JEFFREY JOHN WISINSKI (DO) – Sports Medicine (Family Medicine) Physician, NPI 1275989667
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,100 FAMILY PRACTICE in PA
Provider Addresses for JEFFREY JOHN WISINSKI (DO)
PO BOX 858
MC A410
HERSHEY, PA 170330858
Phone: (800) 243-1455
Type: Mailing
1850 E PARK AVE STE 112
STATE COLLEGE, PA 168036706
Phone: (814) 865-3566
Fax: (814) 235-4780
Type: Location
300 E MCBEE AVE FL 4
GREENVILLE, SC 296012842
Phone: (864) 522-8603
Type: Mailing
3209 COLONIAL DR
COLUMBIA, SC 292036930
Phone: (803) 434-6113
Fax: (803) 758-0106
Type: Location
1850 E Park Ave Ste 112
State College, PA 168036706
Phone: (814) 865-3566
Fax: (814) 235-4780
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 $14.
Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.
Last reported payment date: 2024-05-09 • Largest payer in this snapshot: Exact Sciences Corporation ($14).
Total Amount
$14
General + Research + Ownership
Payments
1
Total payment records
General Amount
$14
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Exact Sciences Corporation | $14 |
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: 2023-03-20
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 |
|---|---|---|---|---|
| I20230320001899 | I | Family Practice | SC | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 106 | 90 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 77 | 68 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 32 | 24 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 21 | 18 | $0 |
Insurance plans in this area (ZIP 17033)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | SC | |
| - | GA | |
| Internal Medicine | NC | |
| Physician Assistant | SC | |
| - | SC | |
| H O S P I T A L I S T | GA | |
| Vascular Surgery | FL | |
| - | GA | |
| Interventional Cardiology, Internal Medicine | SC | |
| Orthopedic Surgery | SC |
Reviews
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