JOHN A. WISE (PA-C) – Surgical Physician Assistant, NPI 1376632364
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
629 PHYSICIAN ASSISTANT in AR
Provider Addresses for JOHN A. WISE (PA-C)
4301 W Markham St # 532
Little Rock, AR 722057101
Phone: (501) 686-8000
Fax: (501) 526-5148
Type: Location
6005, Park Avenue, White Station, Memphis, Shelby County, Tennessee, 38119, United States
SUITE 802
MEMPHIS, TN 381195202
Phone: (901) 236-0508
Fax: (901) 682-2143
Type: Mailing
11001 EXECUTIVE CENTER DR STE 200
LITTLE ROCK, AR 722114393
Phone: (501) 812-7215
Fax: (501) 812-7807
Type: Mailing
9601 BAPTIST HEALTH DR STE 200
LITTLE ROCK, AR 722056342
Phone: (501) 223-2870
Fax: (501) 223-2258
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 29 Open Payments records for all available years, with a total value of $620.
Total Amount is formed as General ($620) + Research ($0) + Ownership ($0) = $620.
Last reported payment date: 2024-10-17 • Largest payer in this snapshot: Medtronic, Inc. ($205).
Total Amount
$620
General + Research + Ownership
Payments
29
Total payment records
General Amount
$620
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $205 |
| ABIOMED | $197 |
| ATRICURE, INC. | $54 |
| Stryker Corporation | $46 |
| Getinge USA Sales, LLC | $27 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-01-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070321000706 | I | Physician Assistant | TN | TBD |
| I20240116002935 | I | Physician Assistant | AR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 33508 | Harvest of vein using an endoscope | 14 | 14 | $0 |
| 33533 | Coronary artery bypass using artery graft, 1 graft | 12 | 12 | $0 |
Insurance plans in this area (ZIP 72205)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | TN | 33533 | Heart artery bypass to repair one artery | 27 | 27 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | AR | |
| - | AR | |
| Internal Medicine | NY | |
| Internal Medicine, Nephrology | AR | |
| - | AR | |
| - | AR | |
| Nurse Practitioner | AR | |
| P S Y C H I A T R Y | AR | |
| - | AR | |
| - | AR |
Reviews
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