DR. JOHN D WISNESKI (M.D.) – Family Medicine Physician, NPI 1982699039

DR. JOHN D WISNESKI (M.D.) is a healthcare provider. based in Pagosa springs, Colorado. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. MD20130017 (NM). The NPI Number for DR. JOHN D WISNESKI (M.D.) is 1982699039

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN D WISNESKI (M.D.)
NPI
1982699039
Phone
(970) 731-3700
Address
95 S PAGOSA BLVD
Enumeration Date
14 September 2005
Last Update Date
16 February 2017

Doctor Profile

Medical School Name
UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Secondary Phone
9707313700
Graduation Year
2002 (24 years ago)
PAC ID
1355312844
Group Practice PAC ID
2769571892
Professional Enrollment ID
I20040805001706
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for DR. JOHN D WISNESKI (M.D.)

  • Pagosa Springs Medical Center, 95, South Pagosa Boulevard, Pagosa Springs, Archuleta County, Colorado, 81147, United States

    PAGOSA SPRINGS, CO 811478329

    Phone: (970) 731-3700

    Fax: (970) 731-3707

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-08-05

PECOS data refreshed: 2026-05-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040805001706IFamily PracticeCOTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3017$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2727$0
99239Hospital discharge day management, more than 30 minutes2222$0
View full utilization report →

Insurance plans in this area (ZIP 81147)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2769571892View full group profile
NameSpecialtyState
Critical Care (Intensivists), Pulmonary Disease, Internal MedicineCO
Family PracticeTX
Emergency MedicineNY
Orthopedic SurgeryCO
General SurgeryCO
-CO
Family Practice, Emergency MedicineCO
Family PracticeCO
Mental Health CounselorCO
Clinical Social WorkerCO

Reviews

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Frequently asked questions

Is DR. JOHN D WISNESKI (M.D.) listed with a National Provider Identifier?
Yes — DR. JOHN D WISNESKI (M.D.) has NPI 1982699039 on file in the registry.
Active or inactive — what applies to DR. JOHN D WISNESKI (M.D.)?
You should see DR. JOHN D WISNESKI (M.D.) as active in CMS-hosted NPPES data.
What kind of doctor is DR. JOHN D WISNESKI (M.D.)?
DR. JOHN D WISNESKI (M.D.) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. JOHN D WISNESKI (M.D.) located near Pagosa Springs?
DR. JOHN D WISNESKI (M.D.) currently maps to Pagosa Springs, Colorado in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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