DR. DEREK WISEMAN MD
NPI 1952988222
Family Medicine in Roseburg, OR

Q: What is Derek Wiseman's NPI number?

The NPI number for Derek Wiseman is 1952988222. It was assigned to this individual provider in the NPPES registry on March 24, 2021.

Q: What is Derek Wiseman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Derek Wiseman was last updated on August 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 24, 2021PECOS EnrolledAccepts Medicare Assignment

1937 W HARVARD AVE, ROSEBURG, OR 97471(541) 677-7200(541) 229-3309 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 5, 2024, Mar 24, 2021 (2 updates tracked since 2021).

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About Dr. Derek Wiseman Md NPPES

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

DR. DEREK WISEMAN MD (NPI 1952988222) is an individual family medicine provider in Roseburg, Oregon, licensed in Oregon (MD219665) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center, and is a graduate of Oregon Health Sciences University School Of Medicine (2021).

NPPES Registry Identity

NPI1952988222

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. DEREK WISEMANCredential: MD

Location Address1937 W HARVARD AVERoseburg, OR 97471-2720

Mailing Address2570 Nw Edenbower Blvd Ste 100Roseburg, OR 97471-6214 · (541) 677-7200 · Fax (541) 229-3309

Phone(541) 677-7200

Fax(541) 229-3309

Sole ProprietorNo

Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2021

Enumeration DateMarch 24, 2021

Last NPPES UpdateAugust 5, 20242 updates tracked since enumeration

NPPES CertifiedAugust 5, 2024

✔ NPI 1952988222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OR · MD219665

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1937 W HARVARD AVE, Roseburg, OR 97471

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan 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

Dr. Derek Wiseman Md 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 ID9335543107

PECOS Enrollment IDI20240724004590

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.

Hospital Affiliations CMS Care Compare

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

Mercy Medical Center

Acute Care Hospitals · Roseburg, OR

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number380027

Location2700 NW Stewart ParkwayRoseburg, OR 97471 · Douglas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97471 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

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 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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