MARTINA H WIEDAU (MD) – Neurology Physician, NPI 1528086824
Neurology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,479 NEUROLOGY in CA
Provider Addresses for MARTINA H WIEDAU (MD)
1801 Wilshire Blvd Ste 100
Santa Monica, CA 904035609
Phone: (310) 319-5098
Fax: (310) 319-4552
Type: Location
Wendy and Leonard Goldberg Medical Building, 300, Medical Plaza Driveway, Westwood, Los Angeles, Los Angeles County, California, 90095, United States
#B200
LOS ANGELES, CA 900950001
Phone: (310) 794-1195
Fax: (310) 794-7491
Type: Location
5767, West Century Boulevard, Westchester, Los Angeles, Los Angeles County, California, 90045, United States
SUITE 400
LOS ANGELES, CA 900455631
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 49 Open Payments records for all available years, with a total value of $16,298.
Total Amount is formed as General ($16,298) + Research ($0) + Ownership ($0) = $16,298.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: MITSUBISHI TANABE PHARMA AMERICA, INC. ($14,011).
Total Amount
$16,298
General + Research + Ownership
Payments
49
Total payment records
General Amount
$16,298
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| MITSUBISHI TANABE PHARMA AMERICA, INC. | $14,011 |
| Amylyx Pharmaceuticals, Inc. | $1,405 |
| ABBVIE INC. | $707 |
| Neurocrine BioSciences Inc. | $48 |
| PFIZER INC. | $29 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-06-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040601001039 | I | Neurology | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 166 | 111 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 72 | 65 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 53 | 53 | $0 |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or | 30 | 19 | $0 |
| 92610 | Evaluation of swallowing function | 24 | 18 | $0 |
Insurance plans in this area (ZIP 90403)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | CA | |
| N E U R O L O G Y | CA | |
| N E U R O L O G Y | MI | |
| N E U R O L O G Y | CA | |
| N E U R O L O G Y | CA | |
| N E U R O L O G Y | CA | |
| N E U R O L O G Y | CA | |
| N E U R O L O G Y | CA | |
| N E U R O L O G Y | MD | |
| N E U R O L O G Y | CA |
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