DR. KEITH WAYNE WISNIEWSKI (M.D.) – Dermatology Physician, NPI 1588792741
Dermatology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,284 DERMATOLOGY in TX
Provider Addresses for DR. KEITH WAYNE WISNIEWSKI (M.D.)
2202 ITHACA AVE
LUBBOCK, TX 794101332
Phone: (806) 797-1202
Fax: (806) 797-4854
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 180 Open Payments records for all available years, with a total value of $4,669.
Total Amount is formed as General ($4,669) + Research ($0) + Ownership ($0) = $4,669.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($736).
Total Amount
$4,669
General + Research + Ownership
Payments
180
Total payment records
General Amount
$4,669
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Regeneron Healthcare Solutions, Inc. | $736 |
| E.R. Squibb & Sons, L.L.C. | $694 |
| ABBVIE INC. | $334 |
| Arcutis Biotherapeutics, Inc. | $295 |
| Janssen Biotech, Inc. | $234 |
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: 2007-10-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20071023000826 | I | Dermatology | TX | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 2,998 | 572 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,499 | 1,073 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 1,090 | 816 | $0 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 902 | 493 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 616 | 503 | $0 |
Insurance plans in this area (ZIP 79410)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | TX | 11101 | Biopsy of each additional growth of skin and/or tissue | 230 | 157 |
| DERMATOLOGY | TX | 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 11 | 11 |
| DERMATOLOGY | TX | 17003 | Destruction of 2-14 skin growths | 3209 | 597 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | CA | |
| Physician Assistant | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Physician Assistant | TX |
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