DR. VANCE ERIC WISE (M.D.) – Diagnostic Radiology Physician, NPI 1114214384
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,303 DIAGNOSTIC RADIOLOGY in TX
Provider Addresses for DR. VANCE ERIC WISE (M.D.)
6431 FANNIN ST
SUITE MSB 2.130B
HOUSTON, TX 770305389
Phone: (713) 704-1478
Fax: (713) 704-1715
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)
CMS reports 1 Open Payments records for all available years, with a total value of $17.
Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.
Last reported payment date: 2024-09-17 • Largest payer in this snapshot: Sirtex Medical Inc ($17).
Total Amount
$17
General + Research + Ownership
Payments
1
Total payment records
General Amount
$17
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sirtex Medical Inc | $17 |
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: 2017-07-11
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 |
|---|---|---|---|---|
| I20170711001656 | I | Diagnostic Radiology | AR | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 1,145 | 981 | $0 |
| 70450 | Ct scan head or brain without contrast | 523 | 491 | $0 |
| 71046 | X-ray of chest, 2 views | 354 | 349 | $0 |
| 74018 | X-ray of abdomen, 1 view | 316 | 288 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 279 | 272 | $0 |
Insurance plans in this area (ZIP 77030)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AR | |
| - | AR | |
| Diagnostic Radiology, Nuclear Medicine | AR | |
| Diagnostic Radiology | OK | |
| Diagnostic Radiology, Interventional Radiology | AR | |
| - | AR | |
| Interventional Radiology | AR | |
| Diagnostic Radiology | AR | |
| Nurse Practitioner | AR | |
| Diagnostic Radiology, Interventional Radiology | AR |
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