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SUSANA C WISHNIA M.D.
NPI 1982610226
Surgery in Newton, MA

Active since July 31, 2006PECOS EnrolledAccepts Medicare Assignment
NEWTON WELLESLEY HOSPITAL, 2014 WASHINGTON STREET, GREEN SUITE 665, NEWTON, MA 02462(617) 243-3724 Get Directions Write a Review

NPPES record last updated: October 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susana C Wishnia M.d. NPPES

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

SUSANA C WISHNIA M.D. (NPI 1982610226) is an individual surgery provider in Newton, Massachusetts, licensed in Massachusetts (230050) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Massachusetts General Hospital, and is a graduate of University Of Louisville School Of Medicine (2004).

NPPES Registry Identity

NPI1982610226
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameSUSANA C WISHNIACredential: M.D.
Location AddressNEWTON WELLESLEY HOSPITAL, 2014 WASHINGTON STREET, GREEN SUITE 665Newton, MA 02462
Mailing Address2014 Washington St Ste 665Newton, MA 02462-1699 · (617) 243-3724 · Fax (617) 243-9993
Phone(617) 243-3724
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2004
Enumeration DateJuly 31, 2006
Last NPPES UpdateOctober 15, 2021
NPPES CertifiedSeptember 30, 2021
✔ NPI 1982610226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MA · 230050
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.
NEWTON WELLESLEY HOSPITAL, Newton, MA 02462
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Susana C Wishnia 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 ID9436327046
PECOS Enrollment IDI20110727000022
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 3

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.
39 services31 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.
20 services13 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220071
Location55 Fruit StreetBoston, MA 02114 · Suffolk County
Emergency services Birthing friendly

Newton-Wellesley Hospital

Acute Care Hospitals · Newton, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220101
Location2014 Washington StreetNewton, MA 02462 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02462 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

Other Providers at the Same Location NPPES 2

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

MEGAN SCULLY WILLS NP
Nurse Practitioner (Women's Health)
NEWTON WELLESLEY HOSPITAL, 2014 WASHINGTON ST
NEWTON, MA 02462
Middlesex County (617) 243-5205
NANCY B HURWITZ PA-C
Physician Assistant
NEWTON WELLESLEY HOSPITAL, 2014 WASHINGTON ST
NEWTON, MA 02462
Middlesex County (617) 243-6040

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 Susana Wishnia's NPI number?

The NPI number for Susana Wishnia is 1982610226. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Susana Wishnia located?

Susana Wishnia practices at Newton Wellesley Hospital 2014 Washington Street, Green Suite 665, Newton, MA 02462. The listed phone number is (617) 243-3724.

What is Susana Wishnia's specialty?

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

Is Susana Wishnia enrolled in Medicare?

Yes. Susana Wishnia 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 Susana Wishnia accept?

Health plans from Anthem Blue Cross and Blue Shield list Susana Wishnia 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 Susana Wishnia affiliated with any hospitals?

According to CMS data, Susana Wishnia is affiliated with Massachusetts General Hospital and Newton-Wellesley Hospital.

When was this NPI record last updated?

The NPPES record for Susana Wishnia was last updated on October 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.