, Inc (Philadelphia, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Douglas Wisner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Douglas Wisner accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Wyoming and 13 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.
# Douglas M Wisner, M.D. · NPI 1932360641
Ophthalmology physician in Plymouth Meeting, Pennsylvania. Individual provider, active in the CMS NPPES registry since June 24, 2008.
## Identity
- **NPI:** 1932360641 (Entity type: Individual)
- **Enumerated:** June 24, 2008
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** MD444936 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 4060 BUTLER PIKE, SUITE 100, Plymouth Meeting, PA 19462-1560
- **Phone:** (215) 836-1290 · **Fax:** (215) 233-3421
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Thorp Bailey Weber Eye Associates, Ltd. (NPI 1710915699, Plymouth Meeting, PA); Wills Eye Ophthalmology Clinic, Inc (NPI 1184624009, Philadelphia, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Pennsylvania State University College Of Medicine, class of 2008
## Record status
- **NPPES last updated:** May 31, 2017
- **Other identifiers:** Medicaid 1027305650001 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1932360641) · Data from the CMS NPPES public registry.