HOLLY ROSE WEIS (M.D.) – Internal Medicine Physician, NPI 1568751352

HOLLY ROSE WEIS (M.D.) is a healthcare provider. based in Park ridge, Illinois. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. 125.059298 (IL). The NPI Number for HOLLY ROSE WEIS (M.D.) is 1568751352

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
HOLLY ROSE WEIS (M.D.)
NPI
1568751352
Phone
(847) 723-8077
Address
1775 W DEMPSTER ST
Enumeration Date
31 March 2011
Last Update Date
16 June 2011

Doctor Profile

Medical School Name
RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Secondary Phone
8475106000
Graduation Year
2011 (15 years ago)
PAC ID
1456613249
Group Practice PAC ID
6608871678
Professional Enrollment ID
I20180314000803
Address ID
IL600268076GL2640XBLVD301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:15State licenses:1Digital endpointsOther names

960 OPHTHALMOLOGY in IL

Provider Addresses for HOLLY ROSE WEIS (M.D.)

  • 1775 W DEMPSTER ST

    PARK RIDGE, IL 600681143

    Phone: (847) 723-8077

    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 41 Open Payments records for all available years, with a total value of $890.

Total Amount is formed as General ($890) + Research ($0) + Ownership ($0) = $890.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Tarsus Pharmaceuticals, Inc. ($128).

Total Amount

$890

General + Research + Ownership

Payments

41

Total payment records

General Amount

$890

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

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: 2018-03-14

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
I20180314000803IOphthalmologyILTBD

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
92014Established patient complete exam of visual system611568$0
83861Microfluid analysis of tears596259$0
92012Established patient problem focused exam of visual system505343$0
92134Imaging of retina327291$0
92133Imaging of optic nerve146145$0
View full utilization report →

Insurance plans in this area (ZIP 60068)

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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: 6608871678View full group profile
NameSpecialtyState
O P T O M E T R YIL
-IL
O P H T H A L M O L O G YIL
O P H T H A L M O L O G YMA

Reviews

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Frequently asked questions

What is HOLLY ROSE WEIS (M.D.)'s NPI number?
HOLLY ROSE WEIS (M.D.)'s NPI is 1568751352 — the number used across U.S. healthcare to identify this provider.
Would HOLLY ROSE WEIS (M.D.) appear as active to a payer?
You can treat HOLLY ROSE WEIS (M.D.) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe HOLLY ROSE WEIS (M.D.)'s focus?
For HOLLY ROSE WEIS (M.D.), the primary taxonomy reads as Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Illinois is HOLLY ROSE WEIS (M.D.) registered?
Use Park Ridge, Illinois as the headline location for HOLLY ROSE WEIS (M.D.) here.
Does HOLLY ROSE WEIS (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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