Lola Mudgistratova Wise, MD
NPI 1609309533ActiveIndividual· Emergency Medicine· Renton, WA
Emergency Medicine (MD) in Renton, Washington, trained at University of Washington School of Medicine (class of 2017). 477 Medicare patients in 2024, $66,782 paid; nearly all of their 395 Part D prescriptions were generic (95%). Verathon Inc. reported $250.00 in payments in 2025, mostly consulting fees.
Overview
| NPI | 1609309533 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Apr 7, 2017 |
| Last updated in NPPES | Jan 31, 2025 |
| Certified by provider | Jan 31, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | MD60963016 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Emergency Medicine (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 477 |
|---|---|
| Services billed | 705 across 37 procedure codes |
| Paid by Medicare | $66,782 |
Part D prescriptions in 2024
| Prescriptions (claims) | 395 · 396 30-day fills |
|---|---|
| Patients | 277 |
| Total drug cost | $6,004 |
| Generic share | 95% of claims |
Education and affiliations
| Medical school | University of Washington School of Medicine |
|---|---|
| Graduation year | 2017 |
| Medicare specialty | Emergency Medicine |
Medical groups
- Puget Sound Physicians PLLCBellevue, WA · 49 clinicians
- Associated Emergency Room Physicians Inc PsRenton, WA · 27 clinicians
Hospital affiliations
- Overlake Hospital Medical Center & ClinicsBellevue, WA
- Valley Medical CenterRenton, WA
Industry payments (Open Payments)
- 2025$250.00 · 1 payment from 1 company
- 2024$1,750 · 2 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Verathon Inc. | $250.00 | 1 |
What the 2025 payments were for
- Consulting Fee$250.00 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other emergency medicine physicians in Renton
- 1487825782
- 1104054543
- 1427412022
- 1508246786
- 1801085097
- 1891976395
- 1922125178
- 1972709368
- 1275589608
- 1447451323
- 1861480840
- 1184157448