MICHAEL R WISSER (DO) – Family Medicine Physician, NPI 1386676617

MICHAEL R WISSER (DO) is a healthcare provider. based in Glen mills, Pennsylvania. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. OS009968L (PA). The NPI Number for MICHAEL R WISSER (DO) is 1386676617

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL R WISSER (DO)
NPI
1386676617
Phone
(610) 459-1619
Address
145 BRINTON LAKE ROAD
Enumeration Date
7 July 2006
Last Update Date
31 August 2015

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
4842273863
Graduation Year
1997 (29 years ago)
PAC ID
3072648476
Group Practice PAC ID
1951215201
Professional Enrollment ID
I20100323000742
Address ID
PA190635146ME1088XPIKE400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

6,103 FAMILY PRACTICE in PA

Provider Addresses for MICHAEL R WISSER (DO)

  • 145 BRINTON LAKE ROAD

    FIRST FLOOR

    GLEN MILLS, PA 19342

    Phone: (610) 459-1619

    Fax: (610) 459-1865

    Type: Mailing

  • 145 BRINTON LAKE RD

    FIRST FLOOR

    GLEN MILLS, PA 193422281

    Phone: (610) 459-1619

    Fax: (610) 459-1865

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $413.

Total Amount is formed as General ($413) + Research ($0) + Ownership ($0) = $413.

Last reported payment date: 2024-03-26 • Largest payer in this snapshot: ABBVIE INC. ($209).

Total Amount

$413

General + Research + Ownership

Payments

18

Total payment records

General Amount

$413

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-26

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2010-03-23

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
I20100323000742IFamily PracticePATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes552271$0
G0009Administration of pneumococcal vaccine138138$0
90677Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use138138$0
G0008Administration of influenza virus vaccine9492$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage8181$0
View full utilization report →

Insurance plans in this area (ZIP 19342)

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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: 1951215201View full group profile

Reviews

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Frequently asked questions

What NPI should I save for MICHAEL R WISSER (DO)?
Save NPI 1386676617 if you need a stable reference for MICHAEL R WISSER (DO).
Is MICHAEL R WISSER (DO) currently active in the NPI registry?
CMS-published data lists MICHAEL R WISSER (DO) as an active registrant.
What does MICHAEL R WISSER (DO) treat or focus on?
Patients typically see MICHAEL R WISSER (DO) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place MICHAEL R WISSER (DO)?
The snapshot lists Glen Mills, Pennsylvania for MICHAEL R WISSER (DO); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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