GEORGIA W WIENER (PA-C) – Physician Assistant, NPI 1174069108
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,161 PHYSICIAN ASSISTANT in CO
Provider Addresses for GEORGIA W WIENER (PA-C)
360 PEAK ONE DR STE 180
FRISCO, CO 804435948
Phone: (970) 668-3633
Fax: (970) 668-4406
Type: Location
2472 PATTERSON RD UNIT 8
GRAND JUNCTION, CO 815051100
Phone: (970) 241-0202
Type: Mailing
Denver Health Medical Center, 777, Bannock Street, Lincoln Park, Denver, Denver County, Colorado, 80204, United States
DENVER, CO 802044507
Phone: (303) 436-6000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $111.
Total Amount is formed as General ($111) + Research ($0) + Ownership ($0) = $111.
Last reported payment date: 2023-03-24 • Largest payer in this snapshot: Gemini Mountain Medical, LLC ($111).
Total Amount
$111
General + Research + Ownership
Payments
1
Total payment records
General Amount
$111
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Gemini Mountain Medical, LLC | $111 |
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: 2017-04-05
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 |
|---|---|---|---|---|
| I20170405001071 | I | Physician Assistant | CO | 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 |
|---|---|---|---|---|
| 64713 | Release of major arm or leg nerve | 48 | 47 | $0 |
| 23472 | Prosthetic repair of shoulder joint, total shoulder | 47 | 46 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 44 | 37 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 44 | 43 | $0 |
| 23430 | Anchoring of biceps tendon | 39 | 38 | $0 |
Insurance plans in this area (ZIP 80443)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MN | |
| Physical Therapist In Private Practice | CO | |
| - | CO | |
| Physician Assistant | CO | |
| Physical Medicine And Rehabilitation | CO | |
| Physical Therapist In Private Practice | CO | |
| Physical Therapist In Private Practice | CO | |
| - | CO | |
| - | CO | |
| Physician Assistant | CA |
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