DR. JEFFERY ADAM WEISMAN (M.D.) – Occupational Medicine Physician, NPI 1649620519
Occupational Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
47 PREVENTIVE MEDICINE in IL
Provider Addresses for DR. JEFFERY ADAM WEISMAN (M.D.)
835 S Wolcott Ave
Chicago, IL 606123748
Phone: (312) 413-0369
Type: Location
660, South Euclid Avenue, Central West End, City of Saint Louis, Missouri, 63110, United States
BOX 8054
SAINT LOUIS, MO 631101010
Phone: (314) 450-6630
Type: Mailing
55 E MONROE ST STE 3800
CHICAGO, IL 606036030
Phone:
Type: Mailing
835 S WOLCOTT AVE
CHICAGO, IL 606123748
Phone: (312) 413-0369
Type: Location
301 LAKEVIEW DR
BUFFALO GROVE, IL 600891789
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $481.
Total Amount is formed as General ($481) + Research ($0) + Ownership ($0) = $481.
Last reported payment date: 2024-12-07 • Largest payer in this snapshot: Stryker Corporation ($185).
Total Amount
$481
General + Research + Ownership
Payments
4
Total payment records
General Amount
$481
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $185 |
| SPR Therapeutics, Inc | $179 |
| Nalu Medical, Inc. | $117 |
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: 2025-09-05
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 |
|---|---|---|---|---|
| I20250905001724 | I | Preventive Medicine | IL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60612)
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