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Active NPI 1164545166 Individual Practitioner Male Practitioner

Dr. Oliver Jayme Wisco , DO

Dermatology - MOHS-Micrographic Surgery • Bend, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Oliver Wisco, DO is a certified Dermatology - MOHS-Micrographic Surgery practicing in Bend, OR. With approximately 24 years of clinical experience since graduating from Philadelphia College Of Osteopathic Medicine in 2002, Dr. Wisco delivers high-quality medical care to the local community at DERMATOLOGY HEALTH SPCECIALIST.

Dr. Wisco maintains professional affiliations with Dermatology Health Specialists, Pc, Brown Dermatology Inc, Harney District Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

Dermatology Health Spcecialist
1693 Sw Chandler Ave Suite 250

Bend, OR 977023231

Telephone 5413828819
Associated Practice Facility / Clinic
🏢 Newport Hospital Facility NPI 1457346413

Medicare Profile & Education

Medical School

Philadelphia College Of Osteopathic Medicine

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology - MOHS-Micrographic Surgery in Bend, OR

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
24 Yrs -1.0 yrs vs City Avg
City Avg: 25.0 Yrs
State Avg: 18.9 Yrs
Regional Practice Density
3 Specialists

Practicing in Bend, OR (23 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wisco (24 Years) 24 Yrs
Bend Specialty Average (25.0 Years) 25.0 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
17003 Destruction of precancer skin growth, 2-14 growths
828 121 $14.24 $6.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
212 149 $279.25 $123.87
17000 Destruction of skin growth
198 147 $165.81 $57.67
99213 Established patient office or other outpatient visit, typically 15 minutes
186 147 $190.28 $87.63
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks
142 125 $1707.57 $594.56
11102 Tangential biopsy of single skin lesion
81 75 $250.63 $95.09
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks
69 51 $1012.49 $397.47
17004 Destruction of precancer skin growth, 15 or more growths
48 41 $389.33 $162.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
40 35 $116.55 $54.77
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm
37 37 $764.48 $228.21
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks
24 22 $1599.23 $577.70
11103 Biopsy of related skin growth, each additional growth
24 18 $132.96 $48.77
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth
20 20 $766.13 $172.01
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm
15 15 $1230.73 $225.28
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm
14 14 $627.80 $135.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
12 12 $385.67 $163.37

Medical Specialties & State Licenses

CMS Verified: 2025-12-19
Dermatology - MOHS-Micrographic Surgery Primary Specialty

NUCC Taxonomy Code: 207ND0101X

State License RI DO01032

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Dermatology - MOHS-Micrographic Surgery

NUCC Taxonomy Code: 207ND0101X

State License OR DO157812

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
500674728 (OR)
Commercial Insurance / Payer ID Caqh
12729019 (OR)

Hospital & Practice Group Affiliations

Harney District Hospital

559 W Washington St, Burns, OR 977201441

Phone: 5415732074

Harney District Hospital

557 W Washington St, Burns, OR 977201441

Phone: 5415737281

Brown Dermatology Inc

593 Eddy St, Providence, RI 029034923

Phone: 4014447959

Rhode Island Hospital

593 Eddy St, Providence, RI 029034900

Phone: 4014445435

Harney District Hospital

557 W Washington St, Burns, OR 977201441

Dermatology Health Specialists, Pc

16440 3rd St, La Pine, OR 977398002

Phone: 5413828819

Harney District Hospital

559 W Washington St, Burns, OR 977201441

Phone: 5415732074

Secondary Practice Locations

593 Eddy St Apc-10

Providence, RI 029034923

Phone: 4014447959

375 Wampanoag Trl Ste 401

Riverside, RI 029152237

Phone: 4014447959

65 Village Square Dr Ste 201

South Kingstown, RI 028792569

Phone: 4014447959

400 Bald Hill Rd

Warwick, RI 028861617

Phone: 4014447959

Practice Associates & Co-Workers

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

1 Associated Practitioners
Lindsey Clark , PA-C

Physician Assistant

NPI 1659627354

Physician Assistant (Certified)

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Business Mailing Address December 19, 2025

Registered at 15 LA SALLE SQ, PROVIDENCE, RI 029031814 (Tel: 4014446779)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2025

Dermatology (License #DO157812 in OR)

📍
Updated Practice Location August 06, 2020

Registered at DERMATOLOGY HEALTH SPCECIALIST, 1693 SW CHANDLER AVE SUITE 250, BEND, OR 977023231 (Tel: 5413828819)

📍
Updated Business Mailing Address August 06, 2020

Registered at 110 ELM ST, PROVIDENCE, RI 029034626 (Tel: 4014434992)

📍
Updated Practice Location April 06, 2019

Registered at 1693 SW CHANDLER AVE STE 250, BEND, OR 977023231 (Tel: 2106325544)

📍
Updated Business Mailing Address April 06, 2019

Registered at PO BOX 831, BEND, OR 977090831 (Tel: 5416325544)

NPI Profile Active September 26, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location September 26, 2014

Registered at 2600 NE NEFF RD, BEND, OR 977016337 (Tel: 5413822811)

📍
Updated Business Mailing Address September 26, 2014

Registered at PO BOX 6048, BEND, OR 977086048 (Tel: 5413822811)

👤
Provider Name / Credentials Updated September 26, 2014

Recorded as OLIVER WISCO, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2014

Dermatology (License #DOS-1007 in HI)

🟢
Initial NPI Registration & Enumeration April 06, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1164545166
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 06, 2007
Last Update: December 19, 2025
Sole Proprietor: No

Mailing Address

15 La Salle Sq

Providence, RI 029031814

Phone: 4014446779

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.