Doctor profile · Federal record

Dr. Jeffrey Wise, DO

Anesthesiology Physician (CMS: Anesthesiology) · Plymouth, MN

  • NPI 1053871004
  • Accepts Medicare
  • 7 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
14700 28Th Ave N Ste 20
Plymouth, MN 554474876
(763) 559-3779
fax (763) 450-3986
Mailing address
Po Box 47159
Plymouth, MN 554470159

Credentials & registration

NPPES · NUCC
NPI registered
March 2019 — 7 yrs on file
Profile last updated
February 8, 2023
Year of graduation
2019 — 7 yrs since
Specialty taxonomy
207L00000X — NUCC code
State license (1)
Minnesota #73128

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1053871004. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
15
Distinct HCPCS
1
Medicare allowed
$2,274
HCPCS Description Services Patients Avg allowed
01402 Anesthesia for procedure for total knee joint replacement 15 15 $152

In context: peer comparison

Among 19 peers in Plymouth Anesthesiology Physician, average services per provider: 19. This provider delivers 0.8× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Jeffrey Wise's medical specialty?
Dr. Jeffrey Wise practices Anesthesiology Physician in Plymouth, MN.
Where does Dr. Jeffrey Wise practice?
Dr. Jeffrey Wise practices at 14700 28Th Ave N Ste 20, Plymouth, MN 554474876. Office phone: 7635593779.
What is Dr. Jeffrey Wise's NPI?
Dr. Jeffrey Wise's National Provider Identifier (NPI) is 1053871004, issued by NPPES.
Does Dr. Jeffrey Wise accept Medicare assignment?
Yes. Dr. Jeffrey Wise accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jeffrey Wise commonly perform?
Top Medicare-reported procedures in 2023: Anesthesia for procedure for total knee joint replacement (HCPCS 01402). Source: CMS Medicare Physician & Other Practitioners file.