JON D WIESE MD - NPI 1952474561 - Surgery in Longwood, FL

Q: What is Jon Wiese's NPI number?

The NPI number for Jon Wiese is 1952474561. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Q: What is Jon Wiese's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Jon Wiese was last updated on November 14, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jon D Wiese Md NPPES

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

JON D WIESE MD (NPI 1952474561) is an individual surgery provider in Longwood, Florida, licensed in Florida (ME54060) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952474561

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameJON D WIESECredential: MD

Location Address521 W STATE ROAD 434, SUITE 301Longwood, FL 32750-5166

Mailing Address521 W State Road 434, Suite 301Longwood, FL 32750-5166 · (407) 767-5808 · Fax (407) 767-5892

Phone(407) 767-5808

Fax(407) 767-5892

Sole ProprietorNo

Enumeration DateNovember 15, 2006

Last NPPES UpdateNovember 14, 2016

✔ NPI 1952474561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in FL · ME54060

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

521 W STATE ROAD 434, Longwood, FL 32750

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Other Identifiers 3

Medicare PIN07340WFL

OtherME54060FL · Medical License

Medicaid049597200FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jon D Wiese Md 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 32750 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.