DR. GREGORY R WISE (MD) – Internal Medicine Physician, NPI 1184605263

DR. GREGORY R WISE (MD) is a healthcare provider. based in Miamisburg, Ohio. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. G28815 (CA). The NPI Number for DR. GREGORY R WISE (MD) is 1184605263

Main info

Male
Sole Proprietor
53 Years Of Experience
Accepts Medicare Assignment
Name
DR. GREGORY R WISE (MD)
NPI
1184605263
Phone
(937) 752-2305
Address
1 PRESTIGE PL
Enumeration Date
7 November 2005
Last Update Date
15 April 2025

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9373846920
Graduation Year
1973 (53 years ago)
PAC ID
4385540970
Group Practice PAC ID
0840104360
Professional Enrollment ID
I20100215000572
Address ID
OH453423600MI2115XRDXX300

Contacts

Secure Messaging
gwise2063@direct.ketteringhealth.org
FHIR Endpoint
https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

7,201 INTERNAL MEDICINE in OH

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Provider Addresses for DR. GREGORY R WISE (MD)

  • 1, Prestige Plaza Drive, South Dayton, Miamisburg, Montgomery County, Ohio, 45342, United States

    SUITE 550

    MIAMISBURG, OH 453423794

    Phone: (937) 752-2305

    Fax: (937) 522-7513

    Type: Mailing

  • 2115, Leiter Road, Miamisburg, Montgomery County, Ohio, 45342, United States

    MIAMISBURG, OH 453423659

    Phone: (937) 384-6800

    Fax: (937) 384-6939

    Type: Location

  • 2115 LEITER RD

    MIAMISBURG, OH 453423600

    Phone: (937) 384-6800

    Fax: (937) 384-6938

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-02-15

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
I20100215000572IInternal MedicineOHTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes1613$0
View full utilization report →

Insurance plans in this area (ZIP 45342)

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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: 0840104360View full group profile

Reviews

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Frequently asked questions

What identifier follows DR. GREGORY R WISE (MD) across health systems?
The NPI 1184605263 uniquely identifies DR. GREGORY R WISE (MD) in U.S. healthcare data.
Is DR. GREGORY R WISE (MD)'s NPI status active today?
Active status means DR. GREGORY R WISE (MD)'s NPI record is not deactivated in the public file.
Which specialty label fits DR. GREGORY R WISE (MD)?
NPPES ties DR. GREGORY R WISE (MD) to Internal Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. GREGORY R WISE (MD)?
DR. GREGORY R WISE (MD) shows a connection to Miamisburg, Ohio in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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