DR. JEREMY DOUGLAS WISEMAN (MD) – Family Medicine Physician, NPI 1114188497
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,705 FAMILY PRACTICE in TX
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Provider Addresses for DR. JEREMY DOUGLAS WISEMAN (MD)
100, South Lakeline Boulevard, Cedar Park, Williamson County, Texas, 78613, United States
CEDAR PARK, TX 786132968
Phone: (512) 345-8970
Fax: (512) 345-6689
Type: Location
3000 Medical Arts St
Austin, TX 787053305
Phone: (512) 222-1380
Fax: (512) 222-1466
Type: Location
6611 River Place Blvd Ste 302
Austin, TX 787301162
Phone: (512) 538-2989
Type: Location
115 S Randolph St Ste 101
San Angelo, TX 769036425
Phone: (325) 617-4583
Fax: (855) 220-9655
Type: Location
173 Fm 3237 Ste A
Wimberley, TX 786765373
Phone: (512) 600-2870
Fax: (855) 220-9655
Type: Location
3010 Bee Cave Rd Ste 200
Austin, TX 787465526
Phone: (512) 600-9898
Fax: (512) 243-8675
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 $203.
Total Amount is formed as General ($203) + Research ($0) + Ownership ($0) = $203.
Last reported payment date: 2023-08-25 • Largest payer in this snapshot: Merz North America, Inc. ($203).
Total Amount
$203
General + Research + Ownership
Payments
1
Total payment records
General Amount
$203
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merz North America, Inc. | $203 |
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: 2026-02-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20101019000659 | I | Family Practice | TX | TBD |
| I20260224001986 | I | Family Practice | CO | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 213 | 158 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 173 | 121 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 59 | 59 | $0 |
| 81003 | Automated urinalysis test | 49 | 44 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 32 | 32 | $0 |
Insurance plans in this area (ZIP 78613)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Physician Assistant | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX |
Reviews
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