Active NPI 1154472579 Individual Practitioner Male Practitioner

Dr. John Michael Wisniewski , MD

Internal Medicine • Conemaugh, PA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. John Wisniewski, MD is a certified Internal Medicine practicing in Conemaugh, PA. With approximately 40 years of clinical experience since completing medical education in 1986, Dr. Wisniewski delivers high-quality medical care to the local community at 340 1ST ST.

Dr. Wisniewski maintains professional affiliations with Wisniewski Medical Llc, Vantage Physical Therapy And Rehabilitation Inc 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, residence visit for established patient with low level of medical decision making, per day, if using time, at least, residence visit for established patient with moderate level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

340 1st St

Conemaugh, PA 159091906

Telephone 8145357721

Fax 8145352105

Associated Practice Facility / Clinic

🏢 Wisniewski Medical Llc Facility NPI 1376385948

Medicare Profile & Education

Medical School

Other

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Conemaugh, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

40 Yrs Matches City Avg

City Avg: 40.0 Yrs

State Avg: 28.2 Yrs

Regional Practice Density

1 Specialists

Practicing in Conemaugh, PA (7609 Statewide)

Telehealth Adoption Rate

100.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

34.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wisniewski (40 Years) 40 Yrs

Conemaugh Specialty Average (40.0 Years) 40.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	127	63	$174.04	$121.47
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	92	52	$124.04	$73.24
99213 Established patient office or other outpatient visit, typically 15 minutes	60	37	$118.54	$85.49
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	43	34	$181.35	$121.76
90661 Influenza vaccine, trivalent derived from cell cultures	13	13	$45.00	$36.11
G0008 Administration of influenza virus vaccine	13	13	$45.00	$30.77
99344 New patient home visit, typically 1 hour	12	12	$235.00	$136.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	179	77	$165.66	$122.35
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	140	49	$128.00	$73.49
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	124	20	$90.00	$71.32
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	123	19	$128.00	$102.26
99213 Established patient office or other outpatient visit, typically 15 minutes	99	55	$114.23	$85.87
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	89	45	$188.00	$122.78
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	48	11	$158.00	$147.09
90682 Influenza vaccine, quadrivalent derived from recombinant dna	24	24	$43.00	$42.14
G0008 Administration of influenza virus vaccine	24	24	$31.00	$29.45
99344 New patient home visit, typically 1 hour	16	16	$263.00	$138.81
99496 Transitional care management services for problem of high complexity	12	12	$240.00	$236.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	203	84	$165.66	$124.42
99213 Established patient office or other outpatient visit, typically 15 minutes	99	54	$114.23	$88.26
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	97	18	$90.00	$66.24
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	85	19	$128.00	$87.25
99336 Established patient assisted living visit, typically 40 minutes	76	33	$327.00	$130.00
99335 Established patient assisted living visit, typically 25 minutes	67	28	$112.50	$91.76
G0008 Administration of influenza virus vaccine	28	26	$31.00	$28.35
90682 Influenza vaccine, quadrivalent derived from recombinant dna	27	25	$43.00	$42.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	185	82	$165.49	$127.03
99213 Established patient office or other outpatient visit, typically 15 minutes	109	58	$114.38	$89.42
99335 Established patient assisted living visit, typically 25 minutes	64	30	$107.42	$93.26
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	62	24	$113.55	$88.64
99336 Established patient assisted living visit, typically 40 minutes	56	27	$260.46	$132.10
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	46	21	$88.48	$67.18
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	30	17	$147.20	$131.53
99496 Transitional care management services for problem of high complexity	29	26	$300.52	$254.38
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	19	18	$51.00	$13.78
G0008 Administration of influenza virus vaccine	19	19	$30.68	$16.39
99496 Transitional care management services for problem of high complexity	19	18	$268.42	$193.11
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$223.93	$177.60
99315 Nursing facility discharge day management, 30 minutes or less	14	13	$111.43	$71.04
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	13	11	$75.00	$51.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	162	80	$150.19	$106.68
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	155	40	$100.00	$90.17
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	139	29	$110.00	$71.25
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	108	36	$85.00	$68.38
99213 Established patient office or other outpatient visit, typically 15 minutes	94	56	$100.00	$73.47
99335 Established patient assisted living visit, typically 25 minutes	79	33	$100.00	$94.68
99336 Established patient assisted living visit, typically 40 minutes	68	28	$147.35	$133.75
99442 Telephone medical discussion with physician, 11-20 minutes	59	46	$100.85	$73.08
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	58	25	$140.00	$132.71
99496 Transitional care management services for problem of high complexity	48	36	$375.00	$161.66
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	44	38	$75.00	$51.97
99238 Hospital discharge day management, 30 minutes or less	35	28	$110.00	$71.79
99443 Telephone medical discussion with physician, 21-30 minutes	33	25	$122.42	$99.16
90756 Vaccine for influenza for injection into muscle	32	32	$40.00	$27.70
G0008 Administration of influenza virus vaccine	32	32	$25.00	$16.28
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	20	$175.00	$136.05
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	15	$200.00	$143.44
99315 Nursing facility discharge day management, 30 minutes or less	20	17	$100.00	$72.74
G0182 Physician supervision of a patient under a medicare-approved hospice (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patien	20	19	$150.00	$105.89
99496 Transitional care management services for problem of high complexity	19	17	$375.00	$238.32
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	13	$65.00	$38.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	326	49	$110.00	$71.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	214	91	$150.19	$105.20
99213 Established patient office or other outpatient visit, typically 15 minutes	144	71	$100.52	$72.15
99336 Established patient assisted living visit, typically 40 minutes	88	28	$140.00	$133.09
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	69	24	$85.00	$67.37
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	65	27	$100.00	$89.59
99238 Hospital discharge day management, 30 minutes or less	59	45	$110.00	$71.61
99335 Established patient assisted living visit, typically 25 minutes	52	29	$100.00	$93.47
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	47	39	$175.00	$134.83
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	37	37	$30.00	$17.48
G0008 Administration of influenza virus vaccine	37	37	$25.00	$15.95
99496 Transitional care management services for problem of high complexity	34	27	$375.00	$157.34
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	28	24	$75.00	$51.49
99231 Follow-up hospital inpatient care per day, typically 15 minutes	28	18	$65.00	$38.79
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	22	$250.00	$198.95
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	24	14	$140.00	$132.70
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	23	12	$60.00	$39.69
99496 Transitional care management services for problem of high complexity	23	22	$375.00	$224.07
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	21	12	$133.81	$102.30
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	12	$200.00	$141.81
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	12	12	$140.00	$127.72
99315 Nursing facility discharge day management, 30 minutes or less	11	11	$100.00	$71.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	410	71	$109.76	$67.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	230	106	$150.00	$98.99
99213 Established patient office or other outpatient visit, typically 15 minutes	168	71	$100.00	$67.06
99238 Hospital discharge day management, 30 minutes or less	84	64	$109.76	$67.74
99336 Established patient assisted living visit, typically 40 minutes	76	30	$140.00	$125.75
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	54	44	$176.39	$127.27
99335 Established patient assisted living visit, typically 25 minutes	54	22	$100.00	$88.21
99231 Follow-up hospital inpatient care per day, typically 15 minutes	45	20	$65.00	$36.53
99496 Transitional care management services for problem of high complexity	43	38	$375.00	$212.72
G0008 Administration of influenza virus vaccine	39	38	$25.00	$19.57
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	39	22	$99.23	$84.66
90756 Vaccine for influenza for injection into muscle	38	38	$36.21	$22.33
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	36	23	$200.00	$133.40
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	27	$250.00	$188.67
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	29	16	$83.45	$64.03
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	23	17	$135.00	$96.97
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	22	21	$75.00	$49.12
99496 Transitional care management services for problem of high complexity	16	14	$375.00	$148.82
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	13	11	$60.00	$37.95
99495 Transitional care management services for problem of at least moderate complexity	12	11	$275.00	$139.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	260	49	$85.00	$66.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	251	99	$143.69	$95.54
99213 Established patient office or other outpatient visit, typically 15 minutes	149	76	$97.45	$65.92
99335 Established patient assisted living visit, typically 25 minutes	94	34	$100.00	$87.00
99336 Established patient assisted living visit, typically 40 minutes	70	30	$140.00	$123.59
99238 Hospital discharge day management, 30 minutes or less	56	41	$90.00	$66.22
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	49	40	$75.00	$48.47
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)	45	45	$28.00	$17.34
G0008 Administration of influenza virus vaccine	45	45	$25.00	$24.05
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	43	34	$150.00	$124.14
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	31	23	$187.10	$131.41
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	28	15	$60.00	$37.14
99496 Transitional care management services for problem of high complexity	26	22	$375.00	$200.74
99231 Follow-up hospital inpatient care per day, typically 15 minutes	24	13	$65.00	$36.05
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	19	$215.00	$185.89
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	19	14	$115.00	$95.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$170.00	$149.24
99495 Transitional care management services for problem of at least moderate complexity	14	13	$275.00	$147.09

Medical Specialties & State Licenses

CMS Verified: 2024-06-12

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License PA MD042330L

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

0012353890004 (PA)

Commercial Insurance / Payer ID Highmark Blue Shield

654889 (PA)

Commercial Insurance / Payer ID Indenpendance Blue Sheild

0487180000 (PA)

Commercial Insurance / Payer ID Upmc Healthplan

101310

Commercial Insurance / Payer ID Health America

327740

Commercial Insurance / Payer ID Railroad Medicare

110082629

Commercial Insurance / Payer ID Gateway Healthplan

1526828

Commercial Insurance / Payer ID Aetna

5317328

Hospital & Practice Group Affiliations

Wisniewski Medical Llc

340 1st St, Conemaugh, PA 159091906

Phone: 8145357721

Vantage Physical Therapy And Rehabilitation Inc

336 Bloomfield St, Johnstown, PA 159043271

Phone: 8142692224

Practice Associates & Co-Workers

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

1 Associated Practitioners

Kimberly Wisniewski , CRNP

Nurse Practitioner - Acute Care

NPI 1003993007

Certified Registered Nurse Practitioner

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address June 12, 2024

Registered at 340 1ST ST, CONEMAUGH, PA 159091906 (Tel: 8145357721)

✅

NPI Profile Active November 21, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location November 21, 2012

Registered at 340 1ST ST, CONEMAUGH, PA 159091906 (Tel: 8145357721)

📍

Updated Business Mailing Address November 21, 2012

Registered at 221 W AIRPARK RD, CENTRAL CITY, PA 159269221 (Tel: 8147541974)

👤

Provider Name / Credentials Updated November 21, 2012

Recorded as JOHN WISNIEWSKI, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 21, 2012

Internal Medicine (License #MD042330L in PA)

🟢

Initial NPI Registration & Enumeration January 13, 2007

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: 1154472579

Entity Type:

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

Enumeration Date: January 13, 2007

Last Update: June 12, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

340 1st St

Conemaugh, PA 159091906

Phone: 8145357721

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.