ERIC WISE (MD) – Interventional Pain Medicine Physician, NPI 1487917704
Interventional Pain Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
143 INTERVENTIONAL PAIN MANAGEMENT in PA
Provider Addresses for ERIC WISE (MD)
30 SPRUCE ST APT 2
BANGOR, ME 044015518
Phone: (610) 334-2595
Type: Mailing
3471 5th Ave
suite 910
Pittsburgh, PA 152133215
Phone: (412) 692-4503
Fax: (412) 692-4515
Type: Location
403 DOW ROAD
ORRINGTON, ME 04474
Phone: (610) 334-2595
Type: Mailing
1365 BROADWAY
BANGOR, ME 044012401
Phone: (207) 942-6226
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $2,385.
Total Amount is formed as General ($2,385) + Research ($0) + Ownership ($0) = $2,385.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Relievant Medsystems, Inc. ($1,920).
Total Amount
$2,385
General + Research + Ownership
Payments
14
Total payment records
General Amount
$2,385
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Relievant Medsystems, Inc. | $1,920 |
| Averitas Pharma Inc. | $182 |
| Medtronic, Inc. | $110 |
| Boston Scientific Corporation | $62 |
| SI-BONE, INC. | $58 |
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: 2017-06-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170605000645 | I | Interventional Pain Management | ME | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 4,487 | 227 | $0 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 1,105 | 352 | $0 |
| 76942 | Ultrasonic guidance for needle placement | 340 | 167 | $0 |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 290 | 199 | $0 |
| 20552 | Injection of trigger points, 1-2 muscles | 259 | 139 | $0 |
Insurance plans in this area (ZIP 04401)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | ME | |
| - | ME | |
| - | ME | |
| Physical Therapist In Private Practice | ME | |
| - | ME | |
| Interventional Pain Management, Anesthesiology | NJ | |
| Internal Medicine, Osteopathic Manipulative Medicine, Pain Management | ME | |
| Physical Therapist In Private Practice | ME | |
| Physical Therapist In Private Practice | ME | |
| Certified Registered Nurse Anesthetist (Crna) | ME |
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