DR. EMILY MICHELLE WISE (MD) – Dermatology Physician, NPI 1487882270
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
744 DERMATOLOGY in MA
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Provider Addresses for DR. EMILY MICHELLE WISE (MD)
William Street, Wellesley Office Park, Wellesley, Norfolk County, Massachusetts, 02464, United States
WELLESLEY, MA 024814102
Phone: (781) 591-4234
Fax: (781) 369-9737
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)
CMS reports 57 Open Payments records for all available years, with a total value of $53,127.
Total Amount is formed as General ($53,127) + Research ($0) + Ownership ($0) = $53,127.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Galderma Laboratories, L.P. ($52,807).
Total Amount
$53,127
General + Research + Ownership
Payments
57
Total payment records
General Amount
$53,127
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Galderma Laboratories, L.P. | $52,807 |
| Lilly USA, LLC | $152 |
| ABBVIE INC. | $82 |
| PFIZER INC. | $25 |
| Solta Medical, a division of Bausch Health US, LLC | $23 |
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: 2013-09-09
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 |
|---|---|---|---|---|
| I20130909000560 | I | Dermatology | MA | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 800 | 172 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 511 | 375 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 328 | 226 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 201 | 148 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 190 | 166 | $0 |
Insurance plans in this area (ZIP 02481)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MA | |
| D E R M A T O L O G Y | MA | |
| D E R M A T O L O G Y | MA | |
| Nurse Practitioner | MA | |
| D E R M A T O L O G Y | MA | |
| D E R M A T O L O G Y | PA | |
| O P H T H A L M O L O G Y | MA |
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