CRAIG W WIESENHUTTER (MD) – Rheumatology Physician, NPI 1205980422

CRAIG W WIESENHUTTER (MD) is a healthcare provider. based in Coeur d alene, Idaho. specializing in RHEUMATOLOGY. They hold the professional credentials MD. They hold a License No. M4720 (ID). The NPI Number for CRAIG W WIESENHUTTER (MD) is 1205980422

Main info

Male
50 Years Of Experience
Accepts Medicare Assignment
Name
CRAIG W WIESENHUTTER (MD)
NPI
1205980422
Phone
(208) 765-5457
Address
950 W IRONWOOD DR
Enumeration Date
23 January 2007
Last Update Date
18 March 2011

Doctor Profile

Medical School Name
ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Secondary Phone
-
Graduation Year
1976 (50 years ago)
PAC ID
2769527803
Professional Enrollment ID
I20100301000775
Address ID
ID838142644Co950XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

29 RHEUMATOLOGY in ID

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Provider Addresses for CRAIG W WIESENHUTTER (MD)

  • 950, West Ironwood Drive, Coeur d'Alene, Kootenai County, Idaho, 83814, United States

    COEUR D ALENE, ID 838142644

    Phone: (208) 765-5457

    Fax: (208) 765-6248

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 89 Open Payments records for all available years, with a total value of $1,477.

Total Amount is formed as General ($1,477) + Research ($0) + Ownership ($0) = $1,477.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Amgen Inc. ($432).

Total Amount

$1,477

General + Research + Ownership

Payments

89

Total payment records

General Amount

$1,477

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

View all Open Payments →|Open Payments Risk Radar →

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: 2010-03-01

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100301000775IRheumatologyIDTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1602Injection, golimumab, 1 mg, for intravenous use11,15012$0
J0129Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)11,02515$0
J7050Infusion, normal saline solution, 250 cc52445$0
99213Established patient office or other outpatient visit, 20-29 minutes504107$0
96365Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less28836$0
View full utilization report →

Insurance plans in this area (ZIP 83814)

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Provider's Procedures

CRAIG W WIESENHUTTER (MD) performs procedures in RHEUMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
RHEUMATOLOGYID76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle1411
RHEUMATOLOGYID96415Infusion of chemotherapy into a vein10020

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Frequently asked questions

What NPI should I save for CRAIG W WIESENHUTTER (MD)?
Save NPI 1205980422 if you need a stable reference for CRAIG W WIESENHUTTER (MD).
Is CRAIG W WIESENHUTTER (MD) currently active in the NPI registry?
CMS-published data lists CRAIG W WIESENHUTTER (MD) as an active registrant.
Does CRAIG W WIESENHUTTER (MD) list a primary specialty?
If you are matching referrals, note Rheumatology Physician for CRAIG W WIESENHUTTER (MD). Clinical services aligned with this taxonomy classification.
Where is CRAIG W WIESENHUTTER (MD)'s primary listing?
We display Coeur D Alene, Idaho because that is what the record indicates for CRAIG W WIESENHUTTER (MD).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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