Doctor profile · Federal record
Dr. Bethany Wisniewski, PA-C
Surgical Physician Assistant · Physician Assistant · Fort Myers, FL
- NPI 1619693702
- MIPS 99.7 / 100 · 2023
- 4 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
6150 Diamond Centre CT Unit 1200
Fort Myers, FL 339127135
(239) 344-9786 - Additional location
-
1995 E Oakland Park Blvd Ste 310
Fort Lauderdale, FL 333061138
(954) 791-6146 - Mailing address
-
3040 Oasis Grand Blvd Apt 2202
Fort Myers, FL 339161607
Credentials & registration
- NPI registered
- October 2022 — 4 yrs on file
- Profile last updated
- February 13, 2025
- Specialty taxonomy
- 363AS0400X — NUCC code
- State license (1)
- Florida #PA9116636
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1619693702. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
47
Distinct HCPCS
3
Medicare allowed
$3,667
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 23 | 21 | $76 | |
11042 |
Removal of skin and tissue, 20.0 sq cm or less | 12 | 11 | $103 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 12 | 12 | $58 |
In context: peer comparison
Among 16 peers in this city , average services per provider: 145. This provider delivers 0.3× the peer median.Open Payments
Industry payments received
All-time total
$46
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Genentech USA, Inc. | 1 | $46.33 |
By nature of payment
Frequently asked questions
What is Dr. Bethany Wisniewski's medical specialty?
Dr. Bethany Wisniewski practices Surgical Physician Assistant in Fort Myers, FL.
Where does Dr. Bethany Wisniewski practice?
Dr. Bethany Wisniewski practices at 6150 Diamond Centre CT Unit 1200, Fort Myers, FL 339127135. Office phone: 2393449786.
What is Dr. Bethany Wisniewski's NPI?
Dr. Bethany Wisniewski's National Provider Identifier (NPI) is 1619693702, issued by NPPES.
What procedures does Dr. Bethany Wisniewski commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Removal of skin and tissue, 20.0 sq cm or less (HCPCS 11042); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.