NPIMap

Individual provider Active NPI

Eric P Wiesner, MD

  • Surgery Physician
  • Montrose, CO
National Provider Identifier
1346582764
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
DR.0062163 Issued in CO
Practice address
601 E Star CT
Montrose, CO 81401-6701
Phone
(970) 615-2880
Fax
(833) 764-3551
NPI assigned
Mar 24, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Surgery Physician 208600000X DR.0062163 CO Primary

Addresses

Primary practice location

601 E Star CT
Montrose, CO 81401-6701

Mailing address

601 E Star CT
Montrose, CO 81401-6701
Phone (970) 615-2880

Other identifiers 1

IdentifierTypeStateIssuer
9000175731MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190819001205 CO Practitioner - General Surgery 1951523745 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Wisconsin School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montrose Surgical SpecialistsGroup PAC ID 8921584293, 3 clinicians

Practice addresses (Care Compare)

100 Tessitore CT
Unit B
Montrose, CO 81401-5689
Phone (970) 787-4710

Hospital & facility affiliations

  • Montrose Regional Health Hospital, Montrose, CO, CCN 060006
  • Mercy Regional Medical Center Hospital, Durango, CO, CCN 060013

Merit-based Incentive Payment System (MIPS)

Final score
88.88 of 100Reported as group
Quality
86.4
Promoting interoperability
95
Improvement activities
40
Cost
80.7

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy64
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)20
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux36
Melanoma (skin cancer) excision13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR.0062163COMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montrose Surgical Specialists Surgery CurrentSince Dec 29, 2025 Accepting new patients
Colorado West Otolaryngologists PC Surgery CurrentSince Feb 22, 2021 Accepting new patients
Colorado West Otolaryngologists PC CurrentSince Feb 22, 2021 Accepting new patients
Montrose Memorial Hospital, Inc Past Accepting new patients

Locations

2643 Patterson Rd
Ste 503
Grand Junction, CO 81506
Phone (970) 245-2400

2515 Foresight Cir
Unit 200
Grand Junction, CO 81505
Phone (970) 245-2400

611 East Star Ct
Ste A
Montrose, CO 81401
Phone (970) 249-4321

100 Tessitore Ct
Unit B
Montrose, CO 81401
Phone (970) 240-4500

Interoperability endpoints

  • Direct secure messaging: ericwiesner@cwo.allscriptsdirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1364083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1346582764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E STAR CT",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814016701",
            "telephone_number": "970-615-2880",
            "fax_number": "833-764-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E STAR CT",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814016701",
            "telephone_number": "970-615-2880",
            "fax_number": "833-764-3551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIESNER",
        "first_name": "ERIC",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-24",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "DR.0062163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000175731",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, CO

Sources for this page

Verify at the official NPI Registry.