DR. JERRY M WEIDA (MD) – Family Medicine Physician, NPI 1821083288

DR. JERRY M WEIDA (MD) is a healthcare provider. based in Lafayette, Indiana. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 01020537 (IN). The NPI Number for DR. JERRY M WEIDA (MD) is 1821083288

Main info

Male
Sole Proprietor
60 Years Of Experience
Accepts Medicare Assignment
Name
DR. JERRY M WEIDA (MD)
NPI
1821083288
Phone
(765) 447-3103
Address
3005 GREENBUSH ST
Enumeration Date
13 September 2005
Last Update Date
3 November 2020

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7654473103
Graduation Year
1966 (60 years ago)
PAC ID
1254353030
Professional Enrollment ID
I20051221000175
Address ID
IN479042435LA3005XSTXX300
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

2,861 FAMILY PRACTICE in IN

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Provider Addresses for DR. JERRY M WEIDA (MD)

  • 3005, Greenbush Street, Lafayette, Tippecanoe County, Indiana, 47904, United States

    LAFAYETTE, IN 479042435

    Phone: (765) 447-3103

    Fax: (765) 449-4782

    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 11 Open Payments records for all available years, with a total value of $194.

Total Amount is formed as General ($194) + Research ($0) + Ownership ($0) = $194.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($94).

Total Amount

$194

General + Research + Ownership

Payments

11

Total payment records

General Amount

$194

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

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: 2005-12-21

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
I20051221000175IFamily PracticeINTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes766171$0
96372Injection of drug or substance under skin or into muscle603103$0
J3420Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg38162$0
99213Established patient office or other outpatient visit, 20-29 minutes309127$0
82947Blood glucose (sugar) level298150$0
View full utilization report →

Insurance plans in this area (ZIP 47904)

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Provider's Procedures

DR. JERRY M WEIDA (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEIN17003Destruction of 2-14 skin growths24944
FAMILY MEDICINEIN20610Aspiration and/or injection of large joint or joint capsule6436

Reviews

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No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the registry number for DR. JERRY M WEIDA (MD)?
The registry entry for DR. JERRY M WEIDA (MD) shows NPI 1821083288.
Quick check: is DR. JERRY M WEIDA (MD) active?
Public NPPES data shows DR. JERRY M WEIDA (MD) with an active NPI status right now.
How should patients interpret DR. JERRY M WEIDA (MD)'s specialty?
The extract shows Family Medicine Physician for DR. JERRY M WEIDA (MD). Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. JERRY M WEIDA (MD)?
DR. JERRY M WEIDA (MD) is associated with Lafayette, Indiana in the same public data insurers reference.
Can I export DR. JERRY M WEIDA (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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