MR. PAUL PENCE WISMAN JR. M.D.
NPI 1235115650
Pediatrics in Charlottesville, VA

NPI Status: Active since December 17, 2005

Contact Information

1011 E JEFFERSON ST
CHARLOTTESVILLE, VA
ZIP 22902
Phone: (434) 296-9161
Fax: (434) 296-1036

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  • Individual
  • Male
  • Pediatrics
  • PECOS Enrolled

About PAUL WISMAN

This page provides the complete NPI Profile along with additional information for Paul Wisman, a pediatrician established in Charlottesville, Virginia with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1235115650 assigned on December 2005. The practitioner's primary taxonomy code is 208000000X with license number 0101049022 (VA). The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI
1235115650
Provider Name
MR. PAUL PENCE WISMAN JR. M.D.
Gender
Male
Entity Type
Individual
Location Address
1011 E JEFFERSON ST CHARLOTTESVILLE, VA 22902
Location Phone
(434) 296-9161
Location Fax
(434) 296-1036
Mailing Address
104 KERRY LN CHARLOTTESVILLE, VA 22901
Mailing Phone
(434) 973-3806
Is Sole Proprietor?
No
Enumeration Date
12-17-2005
Last Update Date
09-29-2012
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A pediatrician like Paul Wisman is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
0101049022
License State
VA
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
12211500001OTHER (01)VASOUTHERN HEALTH
333848OTHER (01)VAANTHEM
006725856MEDICAID (05)VA 
42728OTHER (01)VAVETRI
010724OTHER (01)VACIGNA
267258OTHER (01)VAMAMSI/ALLIANCE

Medicare Participation & PECOS Enrollment Status

Paul Wisman is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 22902 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $86.88
  • Minimum New Patient Price $56.19
  • Maximum New Patient Price $170.3
  • Average New Patient Copayment $21.72
  • Minimum New Patient Copayment $14.04
  • Maximum New Patient Copayment $42.57

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $99.13
  • Minimum Established Patient Price $18.07
  • Maximum Established Patient Price $138.91
  • Average Established Patient Copayment $24.78
  • Minimum Established Patient Copayment $4.51
  • Maximum Established Patient Copayment $34.72

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for MR. PAUL PENCE WISMAN JR. M.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1235115650
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22652110610
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 2 + 1 + 1 + 0 + 6 + 1 + 0 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1235115650 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1265414726 SHEILA F. DAVIS M.D.
Individual
Pediatrics1011 E JEFFERSON ST
CHARLOTTESVILLE, VA 22902
(434) 971-9611
1144207580MRS. TERESA HELEN HASHISAKI M.D.
Individual
Pediatrics1011 E JEFFERSON ST
CHARLOTTESVILLE, VA 22902
(434) 296-9161
1033196993MR. CARLOS ELADIO ARMENGOL M.D.
Individual
Pediatrics1011 E JEFFERSON ST
CHARLOTTESVILLE, VA 22902
(434) 296-9161
1932186822MR. ASHBY ROBERT TRUNDLE M.D.
Individual
Pediatrics1011 E JEFFERSON ST
CHARLOTTESVILLE, VA 22902
(434) 296-9161
1720065618MS. ELIZABETH WILLIAMS M.D.
Individual
Pediatrics1011 E JEFFERSON ST
CHARLOTTESVILLE, VA 22902
(434) 296-9161
1366455305 LON SHACKELFORD PHD
Individual
Psychologist1011 E JEFFERSON ST
CHARLOTTESVILLE, VA 22902
(434) 296-9161
1629176821INTERNAL MEDICINE LTD
Organization
Internal Medicine1011 E JEFFERSON ST SUITE 202
CHARLOTTESVILLE, VA 22902
(434) 977-7950
1891895116 KELLY SUE VINCEL CPNP
Individual
Nurse Practitioner (Pediatrics)1011 E JEFFERSON ST
CHARLOTTESVILLE, VA 22902
(434) 296-9611
1548360720 ELISABETH UPSHAW MCRAE CPNP, IBCLC
Individual
Nurse Practitioner (Pediatrics)1011 E JEFFERSON ST
CHARLOTTESVILLE, VA 22902
(434) 296-9161
1720247562 SARAH ELLEN KNIGHT MD
Individual
Pediatrics1011 E JEFFERSON ST
CHARLOTTESVILLE, VA 22902
(434) 296-9161
1447232905 LORI W. BALABAN M.D.
Individual
Pediatrics1011 E JEFFERSON ST
CHARLOTTESVILLE, VA 22902
(434) 296-9161
1003893942MR. MICHAEL DOUGLAS DICKENS M.D.
Individual
Pediatrics1011 E JEFFERSON ST
CHARLOTTESVILLE, VA 22902
(434) 296-9161
1629055520MRS. KARYN ELIZABETH WOLFE M.D.
Individual
Pediatrics1011 E JEFFERSON ST
CHARLOTTESVILLE, VA 22902
(434) 296-9161
1801855937 LINDA PAIGE D'ANDREA PERRIELLO M.D.
Individual
Pediatrics1011 E JEFFERSON ST
CHARLOTTESVILLE, VA 22902
(434) 296-9161
1184891244 ALAINA MARIE BROWN MD
Individual
Pediatrics1011 E JEFFERSON ST
CHARLOTTESVILLE, VA 22902
(434) 296-9161
1528178787PEDIATRIC ASSOCIATES OF CHARLOTTESVILLE
Organization
Pediatrics1011 E JEFFERSON ST
CHARLOTTESVILLE, VA 22902
(434) 296-9161
1205126703 AMANDA PARSONS JONES M.D.
Individual
Pediatrics1011 E JEFFERSON ST
CHARLOTTESVILLE, VA 22902
(434) 296-9161
1528137155 JAY M. GILLENWATER M.D.
Individual
Pediatrics1011 E JEFFERSON ST
CHARLOTTESVILLE, VA 22902
(434) 296-9161
1962942474 JENNIFER FONTENOT PNP
Individual
Pediatrics1011 E JEFFERSON ST
CHARLOTTESVILLE, VA 22902
(434) 296-9161
1033557541 SARAH CATHERINE WENZINGER M.D.
Individual
Pediatrics1011 E JEFFERSON ST
CHARLOTTESVILLE, VA 22902
(434) 296-9161

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235115650, enumerated in the NPI registry as an "individual" on December 17, 2005

The provider is located at 1011 E Jefferson St Charlottesville, Va 22902 and the phone number is (434) 296-9161

The provider's speciality is Pediatrics with taxonomy code 208000000X

The provider might be accepting Accepts: Medicare, Medicaid, Anthem Blue Cross and Cigna. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $86.88 with an average copayment of $21.72 for new patient appointments. Established patients should expect a typical charge of $99.13 and an average copayment of 24.78. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on December 17, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.