DR. LEON WISE (M.D.) – Diagnostic Radiology Physician, NPI 1023221926
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,128 DIAGNOSTIC RADIOLOGY in IL
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Provider Addresses for DR. LEON WISE (M.D.)
111 OAKWOOD RD
EAST PEORIA, IL 616111853
Phone: (309) 740-4272
Type: Mailing
71, West 156th Street, Harvey, Thornton Township, Cook County, Illinois, 60426, United States
SUITE 110
HARVEY, IL 604264260
Phone: (708) 915-5671
Fax: (708) 915-4022
Type: Mailing
OSF Center for Health - Streator, 111, Spring Street, Streator, LaSalle County, Illinois, 61364, United States
STREATOR, IL 613643332
Phone: (815) 673-4642
Type: Location
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: 2012-08-09
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (897 days ago).
Enrollment records
1
Earliest due date
2023-12-31
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 |
|---|---|---|---|---|
| I20120809000493 | I | Diagnostic Radiology | IL | 2023-12-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 431 | 387 | $0 |
| 71046 | X-ray of chest, 2 views | 363 | 346 | $0 |
| 70450 | Ct scan head or brain without contrast | 298 | 288 | $0 |
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 199 | 199 | $0 |
| 73564 | X-ray of knee, 4 or more views | 191 | 130 | $0 |
Insurance plans in this area (ZIP 61611)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | WI | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | IL | |
| Physician Assistant | IL | |
| - | IL | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | IL | |
| - | IL | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | IL |
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