JILL C WISDOM (DPM) – Podiatrist, NPI 1255331310

JILL C WISDOM (DPM) is a healthcare provider. based in Plano, Texas. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 1283 (TX). The NPI Number for JILL C WISDOM (DPM) is 1255331310

Main info

Female
32 Years Of Experience
Name
JILL C WISDOM (DPM)
NPI
1255331310
Phone
(972) 769-7280
Address
6309 PRESTON RD
Enumeration Date
29 July 2005
Deactivation Date
22 March 2006
Reactivation Date
28 March 2006
Last Update Date
29 August 2014

Doctor Profile

Medical School Name
CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
9727697280
Graduation Year
1994 (32 years ago)
PAC ID
6901795756
Professional Enrollment ID
I20040615001209
Address ID
TX750242741PL6309XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,097 PODIATRY in TX

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Provider Addresses for JILL C WISDOM (DPM)

  • Preston Road, Plano, Collin County, Texas, 75252, United States

    SUITE 1200

    PLANO, TX 750242606

    Phone: (972) 769-7280

    Fax: (972) 769-7287

    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 8 Open Payments records for all available years, with a total value of $488.

Total Amount is formed as General ($488) + Research ($0) + Ownership ($0) = $488.

Last reported payment date: 2024-11-04 • Largest payer in this snapshot: TREACE MEDICAL CONCEPTS, INC. ($261).

Total Amount

$488

General + Research + Ownership

Payments

8

Total payment records

General Amount

$488

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-04

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: 2004-06-15

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
I20040615001209IPodiatryTXTBD

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
11720Removal of fingernails or toenails, 1-5 nails468203$0
99212Established patient office or other outpatient visit, 10-19 minutes377143$0
99213Established patient office or other outpatient visit, 20-29 minutes310166$0
99203New patient office or other outpatient visit, 30-44 minutes107107$0
73620X-ray of foot, 2 views10053$0
View full utilization report →

Insurance plans in this area (ZIP 75024)

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Provider's Procedures

JILL C WISDOM (DPM) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYTX11720Removal of tissue from 1 to 5 finger or toe nails458202

Reviews

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Frequently asked questions

What is the 10-digit NPI for JILL C WISDOM (DPM)?
JILL C WISDOM (DPM) — NPI 1255331310 — is the standard way to identify this listing.
Can I rely on JILL C WISDOM (DPM) being an active provider?
As of the registry snapshot, JILL C WISDOM (DPM) is marked active.
What taxonomy line describes JILL C WISDOM (DPM)?
For research purposes, treat JILL C WISDOM (DPM) as Podiatrist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect JILL C WISDOM (DPM) on a map?
Expect Plano, Texas as a primary anchor for JILL C WISDOM (DPM) unless the record lists multiple sites.
Why does JILL C WISDOM (DPM) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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