Douglas C Wisch, MD

Primary specialty

Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X

License

032872 Issued in CT

Practice address

245 Alvord Park Rd
Torrington, CT 06790

Phone

(860) 482-8539

Fax

(860) 482-0258

NPI assigned

May 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CT

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 1

Specialty

Hand SurgeryAlso: Orthopedic Surgery

Education

Rutgers New Jersey Medical School, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Litchfield Hills Orthopedic Associates, LLPGroup PAC ID 7113826397, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Charlotte Hungerford Hospital Hospital, Torrington, CT, CCN 070011
• Bristol Hospital Hospital, Bristol, CT, CCN 070029

Merit-based Incentive Payment System (MIPS)

Final score

91.08 of 100Reported as group

Quality

88.65

Promoting interoperability

93

Improvement activities

40

Cost

79.39

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AJCADD
• FHIR API: https://api.platform.athenahealth.com/17041/brand/1/csg/1/fhir/r4

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.

• Litchfield Hills Orthopedic Associates, LLP

  • Orthopaedic Surgery Physician
  • Torrington, CT
  • NPI 1699874404
  Medicare reassignment Care Compare group NPD
• Litchfield Hills Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Torrington, CT
  • NPI 1780613521
  Medicare reassignment NPD Authorized official
• Litchfield Hills Orthopedic Associates, LLP

  • Orthopaedic Surgery Physician
  • Bristol, CT
  • NPI 1760657712
  NPD

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

• Bristol Hospital Incorporated

  • General Acute Care Hospital
  • Bristol, CT
  • NPI 1619901642
  Care Compare affiliation
• The Charlotte Hungerford Hospital

  • General Acute Care Hospital
  • Torrington, CT
  • NPI 1629075734
  Care Compare affiliation

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1710931738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 ALVORD PARK RD",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "06790",
            "telephone_number": "860-482-8539",
            "fax_number": "860-482-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 ALVORD PARK RD",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "06790",
            "telephone_number": "860-482-8539",
            "fax_number": "860-482-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISCH",
        "first_name": "DOUGLAS",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CT",
            "license": "032872",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "CT",
            "license": "032872",
            "primary": true
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "CT",
            "license": "032872",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "010032872CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2205151",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001328724",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Wilfore
• Ebony N Wilson, LPC, LADC
• Jessica Lynne Wilson
• Darren Allen Winkler, DPM
• Deborah Winter
• Jeffrey Wojewoda, DMD
• Wolcott Hall Nursing Center, Inc.
• Carrie A Wolfberg, MD
• Michael Wolftrand
• Nancy Wong, DMD, MPH

• Orthopaedic Hand Surgery Physician in Torrington, CT
• Providers in Torrington, CT by specialty
• Orthopaedic Hand Surgery Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.