BRIAN PATRICK WISEMAN (MD) – Pediatric Urology Physician, NPI 1497319537
Pediatric Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
897 UROLOGY in FL
Provider Addresses for BRIAN PATRICK WISEMAN (MD)
1600 SW ARCHER RD RM N-203
GAINESVILLE, FL 326100247
Phone: (352) 273-8634
Type: Location
1600 SW Archer Rd Rm N-203
Gainesville, FL 326100247
Phone: (352) 273-8634
Type: Location
30 N MARIO CAPECCHI DR RM 4S100
SALT LAKE CITY, UT 84112
Phone: (801) 581-2121
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $1,304.
Total Amount is formed as General ($1,304) + Research ($0) + Ownership ($0) = $1,304.
Last reported payment date: 2024-05-09 • Largest payer in this snapshot: Boston Scientific Corporation ($491).
Total Amount
$1,304
General + Research + Ownership
Payments
12
Total payment records
General Amount
$1,304
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $491 |
| COLOPLAST CORP | $243 |
| Endo Pharmaceuticals Inc. | $196 |
| Laborie Medical Technologies Corp. | $144 |
| Ambu Inc. | $118 |
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: 2024-08-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240812001139 | I | Urology | UT | 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 32610)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | UT | |
| Pediatric Medicine, Cardiovascular Disease (Cardiology) | UT | |
| Pediatric Medicine | UT | |
| Physical Medicine And Rehabilitation | UT | |
| - | UT | |
| - | UT | |
| - | OH | |
| - | UT | |
| - | UT | |
| - | UT |
Reviews
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