DR. LORRAINE E WEAVER (M.D.) – Obstetrics & Gynecology Physician, NPI 1164466520
Obstetrics & Gynecology Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
966 OBSTETRICS/GYNECOLOGY in IN
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Provider Addresses for DR. LORRAINE E WEAVER (M.D.)
PO BOX 834
GOSHEN, IN 465270834
Phone:
Type: Mailing
2405, West Lexington Avenue, Elkhart, Elkhart County, Indiana, 46514, United States
ELKHART, IN 465141417
Phone: (574) 295-8805
Fax: (574) 522-0039
Type: Mailing
1122 PROFESSIONAL DR
GOSHEN, IN 465263819
Phone: (574) 533-0560
Fax: (574) 533-1716
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $500.
Total Amount is formed as General ($500) + Research ($0) + Ownership ($0) = $500.
Last reported payment date: 2024-10-28 • Largest payer in this snapshot: Aspira Women's Health Inc ($165).
Total Amount
$500
General + Research + Ownership
Payments
19
Total payment records
General Amount
$500
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-28
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2005-07-12
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 |
|---|---|---|---|---|
| I20050712000993 | I | Obstetrics/Gynecology | IN | 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 46527)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| Family Practice | IN | |
| Physician Assistant | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| - | IN | |
| - | IN | |
| - | IN | |
| - | IN | |
| Nurse Practitioner | IN |
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