FREDERICK WISEMAN (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1972506558

FREDERICK WISEMAN (DPM) is a healthcare provider. based in Sturgis, Michigan. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 5901000866 (MI). The NPI Number for FREDERICK WISEMAN (DPM) is 1972506558

Main info

Male
49 Years Of Experience
Accepts Medicare Assignment
Name
FREDERICK WISEMAN (DPM)
NPI
1972506558
Phone
(269) 651-2320
Address
102 S LAKEVIEW AVE
Enumeration Date
27 May 2005
Last Update Date
1 August 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2485282116
Graduation Year
1977 (49 years ago)
PAC ID
4385627793
Group Practice PAC ID
7719240977
Professional Enrollment ID
I20221031000480
Address ID
AL361044227MO150XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

753 PODIATRY in MI

Provider Addresses for FREDERICK WISEMAN (DPM)

  • 102 S LAKEVIEW AVE

    STURGIS, MI 490911947

    Phone: (269) 651-2320

    Fax: (269) 659-4704

    Type: Location

  • PO BOX 730

    STURGIS, MI 490910730

    Phone: (269) 651-2320

    Fax: (269) 659-4704

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $61.

Total Amount is formed as General ($61) + Research ($0) + Ownership ($0) = $61.

Last reported payment date: 2024-05-03 • Largest payer in this snapshot: Organogenesis Inc. ($61).

Total Amount

$61

General + Research + Ownership

Payments

1

Total payment records

General Amount

$61

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-03

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Organogenesis Inc.$61
View all Open Payments →|Open Payments Risk Radar →

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: 2022-10-31

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
I20221031000480IPodiatryALTBD

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
11721Removal of fingernails or toenails, 6 or more nails705523$0
11720Removal of fingernails or toenails, 1-5 nails526385$0
G0127Trimming of dystrophic nails, any number495359$0
99304Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes307306$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes130127$0
View full utilization report →

Insurance plans in this area (ZIP 49091)

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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: 7719240977View full group profile
NameSpecialtyState
P O D I A T R YAL
Qualified AudiologistAL
P O D I A T R YFL
Qualified AudiologistAL
Qualified AudiologistAL
O P T O M E T R YAL
O P T O M E T R YTX
-AL
Qualified AudiologistAL
P O D I A T R YFL

Reviews

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Frequently asked questions

What identifier follows FREDERICK WISEMAN (DPM) across health systems?
The NPI 1972506558 uniquely identifies FREDERICK WISEMAN (DPM) in U.S. healthcare data.
Does the public listing show FREDERICK WISEMAN (DPM) as active?
FREDERICK WISEMAN (DPM)'s NPI record reflects an active status in NPPES.
What type of care does FREDERICK WISEMAN (DPM) provide?
FREDERICK WISEMAN (DPM)'s profile centers on Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Is FREDERICK WISEMAN (DPM) tied to Sturgis, Michigan?
If you are local to Sturgis, Michigan, FREDERICK WISEMAN (DPM) may be relevant to your search.
Can I export FREDERICK WISEMAN (DPM)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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