Doctor profile · Federal record

Dr. Kevin Wisdom, P.T.

Physical Therapist (CMS: Physical Therapist in Private Practice) · Fayetteville, AR

  • NPI 1063485670
  • Accepts Medicare
  • MIPS 90.8 / 100 · 2023
  • 26 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
3317 N Wimberly Dr
Fayetteville, AR 727034056
(479) 521-2752
fax (479) 444-6942
Mailing address
Po Box 1608
Fayetteville, AR 727021608

Credentials & registration

NPPES · NUCC
NPI registered
February 2006 — 20 yrs on file
Profile last updated
December 14, 2010
Year of graduation
2000 — 26 yrs since
Specialty taxonomy
225100000X — NUCC code
State license (1)
Arkansas #PT2490

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1063485670. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
2,199
Distinct HCPCS
8
Medicare allowed
$50,213
HCPCS Description Services Patients Avg allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 1,324 158 $22
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 265 82 $9
97530 Therapy procedure using functional activities 234 107 $30
97140 Therapy procedure using manual technique, each 15 minutes 128 42 $20
97016 Application of blood vessel compression device 101 34 $9
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 90 29 $27
97161 Evaluation for physical therapy, typically 20 minutes 31 31 $94
97162 Evaluation for physical therapy, typically 30 minutes 26 26 $94

In context: peer comparison

Among 35 peers in Fayetteville Physical Therapist, average services per provider: 274. This provider delivers 8.0× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Kevin Wisdom's medical specialty?
Dr. Kevin Wisdom practices Physical Therapist in Fayetteville, AR.
Where does Dr. Kevin Wisdom practice?
Dr. Kevin Wisdom practices at 3317 N Wimberly Dr, Fayetteville, AR 727034056. Office phone: 4795212752.
What is Dr. Kevin Wisdom's NPI?
Dr. Kevin Wisdom's National Provider Identifier (NPI) is 1063485670, issued by NPPES.
Does Dr. Kevin Wisdom accept Medicare assignment?
Yes. Dr. Kevin Wisdom accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kevin Wisdom commonly perform?
Top Medicare-reported procedures in 2023: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility (HCPCS 97110); Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care (HCPCS G0283); Therapy procedure using functional activities (HCPCS 97530). Source: CMS Medicare Physician & Other Practitioners file.