ERICH J WEIDENBENER (M.D.) – Sports Medicine (Internal Medicine) Physician, NPI 1811049380
Sports Medicine (Internal Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
185 SPORTS MEDICINE in IN
Provider Addresses for ERICH J WEIDENBENER (M.D.)
6920 Gatwick Dr Ste 200
Indianapolis, IN 462419619
Phone: (317) 455-1064
Fax: (317) 455-1204
Type: Location
639, South Walker Street, Bloomington, Monroe County, Indiana, 47403, United States
BLOOMINGTON, IN 474032124
Phone: (812) 333-4000
Fax: (812) 333-0611
Type: Mailing
639, South Walker Street, Prospect Hill, Bloomington, Monroe County, Indiana, 47403, United States
SUITE E
BLOOMINGTON, IN 47403
Phone: (812) 333-4000
Fax: (812) 333-0611
Type: Location
3600 W BETHEL AVE
MUNCIE, IN 473045407
Phone:
Type: Mailing
541 S LANDMARK AVE
BLOOMINGTON, IN 474033239
Phone: (317) 455-1064
Fax: (317) 455-1204
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $441.
Total Amount is formed as General ($441) + Research ($0) + Ownership ($0) = $441.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Avanos Medical ($310).
Total Amount
$441
General + Research + Ownership
Payments
12
Total payment records
General Amount
$441
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
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: 2010-11-12
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 |
|---|---|---|---|---|
| I20101112000670 | I | Sports Medicine | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 6,491 | 377 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,164 | 558 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 814 | 381 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 265 | 182 | $0 |
| J0665 | Injection, bupivicaine, not otherwise specified, 0.5 mg | 212 | 31 | $0 |
Insurance plans in this area (ZIP 46241)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| SPORTS MEDICINE | IN | 20610 | Aspiration and/or injection of large joint or joint capsule | 678 | 399 |
| SPORTS MEDICINE | IN | 73562 | X-ray of knee, 3 views | 357 | 292 |
| SPORTS MEDICINE | IN | 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 142 | 42 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | IN | |
| Orthopedic Surgery | IN | |
| Orthopedic Surgery | IN | |
| Physician Assistant | IN | |
| Physical Therapist In Private Practice | IN | |
| Physician Assistant | IN | |
| Physical Therapist In Private Practice | IN | |
| Nurse Practitioner | IN | |
| Physical Therapist In Private Practice | IN | |
| Nurse Practitioner | IN |
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