MICHAEL THOMAS WISE (DC) – Chiropractor, NPI 1215929591

MICHAEL THOMAS WISE (DC) is a healthcare provider. based in Redmond, Oregon. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. 3915 (OR). The NPI Number for MICHAEL THOMAS WISE (DC) is 1215929591

Main info

Male
Sole Proprietor
28 Years Of Experience
Name
MICHAEL THOMAS WISE (DC)
NPI
1215929591
Phone
(541) 548-5089
Address
707 SW 9TH ST
Enumeration Date
22 August 2005
Last Update Date
24 February 2017

Doctor Profile

Medical School Name
NORTHWESTERN COLLEGE OF CHIROPRACTIC
Secondary Phone
5415485089
Graduation Year
1998 (28 years ago)
PAC ID
1153316393
Group Practice PAC ID
4880729813
Professional Enrollment ID
I20100309000902
Address ID
OR977562726RE707XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

709 CHIROPRACTIC in OR

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Provider Addresses for MICHAEL THOMAS WISE (DC)

  • 707, Southwest 9th Street, Redmond, Deschutes County, Oregon, 97756, United States

    REDMOND, OR 97756

    Phone: (541) 548-5089

    Fax: (541) 504-5353

    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)

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: 2010-03-09

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
I20100309000902IChiropracticORTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97756)

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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: 4880729813View full group profile
NameSpecialtyState
C H I R O P R A C T I COR

Reviews

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Frequently asked questions

What NPI should I save for MICHAEL THOMAS WISE (DC)?
Save NPI 1215929591 if you need a stable reference for MICHAEL THOMAS WISE (DC).
Is MICHAEL THOMAS WISE (DC) active in the national directory?
MICHAEL THOMAS WISE (DC)'s public NPI profile is in an active state.
What does MICHAEL THOMAS WISE (DC) treat or focus on?
Patients typically see MICHAEL THOMAS WISE (DC) under the specialty Chiropractor. Clinical services aligned with this taxonomy classification.
What location metadata exists for MICHAEL THOMAS WISE (DC)?
The page summarizes Redmond, Oregon for MICHAEL THOMAS WISE (DC); expand the address list for detail.
What if Redmond, Oregon seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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