JOHNATHAN LLOYD WISE MD
NPI 1992125355
Obstetrics & Gynecology in Thibodaux, LA

Active since April 23, 2014PECOS EnrolledAccepts Medicare Assignment
83.32/100
CMS Quality Rating
406 N ACADIA RD, THIBODAUX, LA 70301(985) 446-2890(985) 446-2189 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 6, 2026, Jul 2, 2018 (2 updates tracked since 2018).

About Johnathan Lloyd Wise Md NPPES

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

JOHNATHAN LLOYD WISE MD (NPI 1992125355) is an individual obstetrics & gynecology provider in Thibodaux, Louisiana, licensed in Louisiana (MD.308148) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Thibodaux Regional Medical Center, and is a graduate of Louisiana State University School Of Medicine In Shreveport (2013).

NPPES Registry Identity

NPI1992125355
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameJOHNATHAN LLOYD WISECredential: MD
Location Address406 N ACADIA RDThibodaux, LA 70301-4856
Mailing Address506 N Acadia RdThibodaux, LA 70301-4862 · (985) 448-1121 · Fax (985) 446-8765
Fax(985) 446-2189
Sole ProprietorYes
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 2013
Enumeration DateApril 23, 2014
Last NPPES UpdateApril 6, 20262 updates tracked since enumeration
NPPES CertifiedApril 6, 2026
NPI 1992125355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in LA · MD.308148
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
406 N ACADIA RD, Thibodaux, LA 70301

Accepted 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

Johnathan Lloyd Wise 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 ID3971809443
PECOS Enrollment IDI20190326001503
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 2

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.
36 services29 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Thibodaux Regional Medical Center

Acute Care Hospitals · Thibodaux, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190004
Location602 N Acadia RoadThibodaux, LA 70301 · Lafourche County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70301 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
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.

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.

83.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.77
Promoting Interoperability100
Improvement Activities40
Cost59.05

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Non-implanted pelvic floor electrical stimulator, complete system E0740
DME-Other DME · category DE000N
1 supplier11 claims11 services$36.68 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
406 N ACADIA RD
THIBODAUX, LA 70301
Nurse Practitioner (Obstetrics & Gynecology)
406 N ACADIA RD
THIBODAUX, LA 70301

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 Johnathan Wise's NPI number?

The NPI number for Johnathan Wise is 1992125355. It was assigned to this individual provider in the NPPES registry on April 23, 2014.

Where is Johnathan Wise located?

Johnathan Wise practices at 406 N Acadia Rd, Thibodaux, LA 70301. The listed phone number is (985) 446-2890.

What is Johnathan Wise's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Johnathan Wise enrolled in Medicare?

Yes. Johnathan 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 Johnathan Wise accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Johnathan 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 Johnathan Wise affiliated with any hospitals?

According to CMS data, Johnathan Wise is affiliated with Thibodaux Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Johnathan Wise was last updated on April 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.