MR. TIMOTHY L. WEIDE (P.A.) – Physician Assistant, NPI 1861600017
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,303 PHYSICIAN ASSISTANT in KS
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Provider Addresses for MR. TIMOTHY L. WEIDE (P.A.)
22120 SW WILLIAMS RD
DOUGLASS, KS 670398539
Phone:
Type: Mailing
Park Street, Castleward, Pride Park, Derby, East Midlands, England, DE1 2NB, United Kingdom
SUITE # 400
DERBY, KS 670373665
Phone: (316) 788-3376
Fax: (316) 788-3378
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $121.
Total Amount is formed as General ($121) + Research ($0) + Ownership ($0) = $121.
Last reported payment date: 2024-05-24 • Largest payer in this snapshot: Janssen Biotech, Inc. ($100).
Total Amount
$121
General + Research + Ownership
Payments
2
Total payment records
General Amount
$121
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $100 |
| Galderma Laboratories, L.P. | $21 |
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: 2004-08-17
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 |
|---|---|---|---|---|
| I20040817000266 | I | Physician Assistant | KS | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 448 | 81 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 184 | 124 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 171 | 126 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 166 | 124 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 146 | 101 | $0 |
Insurance plans in this area (ZIP 67039)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | KS | 17003 | Destruction of 2-14 skin growths | 330 | 70 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KS |
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