KEVIN BRANTLEY WISE (MD) – Surgery Physician, NPI 1427344233

KEVIN BRANTLEY WISE (MD) is a healthcare provider. based in Rochester, Minnesota. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 55513 (MN). The NPI Number for KEVIN BRANTLEY WISE (MD) is 1427344233

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN BRANTLEY WISE (MD)
NPI
1427344233
Phone
(904) 953-2285
Address
200 1ST ST SW
Enumeration Date
21 June 2011
Last Update Date
30 March 2023

Doctor Profile

Medical School Name
VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8012687111
Graduation Year
2011 (15 years ago)
PAC ID
1658528187
Group Practice PAC ID
3476904442
Professional Enrollment ID
I20221209002030
Address ID
UT841241300SA1200X3900300

Contacts

Secure Messaging
kwise142758@ehrdirect.mayoclinicmsg.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness85
Years active:14State licenses:3Other namesUpdated within 12 months

730 GENERAL SURGERY in MN

Provider Addresses for KEVIN BRANTLEY WISE (MD)

  • 200 1ST ST SW

    ROCHESTER, MN 559050001

    Phone: (904) 953-2285

    Type: Mailing

  • 1220 E 3900 S STE 4E

    MILLCREEK, UT 841241343

    Phone: (385) 347-3773

    Type: Mailing

  • 1200 E 3900 S STE 4E

    MILLCREEK, UT 841241300

    Phone: (385) 347-3773

    Type: Location

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 $38.

Total Amount is formed as General ($38) + Research ($0) + Ownership ($0) = $38.

Last reported payment date: 2023-03-14 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($38).

Total Amount

$38

General + Research + Ownership

Payments

1

Total payment records

General Amount

$38

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-14

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Intuitive Surgical, Inc.$38
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: 2022-12-09

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221209002030IGeneral SurgeryUTTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes9662$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes5453$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes4130$0
99239Hospital discharge day management, more than 30 minutes1919$0
99238Hospital discharge day management, 30 minutes or less1111$0
View full utilization report →

Insurance plans in this area (ZIP 55905)

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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: 3476904442View full group profile
NameSpecialtyState
Physician AssistantUT
Critical Care (Intensivists), General SurgeryIL
General SurgeryUT

Reviews

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Frequently asked questions

How do I look up KEVIN BRANTLEY WISE (MD) by NPI?
Use NPI 1427344233 when you need to reference KEVIN BRANTLEY WISE (MD) in forms, claims, or directories.
Is KEVIN BRANTLEY WISE (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does KEVIN BRANTLEY WISE (MD) work in?
You can think of KEVIN BRANTLEY WISE (MD) as practicing within Surgery Physician. Clinical services aligned with this taxonomy classification.
Does KEVIN BRANTLEY WISE (MD) practice in Minnesota?
You will see Rochester, Minnesota on file for KEVIN BRANTLEY WISE (MD) alongside any extra practice locations.
Is KEVIN BRANTLEY WISE (MD) a real provider?
This page reflects official NPPES data for NPI 1427344233. Always confirm identity and privileges with the practice and licensing boards.

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