DR. GARY ROYCE WISNER M.D. NPI 1528175841

NPI Information

  • NPI: 1528175841
  • Provider Name: DR. GARY ROYCE WISNER, M.D.
  • Classification: Orthopaedic Surgery - 207X00000X
  • Entity Type: Individual
  • Address: 621 S HAM LN STE A
    LODI, CA
    ZIP 95242
  • Phone: (209) 368-7777

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NPI Details

DR. Gary Royce Wisner, M.D. is an orthopaedic surgery in Lodi, CA. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. DR. Gary Royce Wisner, M.D. NPI is 1528175841. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

621 S HAM LN STE A
LODI, CA
ZIP 95242-533
Phone: (209) 368-7777
Fax: (209) 368-7778

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of upper arm, minimum of 2 views (HCPCS:73060)
  • X-ray of middle spine, 2 views (HCPCS:72070)
  • X-ray of forearm, 2 views (HCPCS:73090)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of both hips, 2 views (HCPCS:73521)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of elbow, 2 views (HCPCS:73070)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • X-ray of upper spine, 4-5 views (HCPCS:72050)
  • X-ray of ankle, 2 views (HCPCS:73600)
  • X-ray of foot, 2 views (HCPCS:73620)
  • X-ray of heel, minimum of 2 views (HCPCS:73650)
  • X-ray of entire middle and lower spine, 1 view (HCPCS:72081)
  • X-ray of collar bone (HCPCS:73000)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)

The enumeration date for this NPI number is 8/23/2006 and was last updated on 5/14/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207X00000XOrthopaedic SurgeryA41236CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100A412361MEDICARE PINCALIFORNIA
2F09983MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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