JAMES L WISE M.D.
NPI 1982681334
Internal Medicine - Gastroenterology in Austin, TX

Q: What is James Wise's NPI number?

The NPI number for James Wise is 1982681334. It was assigned to this individual provider in the NPPES registry on December 28, 2005.

Q: What is James Wise's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for James Wise was last updated on January 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 December 28, 2005PECOS EnrolledAccepts Medicare Assignment

82.34/100

CMS Quality Rating

1601 TRINITY ST STE 9.901S, AUSTIN, TX 78712(512) 324-9660 Get Directions Write a Review

NPPES record last updated: January 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About James L Wise M.d. NPPES

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

JAMES L WISE M.D. (NPI 1982681334) is an individual gastroenterology provider in Austin, Texas, licensed in Minnesota (42293) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Ascension Seton Medical Center Austin, and maintains a secondary practice location in Minneapolis.

NPPES Registry Identity

NPI1982681334

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameJAMES L WISECredential: M.D.

Location Address1601 TRINITY ST STE 9.901SAustin, TX 78712-1765

Mailing Address400 E 3rd StDuluth, MN 55805-1951 · (218) 786-8364

Phone(512) 324-9660

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateDecember 28, 2005

Last NPPES UpdateJanuary 8, 2024

NPPES CertifiedJanuary 8, 2024

✔ NPI 1982681334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in MN · 42293

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

1601 TRINITY ST STE 9.901S, Austin, TX 78712

Open in Google Maps ↗

Secondary Practice Location 1

Location 1500 Harvard St SEMinneapolis, MN 55455-0363 · Phone (612) 625-8999 · Fax (612) 625-5620

Other Identifiers 1

Medicaid453953200MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

James L Wise 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 ID4981607850

PECOS Enrollment IDI20240625001946

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 4

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

21 services21 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

19 services19 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.

18 services14 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension Seton Medical Center Austin

Acute Care Hospitals · Austin, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450056

Location1201 W 38th StAustin, TX 78705 · Travis County

Emergency services Birthing friendly

Dell Seton Med Center At The University Of Tx

Acute Care Hospitals · Austin, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450124

Location601 E 15th StreetAustin, TX 78701 · Travis County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78712 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

$131.95 typical visit price

range $57.88 – $174.00

Typical copayment $32.98 (range $14.47 – $43.50)

Most-billed visit code 99204

Established Patient

$101.65 typical visit price

range $18.88 – $142.23

Typical copayment $25.41 (range $4.72 – $35.55)

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.

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.

82.34/100

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

Scored as part of a group practice

Quality

81.54

Promoting Interoperability

100

Improvement Activities

Cost

38.17

Other Providers at the Same Location NPPES 3

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

DR. ELISA FURAY M.D.

Surgery

1601 TRINITY ST STE 9.901S
AUSTIN, TX 78712

Travis County (512) 324-7392

DR. MOHAMMAD BASHASHATI SAGHEZCHI

Internal Medicine (Gastroenterology)

1601 TRINITY ST STE 9.901S
AUSTIN, TX 78712

Travis County (512) 324-7831

JENNIFER L. WADE LCSW

Social Worker (Clinical)

1601 TRINITY ST STE 9.901S
AUSTIN, TX 78712

Travis County (512) 324-7831

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 James Wise's NPI number?

The NPI number for James Wise is 1982681334. It was assigned to this individual provider in the NPPES registry on December 28, 2005.

Where is James Wise located?

James Wise practices at 1601 Trinity St Ste 9.901s, Austin, TX 78712. The listed phone number is (512) 324-9660.

What is James Wise's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is James Wise enrolled in Medicare?

Yes. James Wise 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 James Wise accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list James Wise 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 James Wise affiliated with any hospitals?

According to CMS data, James Wise is affiliated with Ascension Seton Medical Center Austin and Dell Seton Med Center At The University Of Tx.

When was this NPI record last updated?

The NPPES record for James Wise was last updated on January 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.