DR. FREDERICK THANE DEWEESE (M.D.) – Orthopaedic Surgery Physician, NPI 1891784757

DR. FREDERICK THANE DEWEESE (M.D.) is a healthcare provider. based in Herrin, Illinois. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. 36333 (KY). The NPI Number for DR. FREDERICK THANE DEWEESE (M.D.) is 1891784757

Main info

Male
Sole Proprietor
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. FREDERICK THANE DEWEESE (M.D.)
NPI
1891784757
Phone
(618) 997-6800
Address
510 LINCOLN DRIVE
Enumeration Date
13 October 2005
Last Update Date
1 May 2024

Doctor Profile

Medical School Name
VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2704429461
Graduation Year
1991 (35 years ago)
PAC ID
0941109649
Group Practice PAC ID
1456777069
Professional Enrollment ID
I20100301000755
Address ID
KY420016768PA200XXBLVD400
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

505 ORTHOPEDIC SURGERY in KY

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Provider Addresses for DR. FREDERICK THANE DEWEESE (M.D.)

  • 510, Lincoln Drive, Herrin, Williamson County, Illinois, 62948, United States

    HERRIN, IL 62948

    Phone: (618) 997-6800

    Fax: (618) 997-1187

    Type: Mailing

  • 4787, Alben Barkley Drive, Paducah, McCracken County, Kentucky, 42001, United States

    PADUCAH, KY 42002

    Phone: (270) 442-9461

    Fax: (270) 441-0079

    Type: Location

  • 200 CLINT HILL BLVD

    PADUCAH, KY 420016768

    Phone: (270) 442-9461

    Type: Location

  • 4787 Alben Barkley Drive

    Paducah, KY 42002

    Phone: (270) 442-9461

    Fax: (270) 441-0079

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $15,840.

Total Amount is formed as General ($15,840) + Research ($0) + Ownership ($0) = $15,840.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: ENCORE MEDICAL, LP ($15,827).

Total Amount

$15,840

General + Research + Ownership

Payments

9

Total payment records

General Amount

$15,840

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ENCORE MEDICAL, LP$15,827
Amgen Inc.$13
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 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20040105000412IOrthopedic SurgeryILTBD
I20100301000755IOrthopedic SurgeryKYTBD

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
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg6,975182$0
99213Established patient office or other outpatient visit, 20-29 minutes423335$0
73564X-ray of knee, 4 or more views366260$0
20610Aspiration and/or injection of fluid from large joint261188$0
73502X-ray of hip, 2-3 views210177$0
View full utilization report →

Insurance plans in this area (ZIP 62948)

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Provider's Procedures

DR. FREDERICK THANE DEWEESE (M.D.) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYKY20610Aspiration and/or injection of large joint or joint capsule569324
ORTHOPEDIC SURGERYKY27447Repair of knee joint108107

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: 1456777069View full group profile
NameSpecialtyState
Nurse PractitionerOH
Internal MedicineTN
Nurse PractitionerKY
P S Y C H I A T R YOH
Nurse PractitionerOH
N E U R O S U R G E R YVA
Nurse PractitionerKY
Certified Clinical Nurse Specialist (Cns)OH
Neurology, Internal MedicineKY
N E U R O L O G YOH

Reviews

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Frequently asked questions

What unique ID ties claims to DR. FREDERICK THANE DEWEESE (M.D.)?
NPI 1891784757 is assigned to DR. FREDERICK THANE DEWEESE (M.D.) under the national enumeration system.
Does this profile mean DR. FREDERICK THANE DEWEESE (M.D.) is currently active?
Yes — DR. FREDERICK THANE DEWEESE (M.D.) appears active in the national provider directory.
What kind of provider is DR. FREDERICK THANE DEWEESE (M.D.)?
The page reflects Orthopaedic Surgery Physician for DR. FREDERICK THANE DEWEESE (M.D.). Clinical services aligned with this taxonomy classification.
Does DR. FREDERICK THANE DEWEESE (M.D.) practice in Illinois?
You will see Herrin, Illinois on file for DR. FREDERICK THANE DEWEESE (M.D.) alongside any extra practice locations.
What if Herrin, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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