BRADLEY WILLIAM WISE – Surgery Physician, NPI 1679060818
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
756 GENERAL SURGERY in CO
Provider Addresses for BRADLEY WILLIAM WISE
RidgeGate Parkway, Lone Tree, Douglas County, Colorado, 80124-5644, United States
LONE TREE, CO 801245532
Phone:
Type: Mailing
4545 E 9TH AVE STE 120
DENVER, CO 802203902
Phone: (303) 388-2922
Fax: (303) 388-2962
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 31 Open Payments records for all available years, with a total value of $3,474.
Total Amount is formed as General ($3,474) + Research ($0) + Ownership ($0) = $3,474.
Last reported payment date: 2024-09-10 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($2,035).
Total Amount
$3,474
General + Research + Ownership
Payments
31
Total payment records
General Amount
$3,474
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $2,035 |
| Becton, Dickinson and Company | $1,182 |
| Davol Inc. | $148 |
| Aroa Biosurgery Incorporated | $66 |
| Ethicon US, LLC | $43 |
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: 2023-11-01
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20231101002621 | I | General Surgery | CO | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 80124)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CO | |
| Colorectal Surgery (Proctology), General Surgery | CO | |
| Nurse Practitioner | CO | |
| Certified Nurse Midwife (Cnm) | CO | |
| Nurse Practitioner | CO | |
| General Surgery | CO | |
| General Surgery | CO | |
| Nurse Practitioner | CO | |
| General Surgery | CO | |
| - | CO |
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