Active NPI 1235196866 Individual Practitioner Male Practitioner

Dr. Edward A Wiese , MD

Internal Medicine • Ashtabula, OH

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Edward Wiese, MD is a certified Internal Medicine practicing in Ashtabula, OH. With approximately 35 years of clinical experience since completing medical education in 1991, Dr. Wiese delivers high-quality medical care to the local community at 2422 LAKE AVE.

Dr. Wiese is affiliated with Aspen Valley Hospital Clinics, Pllc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, administration of influenza virus vaccine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2422 Lake Ave

Ashtabula, OH 440044985

Telephone 4409924422

Associated Practice Facility / Clinic

🏢 Hearn Vascular, Inc. Facility NPI 1235130725

Medicare Profile & Education

Medical School

Other

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Ashtabula, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs +9.4 yrs vs City Avg

City Avg: 25.6 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

12 Specialists

Practicing in Ashtabula, OH (5516 Statewide)

Telehealth Adoption Rate

16.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

66.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wiese (35 Years) 35 Yrs

Ashtabula Specialty Average (25.6 Years) 25.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	451	248	$239.00	$92.75
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	197	197	$393.00	$133.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	83	74	$359.00	$130.83
G0008 Administration of influenza virus vaccine	67	67	$80.00	$32.58
90662 Influenza vaccine split virus, preservative free	66	66	$278.67	$81.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	55	40	$149.00	$58.12
91322 Sarscov2 vac 50 mcg/0.5ml im	52	52	$509.77	$156.05
90480 Admn sarscov2 vacc 1 dose	52	52	$47.00	$43.45
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	39	38	$78.00	$8.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$378.00	$110.50
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	27	23	$50.00	$16.50
93000 Routine ekg using at least 12 leads including interpretation and report	20	20	$130.00	$14.67
99441 Telephone medical discussion with physician, 5-10 minutes	18	18	$75.00	$55.28
99442 Telephone medical discussion with physician, 11-20 minutes	16	13	$152.00	$89.34
69210 Removal of impacted ear wax	13	12	$211.00	$47.06
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$246.00	$74.05
81003 Automated urinalysis test	12	11	$38.00	$2.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	489	276	$227.89	$91.34
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	183	183	$376.70	$131.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	96	77	$342.00	$128.67
90662 Influenza vaccine split virus, preservative free	92	92	$204.75	$71.15
G0008 Administration of influenza virus vaccine	90	90	$76.00	$31.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	83	70	$141.90	$57.42
90480 Admn sarscov2 vacc 1 dose	76	76	$45.00	$40.30
91322 Sarscov2 vac 50 mcg/0.5ml im	76	76	$332.00	$139.24
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	40	11	$133.35	$63.19
99441 Telephone medical discussion with physician, 5-10 minutes	32	29	$71.00	$54.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$358.32	$113.98
93000 Routine ekg using at least 12 leads including interpretation and report	23	23	$124.00	$14.76
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	18	18	$616.00	$281.81
G0009 Administration of pneumococcal vaccine	18	18	$76.44	$31.04
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	17	17	$74.00	$8.13
0124A Fee covid-19 vac 13 res	15	15	$44.60	$41.36
90471 Administration of 1 vaccine	13	11	$80.00	$19.24
69210 Removal of impacted ear wax	13	12	$201.00	$48.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	407	247	$215.00	$93.07
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	162	162	$363.00	$134.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	125	101	$134.00	$58.16
0124A Fee covid-19 vac 13 res	111	110	$42.00	$40.02
90662 Influenza vaccine split virus, preservative free	104	102	$140.00	$68.38
G0008 Administration of influenza virus vaccine	91	91	$74.00	$30.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	69	60	$323.00	$131.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$336.00	$113.46
0134A Fee covid-19 vac 14 res	56	56	$42.00	$40.02
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	50	12	$127.00	$64.72
90834 Psychotherapy, 45 minutes	48	21	$193.00	$97.89
0013A Adm sarscov2 100mcg/0.5ml3rd	40	40	$42.00	$40.43
99441 Telephone medical discussion with physician, 5-10 minutes	30	26	$67.00	$56.38
0004A Fee covid-19 vac 1 res	29	29	$42.00	$40.43
90471 Administration of 1 vaccine	28	27	$75.00	$17.32
90832 Psychotherapy, 30 minutes	28	13	$173.00	$72.59
90837 Psychotherapy, 60 minutes	26	18	$223.00	$148.56
0003A Adm sarscov2 30mcg/0.3ml 3rd	15	15	$42.00	$40.43
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$511.00	$171.38
99496 Transitional care management services for problem of high complexity	12	12	$706.00	$286.00
93000 Routine ekg using at least 12 leads including interpretation and report	11	11	$117.00	$14.64
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$219.00	$74.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	282	188	$205.00	$93.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	169	169	$320.00	$115.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	103	82	$128.00	$57.94
99202 New patient office or other outpatient visit, typically 20 minutes	97	97	$209.00	$75.08
G0008 Administration of influenza virus vaccine	87	87	$70.00	$17.53
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	83	83	$346.00	$135.57
90662 Influenza vaccine split virus, preservative free	75	75	$133.00	$65.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	45	$308.00	$132.91
0013A Adm sarscov2 100mcg/0.5ml3rd	52	52	$40.00	$40.00
0003A Adm sarscov2 30mcg/0.3ml 3rd	38	38	$40.00	$40.00
99441 Telephone medical discussion with physician, 5-10 minutes	21	19	$64.00	$56.37
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	14	14	$71.00	$20.53
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$487.00	$171.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	158	92	$197.00	$76.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	84	84	$308.00	$109.36
99202 New patient office or other outpatient visit, typically 20 minutes	53	53	$199.57	$77.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	27	$296.00	$109.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	21	$123.00	$46.68
G0008 Administration of influenza virus vaccine	22	22	$67.00	$17.11
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	22	22	$333.00	$118.85
90662 Influenza vaccine split virus, preservative free	19	19	$113.32	$60.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	764	403	$100.33	$50.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	295	223	$160.03	$77.19
99495 Transitional care management services for problem of at least moderate complexity	43	39	$210.00	$107.92
99213 Established patient office or other outpatient visit, typically 15 minutes	34	26	$200.59	$71.23
99202 New patient office or other outpatient visit, typically 20 minutes	30	30	$193.00	$77.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	18	$50.00	$25.09
93227 Electrocardiogram (ecg) 2-day continuous with review by health care professional	15	14	$50.00	$26.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$296.00	$109.57
G0008 Administration of influenza virus vaccine	11	11	$64.00	$16.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,426	549	$100.00	$50.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	290	171	$160.86	$76.80
99495 Transitional care management services for problem of at least moderate complexity	92	81	$210.00	$107.99
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	57	51	$40.00	$8.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	49	42	$50.00	$24.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$150.00	$75.69
99213 Established patient office or other outpatient visit, typically 15 minutes	30	13	$234.00	$44.33
93227 Electrocardiogram (ecg) 2-day continuous with review by health care professional	30	30	$50.00	$26.34
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	16	16	$48.00	$14.56
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	16	16	$48.00	$21.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	2,696	1,742	$40.00	$8.26
99213 Established patient office or other outpatient visit, typically 15 minutes	1,525	591	$100.00	$49.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	201	118	$160.00	$76.73
99495 Transitional care management services for problem of at least moderate complexity	91	76	$210.00	$107.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	49	41	$50.00	$24.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$150.00	$75.19
93227 Electrocardiogram (ecg) 2-day continuous with review by health care professional	36	36	$50.00	$25.79
99213 Established patient office or other outpatient visit, typically 15 minutes	26	12	$215.38	$52.33
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	19	19	$48.00	$14.53
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	18	18	$48.00	$21.85

Medical Specialties & State Licenses

CMS Verified: 2025-10-07

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 35069100

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0386014 (OH)

Hospital & Practice Group Affiliations

Aspen Valley Hospital Clinics, Pllc

401 Castle Creek Rd, Aspen, CO 816111159

Phone: 9705441422

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

20 Associated Practitioners

Julie Calestro-Mcdonald , MSW, LISW

Social Worker

NPI 1003085416

Master of Social Work, Licensed Independent Social Worker

Dr. Doris Miller , MD

Pediatrics

NPI 1023075280

Doctor of Medicine (M.D.)

Dr. James Cho , MD

Specialist

NPI 1053378430

Doctor of Medicine (M.D.)

Dr. John Posch , MD

Orthopaedic Surgery

NPI 1124085428

Doctor of Medicine (M.D.)

Dr. Reham El Gammal , MD

Pediatrics

NPI 1194966978

Doctor of Medicine (M.D.)

Dr. Michelle Dunbar , DPM

Podiatrist

NPI 1205006178

Doctor of Podiatric Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

✅

NPI Profile Active December 28, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location December 28, 2017

Registered at 2422 LAKE AVE, ASHTABULA, OH 440044985 (Tel: 4409924422)

📍

Updated Business Mailing Address December 28, 2017

Registered at 2422 LAKE AVE, ASHTABULA, OH 440044985 (Tel: 4409924422)

👤

Provider Name / Credentials Updated December 28, 2017

Recorded as EDWARD WIESE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 28, 2017

Internal Medicine (License #35069100 in OH)

✅

NPI Profile Active August 25, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location August 25, 2008

Registered at 2422 LAKE AVE, ASHTABULA, OH 440044985 (Tel: 4409924422)

📍

Updated Business Mailing Address August 25, 2008

Registered at 2422 LAKE AVE, ASHTABULA, OH 440044985 (Tel: 4409924422)

👤

Provider Name / Credentials Updated August 25, 2008

Recorded as EDWARD WIESE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2008

Specialist (License #35069100 in OH)

🟢

Initial NPI Registration & Enumeration April 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1235196866

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 27, 2006

Last Update: October 07, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2422 Lake Ave

Ashtabula, OH 440044985

Phone: 4409924422

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.