Doctor profile · Federal record
Dr. CLARK WISE, M.D.
Diagnostic Radiology Physician (CMS: DIAGNOSTIC RADIOLOGY) · Neuroradiology Physician · Student in an Organized Health Care Education/Training Program · COLUMBIA, SC
- NPI 1619472354
- Accepts Medicare
- MIPS 73.8 / 100 · 2023
- 8 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
1519 MARION ST
COLUMBIA, SC 292012910
(803) 296-5954
fax (803) 296-3076 - Additional location
-
809 82nd Pkwy
Myrtle Beach, SC 295724607
(843) 848-4670 - Mailing address
-
300 E MCBEE AVE FL 4
GREENVILLE, SC 296012842
Credentials & registration
- NPI registered
- March 2018 — 8 yrs on file
- Profile last updated
- February 14, 2024
- Year of graduation
- 2018 — 8 yrs since
- Specialty taxonomy
- 2085R0202X — NUCC code
- State license (1)
- South Carolina #52527
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1619472354. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
94
Distinct HCPCS
2
Medicare allowed
$1,261
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
71045 |
X-ray of chest, 1 view | 78 | 70 | $8 | |
70450 |
Ct scan head or brain without contrast | 16 | 15 | $38 |
In context: peer comparison
Among 13 peers in this city , average services per provider: 424. This provider delivers 0.2× the peer median.