DR. OLIVER JAYME WISCO (D.O.) – MOHS-Micrographic Surgery Physician, NPI 1164545166
MOHS-Micrographic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
100 DERMATOLOGY in RI
Provider Addresses for DR. OLIVER JAYME WISCO (D.O.)
400 Bald Hill Rd
Warwick, RI 028861617
Phone: (401) 444-7959
Fax: (401) 738-3857
Type: Location
DERMATOLOGY HEALTH SPCECIALIST
1693 SW CHANDLER AVE SUITE 250
BEND, OR 977023231
Phone: (541) 382-8819
Type: Location
110 ELM ST
PROVIDENCE, RI 029034626
Phone: (401) 443-4992
Type: Mailing
593 Eddy St APC-10
Providence, RI 029034923
Phone: (401) 444-7959
Fax: (401) 444-7144
Type: Location
375 Wampanoag Trl Ste 401
Riverside, RI 029152237
Phone: (401) 444-7959
Fax: (401) 432-6997
Type: Location
65 Village Square Dr Ste 201
South Kingstown, RI 028792569
Phone: (401) 444-7959
Fax: (401) 515-7910
Type: Location
15 LA SALLE SQ
PROVIDENCE, RI 029031814
Phone: (401) 444-6779
Fax: (401) 444-6912
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 48 Open Payments records for all available years, with a total value of $2,146.
Total Amount is formed as General ($1,501) + Research ($645) + Ownership ($0) = $2,146.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($653).
Total Amount
$2,146
General + Research + Ownership
Payments
48
Total payment records
General Amount
$1,501
General payments
Research Amount
$645
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $653 |
| Regeneron Pharmaceuticals, Inc. | $645 |
| Lilly USA, LLC | $150 |
| GENZYME CORPORATION | $100 |
| Regeneron Healthcare Solutions, Inc. | $95 |
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: 2020-10-05
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 |
|---|---|---|---|---|
| I20140829002296 | I | Dermatology | OR | TBD |
| I20201005002551 | I | Dermatology | RI | 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 | 791 | 132 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 239 | 169 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 203 | 164 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 158 | 135 | $0 |
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 106 | 89 | $0 |
Insurance plans in this area (ZIP 02886)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | OR | 11101 | Biopsy of each additional growth of skin and/or tissue | 39 | 27 |
| DERMATOLOGY | OR | 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 80 | 74 |
| DERMATOLOGY | OR | 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 20 | 20 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | RI | |
| Nurse Practitioner | RI | |
| Pathology, Dermatology | RI | |
| Physician Assistant | RI | |
| - | RI | |
| D E R M A T O L O G Y | PA | |
| D E R M A T O L O G Y | RI | |
| Nurse Practitioner | RI | |
| D E R M A T O L O G Y | RI | |
| Physician Assistant | RI |
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