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Active NPI 1396227583 Individual Practitioner Male Practitioner

David Michael Wisdom , PA-C

Physician Assistant • Edmonds, WA

Professional Overview & Biography Verified Profile Summary

David Wisdom, PA-C is a registered healthcare professional specializing in Physician Assistant in Edmonds, WA. Practice services are available at 21601 76TH AVE W under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

21601 76th Ave W

Edmonds, WA 980267507

Telephone 4256404000
Associated Practice Facility / Clinic
🏢 Swedish Edmonds Facility NPI 1033107214

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Edmonds, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.9 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
23 Specialists

Practicing in Edmonds, WA (3774 Statewide)

Telehealth Adoption Rate
8.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
87.6% 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 (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
95 93 $1224.65 $151.13
99284 Emergency department visit with moderate level of medical decision making
54 53 $834.33 $104.45
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
15 15 $63.00 $7.03

Medical Specialties & State Licenses

CMS Verified: 2025-10-17
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA PA61471148

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID National Commission On Certification Of Physician Assistants
1138002

Practice Associates & Co-Workers

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

40 Associated Practitioners
Barbara Fayette , PA-C

Physician Assistant

NPI 1003854902

Physician Assistant (Certified)

NPI 1013955913

Doctor of Medicine (M.D.)

MCINTERPRETER

NPI 1063655736

Doctor of Osteopathic Medicine (D.O.)

NPI 1073567657

Doctor of Medicine (M.D.)

Dr. Bryce Inman , MD

Emergency Medicine

NPI 1073755484

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location October 17, 2025

Registered at 21601 76TH AVE W, EDMONDS, WA 980267507 (Tel: 4256404000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2025

Physician Assistant (License #PA61471148 in WA)

NPI Profile Active September 04, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location September 04, 2018

Registered at 26520 CACTUS AVE, MORENO VALLEY, CA 925553927 (Tel: 8168685374)

📍
Updated Business Mailing Address September 04, 2018

Registered at 1713 OVERBROOK LN, RAYMORE, MO 640838172 (Tel: 8168685374)

👤
Provider Name / Credentials Updated September 04, 2018

Recorded as DAVID WISDOM, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2018

Physician Assistant

🟢
Initial NPI Registration & Enumeration September 04, 2018

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: 1396227583
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 04, 2018
Last Update: October 17, 2025
Sole Proprietor: No

Mailing Address

1713 Overbrook Ln

Raymore, MO 640838172

Phone: 8168685374

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.