DENISE KATHLEEN WISE (M.D.) – Diagnostic Radiology Physician, NPI 1184634586
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,303 DIAGNOSTIC RADIOLOGY in TX
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Provider Addresses for DENISE KATHLEEN WISE (M.D.)
800, 5th Avenue, Fort Worth, Tarrant County, Texas, 76104, United States
SUITE 400
FORT WORTH, TX 761047300
Phone: (817) 924-1999
Fax: (817) 886-0881
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 2 Open Payments records for all available years, with a total value of $1,256.
Total Amount is formed as General ($1,256) + Research ($0) + Ownership ($0) = $1,256.
Last reported payment date: 2023-07-17 • Largest payer in this snapshot: HOLOGIC INC ($1,256).
Total Amount
$1,256
General + Research + Ownership
Payments
2
Total payment records
General Amount
$1,256
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| HOLOGIC INC | $1,256 |
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: 2004-01-17
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 |
|---|---|---|---|---|
| I20040117000161 | I | Diagnostic Radiology | CA | 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 |
|---|---|---|---|---|
| 77063 | Screening 3d breast mammography | 597 | 597 | $0 |
| 77067 | Screening mammography | 597 | 597 | $0 |
| 76641 | Complete ultrasound scan of 1 breast | 195 | 194 | $0 |
| 77085 | Dxa bone density measurement of hip, pelvis, spine including spine fracture assessment | 194 | 194 | $0 |
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 78 | 78 | $0 |
Insurance plans in this area (ZIP 76104)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | MO | |
| Diagnostic Radiology | AZ | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | ME | |
| Diagnostic Radiology | KS | |
| Interventional Radiology, Diagnostic Radiology | CA | |
| Diagnostic Radiology, Interventional Radiology, Diagnostic Radiology | GA |
Reviews
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