PAUL WISTERMAYER (MD) – Otolaryngology Physician, NPI 1457710394
Otolaryngology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
320 OTOLARYNGOLOGY in MO
Provider Addresses for PAUL WISTERMAYER (MD)
960 E Walnut Lawn St Ste 102
Springfield, MO 658077865
Phone: (000) 000-0000
Type: Location
13400 E SHEA BLVD
SCOTTSDALE, AZ 852595452
Phone: (480) 301-8000
Type: Mailing
9040 FITZSIMMONS DR
JOINT BASE LEWIS MCCHORD, WA 984311000
Phone: (253) 968-0375
Type: Location
8901 ROCKVILLE PIKE
BETHESDA, MD 208890001
Phone: (301) 295-4664
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $416.
Total Amount is formed as General ($416) + Research ($0) + Ownership ($0) = $416.
Last reported payment date: 2024-07-19 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($273).
Total Amount
$416
General + Research + Ownership
Payments
5
Total payment records
General Amount
$416
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Inspire Medical Systems, Inc. | $273 |
| Tactile Systems Technology Inc | $123 |
| Atos Medical Inc | $20 |
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: 2024-07-24
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 |
|---|---|---|---|---|
| I20240724001964 | I | Otolaryngology | MO | 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 |
|---|---|---|---|---|
| 38724 | Removal of lymph nodes, muscle, and tissue of neck | 13 | 12 | $0 |
Insurance plans in this area (ZIP 65807)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O T O L A R Y N G O L O G Y | IL | |
| - | NC | |
| Nurse Practitioner | MO | |
| Physician Assistant | MO | |
| Nurse Practitioner | MO | |
| General Surgery | MO | |
| O T O L A R Y N G O L O G Y | WA | |
| N E P H R O L O G Y | MO | |
| Physician Assistant | MO | |
| Nurse Practitioner | MO |
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