Oliver Jayme Wisco, D.O.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

DO01032 Issued in RI

Practice address

Dermatology Health Spcecialist
1693 SW Chandler Ave Suite 250
Bend, OR 97702-3231

Phone

(541) 382-8819

NPI assigned

Apr 6, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OR, RI2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Dermatology

Education

Philadelphia College of Osteopathic Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology Health Specialists, PCGroup PAC ID 7214260603, 6 clinicians

Harney District HospitalGroup PAC ID 6800877424, shared by 3 NPIs, 35 clinicians

Brown Dermatology IncGroup PAC ID 3870872773, 28 clinicians

Rhode Island HospitalGroup PAC ID 8921900044, 430 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Harney District Hospital Hospital, Burns, OR, CCN 381307
• St Charles Medical Center - Bend Hospital, Bend, OR, CCN 380047

Merit-based Incentive Payment System (MIPS)

Final score

88.71 of 100Reported as group

Quality

71.18

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

79.8 of 100Reported as individual

Quality

64.37

Promoting interoperability

98

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: owisco85183@secure.stcharleshealthcare.org
• FHIR API: https://fhir-myrecord.cerner.com/r4/4fb2ef4c-fc22-4675-b38f-5641155a5454/
• Direct secure messaging: oliver.wisco.1@19536.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dermatology Health Specialists, PC

  • Dermatology Physician
  • Bend, OR
  • NPI 1447713573
  Medicare reassignment Care Compare group NPD Authorized official
• Brown Dermatology, Inc.

  • Dermatology Physician
  • Providence, RI
  • NPI 1730538026
  Medicare reassignment Care Compare group NPD
• Rhode Island Hospital

  • Hematology & Oncology Physician
  • Providence, RI
  • NPI 1396849782
  Medicare reassignment Care Compare group NPD
• Blue Mountain Hospital District

  • Critical Access Hospital
  • John Day, OR
  • NPI 1356414395
  Medicare reassignment NPD
• Blue Mountain Hospital District

  • Rural Health Clinic/Center
  • John Day, OR
  • NPI 1568536035
  Medicare reassignment NPD
• Harney District Hospital

  • Critical Access Hospital
  • Burns, OR
  • NPI 1285742338
  Medicare reassignment NPD
• Lifespan Physician Group, Inc.

  • General Practice Physician
  • Providence, RI
  • NPI 1407116643
  Medicare reassignment
• Harney District Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Burns, OR
  • NPI 1558447714
  NPD
• Harney District Hospital

  • Multi-Specialty Clinic/Center
  • Burns, OR
  • NPI 1972113306
  NPD
• Lifespan Physician Group, Inc.

  • Emergency Medicine Physician
  • Providence, RI
  • NPI 1568325678
  NPD
• Lifespan Physician Group, Inc.

  • Neurology Physician
  • Providence, RI
  • NPI 1689536229
  NPD
• Rhode Island Hospital

  • General Acute Care Hospital
  • Providence, RI
  • NPI 1972768174
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cascade Healthcare Community Inc

  • Sleep Disorder Diagnostic Clinic/Center
  • Bend, OR
  • NPI 1164675963

  Hospital

  Care Compare affiliation
• Harney District Hospital

  • Critical Access Hospital
  • Burns, OR
  • NPI 1285742338
  Care Compare affiliation
• Harney District Hospital

  • Multi-Specialty Clinic/Center
  • Burns, OR
  • NPI 1972113306

  Hospital

  Care Compare affiliation
• St. Charles Health System, Inc.

  • General Acute Care Hospital
  • Bend, OR
  • NPI 1982621447
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1164545166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 LA SALLE SQ",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029031814",
            "telephone_number": "401-444-6779",
            "fax_number": "401-444-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DERMATOLOGY HEALTH SPCECIALIST",
            "address_2": "1693 SW CHANDLER AVE SUITE 250",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023231",
            "telephone_number": "541-382-8819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "593 Eddy St APC-10",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029034923",
            "country_code": "US",
            "telephone_number": "401-444-7959",
            "fax_number": "401-444-7144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "375 Wampanoag Trl Ste 401",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "RI",
            "postal_code": "029152237",
            "country_code": "US",
            "telephone_number": "401-444-7959",
            "fax_number": "401-432-6997",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "65 Village Square Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "South Kingstown",
            "state": "RI",
            "postal_code": "028792569",
            "country_code": "US",
            "telephone_number": "401-444-7959",
            "fax_number": "401-515-7910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Bald Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028861617",
            "country_code": "US",
            "telephone_number": "401-444-7959",
            "fax_number": "401-738-3857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISCO",
        "first_name": "OLIVER",
        "middle_name": "JAYME",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "OR",
            "license": "DO157812",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "RI",
            "license": "DO01032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12729019",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500674728",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Winter Wellness LLC
• Kelly Winter, LMFT
• Michelle Naomi Winter, CRM
• Wyatt Winterbottom, LMT
• Elizabeth C Winters, FNP
• Wise Mountain Medicine LLC
• Terra Bahe Wissbaum, PA
• Christine E. Witham, CRM
• Shayla Wittenberg
• Matthew Everett Witts, OTR/L

• MOHS-Micrographic Surgery Physician in Bend, OR
• Providers in Bend, OR by specialty
• MOHS-Micrographic Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.