Active NPI 1609893155 Individual Practitioner Male Practitioner

Dr. Jeffrey J Wise , MD

Orthopaedic Surgery • Warrenton, VA

Professional Overview & Biography Verified Profile Summary

Dr. Jeffrey Wise, MD is a registered healthcare professional specializing in Orthopaedic Surgery in Warrenton, VA. Practice services are available at 52 W SHIRLEY AVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, x-ray of lower and sacral spine, minimum of 4 views, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

52 W Shirley Ave

Warrenton, VA 20186

Telephone 5403479220

Fax 5403470342

Associated Practice Facility / Clinic

🏢 Blue Ridge Orthopaedic Associates Facility NPI 1568754489

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Warrenton, VA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 23.6 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

10 Specialists

Practicing in Warrenton, VA (618 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	69	53	$180.00	$74.38
72110 X-ray of lower and sacral spine, minimum of 4 views	28	24	$194.00	$48.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$245.00	$107.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$245.00	$101.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	249	174	$180.00	$73.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	203	154	$245.00	$106.55
72110 X-ray of lower and sacral spine, minimum of 4 views	160	116	$194.00	$50.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	93	93	$245.00	$107.32
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	59	27	$20.00	$1.51
20610 Aspiration and/or injection of fluid from large joint	40	25	$345.00	$60.42
73502 X-ray of hip, 2-3 views	40	24	$150.00	$42.76
63048 Partial removal of spine bone with release of spinal cord and/or nerves	33	18	$660.00	$196.82
72040 X-ray of upper spine, 2-3 views	32	13	$150.00	$36.42
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	31	14	$2300.00	$264.93
72050 X-ray of upper spine, 4 or 5 views	30	30	$183.00	$48.79
72100 X-ray of lower and sacral spine, 2-3 views	30	25	$145.00	$36.40
99221 Initial hospital inpatient care per day, typically 30 minutes	23	22	$185.00	$101.34
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	23	22	$7100.00	$806.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$350.00	$154.45
22612 Fusion of spine in lower back	11	11	$5225.00	$1426.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	324	212	$180.00	$71.74
72110 X-ray of lower and sacral spine, minimum of 4 views	160	105	$194.00	$48.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	98	78	$245.00	$103.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	78	78	$245.00	$104.66
20610 Aspiration and/or injection of fluid from large joint	41	24	$300.00	$55.07
73502 X-ray of hip, 2-3 views	28	16	$150.00	$40.93
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	27	20	$23.00	$7.12
63048 Partial removal of spine bone with release of spinal cord and/or nerves	26	15	$660.00	$214.55
72100 X-ray of lower and sacral spine, 2-3 views	24	20	$145.00	$34.68
99221 Initial hospital inpatient care per day, typically 30 minutes	21	21	$185.00	$100.80
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	18	17	$7100.00	$788.11
72040 X-ray of upper spine, 2-3 views	17	11	$150.00	$32.95
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	17	11	$2300.00	$244.68
73562 X-ray of knee, 3 views	13	11	$145.00	$35.33
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	11	11	$133.00	$72.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	386	239	$168.92	$71.37
72110 X-ray of lower and sacral spine, minimum of 4 views	200	113	$177.60	$47.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	73	73	$235.07	$105.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	58	$235.57	$102.59
63048 Partial removal of spine bone with release of spinal cord and/or nerves	51	27	$660.00	$212.74
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	50	36	$23.00	$6.78
20610 Aspiration and/or injection of fluid from large joint	40	17	$300.00	$49.33
72040 X-ray of upper spine, 2-3 views	40	18	$138.00	$32.42
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	35	33	$5428.57	$800.51
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	35	20	$2221.43	$243.93
99221 Initial hospital inpatient care per day, typically 30 minutes	23	22	$185.00	$95.70
22614 Fusion of additional segment of spine	21	12	$1500.00	$353.43
72050 X-ray of upper spine, 4 or 5 views	19	19	$157.74	$44.65
20551 Injection into tendon at attachment to bone or muscle	18	15	$200.00	$56.67
72100 X-ray of lower and sacral spine, 2-3 views	18	16	$131.67	$34.47
22612 Fusion of spine in lower back	16	15	$5225.00	$1468.62
22842 Placement of stabilizing device to back, 3-6 spine bone segments	15	15	$3080.00	$768.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$100.77	$43.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$335.42	$161.67

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License VA 101059130

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

6407391 (VA)

Commercial Insurance / Payer ID Anthem

328930 (VA)

Practice Associates & Co-Workers

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

27 Associated Practitioners

Jenna Justen , PT

Physical Therapist

NPI 1073759981

Physical Therapist

Jennifer Wilkins , PT

Physical Therapist

NPI 1134220007

Physical Therapist

Dr. Christopher Brown , MD

Orthopaedic Surgery

NPI 1164449617

Doctor of Medicine (M.D.)

Dr. Anna Green , MD

Orthopaedic Surgery - Hand Surgery

NPI 1205397163

Doctor of Medicine (M.D.)

Dr. Miguel Pelton , MD

Orthopaedic Surgery

NPI 1235558958

Doctor of Medicine (M.D.)

Dr. Ryan Hott , DPT

Physical Therapist

NPI 1245410166

Doctor of Physical Therapy

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 15, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location March 15, 2011

Registered at 52 W SHIRLEY AVE, WARRENTON, VA 20186 (Tel: 5403479220)

📍

Updated Business Mailing Address March 15, 2011

Registered at 52 W SHIRLEY AVE, WARRENTON, VA 20186 (Tel: 5403479220)

👤

Provider Name / Credentials Updated March 15, 2011

Recorded as JEFFREY WISE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2011

Orthopaedic Surgery (License #101059130 in VA)

🟢

Initial NPI Registration & Enumeration July 17, 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: 1609893155

Entity Type:

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

Enumeration Date: July 17, 2006

Last Update: March 15, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

52 W Shirley Ave

Warrenton, VA 20186

Phone: 5403479220

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.