MR. THOMAS DEWEERT (MD) – Gastroenterology Physician, NPI 1073560751

MR. THOMAS DEWEERT (MD) is a healthcare provider. based in Urbana, Illinois. specializing in GASTROENTEROLOGY. They hold the professional credentials MD. They hold a License No. 036084018 (IL). The NPI Number for MR. THOMAS DEWEERT (MD) is 1073560751

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
MR. THOMAS DEWEERT (MD)
NPI
1073560751
Phone
Not provided
Address
611 W PARK ST
Enumeration Date
28 May 2006
Last Update Date
7 November 2024

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3096630222
Graduation Year
1986 (40 years ago)
PAC ID
6901892405
Group Practice PAC ID
8921420308
Professional Enrollment ID
I20070919000144
Address ID
IL617043567BL2204XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

978 GASTROENTEROLOGY in IL

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Provider Addresses for MR. THOMAS DEWEERT (MD)

  • 611 W PARK ST

    FAPC

    URBANA, IL 618012500

    Phone:

    Type: Mailing

  • 1302, Franklin Avenue, Normal, McLean County, Illinois, 61701, United States

    #4800

    NORMAL, IL 61761

    Phone: (309) 454-5900

    Fax: (309) 454-2820

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2007-09-19

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
I20070919000144IGastroenterologyILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61801)

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Provider's Procedures

MR. THOMAS DEWEERT (MD) performs procedures in GASTROENTEROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYIL45378Diagnostic examination of large bowel using an endoscope3131
GASTROENTEROLOGYIL45385Removal of polyps or growths of large bowel using an endoscope8484

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921420308View full group profile
NameSpecialtyState
Nurse PractitionerIL
Clinical PsychologistIL
Hospitalist, Family PracticeTX
Clinical PsychologistIL
Cardiovascular Disease (Cardiology)IL
Cardiovascular Disease (Cardiology)IL
-IL
Diagnostic RadiologyIL
Physician AssistantIL
Physician AssistantIL

Reviews

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Frequently asked questions

How do I look up MR. THOMAS DEWEERT (MD) by NPI?
Use NPI 1073560751 when you need to reference MR. THOMAS DEWEERT (MD) in forms, claims, or directories.
Is MR. THOMAS DEWEERT (MD) active in the national directory?
MR. THOMAS DEWEERT (MD)'s public NPI profile is in an active state.
What does MR. THOMAS DEWEERT (MD) treat or focus on?
Patients typically see MR. THOMAS DEWEERT (MD) under the specialty Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Where is MR. THOMAS DEWEERT (MD)'s primary listing?
We display Urbana, Illinois because that is what the record indicates for MR. THOMAS DEWEERT (MD).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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