DR. FREDERICK ETHAN WEISS (MD) – Pain Medicine (Anesthesiology) Physician, NPI 1871760538

DR. FREDERICK ETHAN WEISS (MD) is a healthcare provider. based in East boston, Massachusetts. specializing in DIAGNOSTIC RADIOLOGY, PAIN MANAGEMENT, PAIN MANAGEMENT, DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. ME123132 (FL). The NPI Number for DR. FREDERICK ETHAN WEISS (MD) is 1871760538

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. FREDERICK ETHAN WEISS (MD)
NPI
1871760538
Phone
(617) 569-5800
Address
10 Gove Street
Enumeration Date
13 May 2008
Last Update Date
27 February 2026

Doctor Profile

Medical School Name
GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4073031414
Graduation Year
2008 (18 years ago)
PAC ID
1951533207
Group Practice PAC ID
1254311137
Professional Enrollment ID
I20150601001539
Address ID
FL328045554OR235XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience92
Completeness85
Years active:18State licenses:4Digital endpointsOther names

1,897 DIAGNOSTIC RADIOLOGY in MA

Provider Addresses for DR. FREDERICK ETHAN WEISS (MD)

  • 10 Gove Street

    East Boston, MA 02128

    Phone: (617) 569-5800

    Type: Location

  • 736 Cambridge St

    Brighton, MA 02135

    Phone: (617) 789-2762

    Type: Location

  • 1 General St

    Lawrence, MA 018412961

    Phone: (978) 683-4000

    Fax: (978) 946-8171

    Type: Location

  • 235 North Pearl St

    Brockton, MA 02301

    Phone: (508) 427-2665

    Fax: (508) 427-2368

    Type: Location

  • 70 East St

    Methuen, MA 018444597

    Phone: (978) 867-0151

    Fax: (978) 794-3784

    Type: Location

  • 840 Harrison Ave

    Boston, MA 021182905

    Phone: (617) 638-6610

    Fax: (617) 638-6616

    Type: Location

  • 701 W PLYMOUTH AVE

    DELAND, FL 327203236

    Phone: (386) 943-3160

    Fax: (317) 705-5047

    Type: Location

  • Geisinger Medical Center Danville, 100, North Academy Avenue, Danville, Montour County, Pennsylvania, 17822, United States

    DANVILLE, PA 178224903

    Phone: (570) 271-6144

    Type: Mailing

  • 140 Lincoln Ave

    Haverhill, MA 018306700

    Phone: (978) 374-2000

    Type: Location

  • 840 HARRISON AVE

    BOSTON, MA 021182905

    Phone: (617) 638-6610

    Fax: (617) 638-6616

    Type: Location

  • 801 ALBANY ST FL G

    BOSTON, MA 021193791

    Phone: (617) 414-5405

    Type: Mailing

  • 960 MASSACHUSETTS AVE

    FLR 2

    BOSTON, MA 02118

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-07-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20150601001539IPain ManagementFLTBD
I20160915000239IDiagnostic RadiologyPATBD
I20220728001505IDiagnostic RadiologyMATBD
I20250701000809IDiagnostic RadiologyMDTBD

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
71045X-ray of chest, 1 view392335$0
71046X-ray of chest, 2 views340308$0
70450Ct scan head or brain without contrast196187$0
74177Ct scan of abdomen and pelvis with contrast141138$0
72125Ct scan of upper spine without contrast10399$0
View full utilization report →

Insurance plans in this area (ZIP 02128)

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Provider's Procedures

DR. FREDERICK ETHAN WEISS (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYPA62311Injections of substances into lower or sacral spine2119
DIAGNOSTIC RADIOLOGYPA71250CT scan chest1313
DIAGNOSTIC RADIOLOGYPA73630X-ray of foot, minimum of 3 views1212

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: 1254311137View full group profile
NameSpecialtyState
DR. ABDULLAH MALKAWI (M.D)
Diagnostic RadiologyMI
AMIR PAYDAR (M.D.)
-MN
DR. SAMEET K. RAO (M.D.)
Diagnostic RadiologyFL
DANA MARIE POLETTO (M.D.)
-FL
DR. LAWRENCE JOHN MUMIE (M.D.)
-FL
JADRANKA STOJANOVSKA (MD)
Diagnostic RadiologyMI
DR. GREGORY LEE WRUBEL (M.D.)
Diagnostic RadiologyCT
LAURA VARICH (M.D.)
-FL
DR. GLENN STEVEN ANDREWS (M.D.)
Diagnostic RadiologyFL
DR. CHRISTOPHER MICHAEL BRADY (M.D.)
Diagnostic RadiologyNC

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Frequently asked questions

Is there an official ID for DR. FREDERICK ETHAN WEISS (MD) in U.S. healthcare records?
The official identifier for DR. FREDERICK ETHAN WEISS (MD) is NPI 1871760538.
Active or inactive — what applies to DR. FREDERICK ETHAN WEISS (MD)?
You should see DR. FREDERICK ETHAN WEISS (MD) as active in CMS-hosted NPPES data.
What clinical focus is listed for DR. FREDERICK ETHAN WEISS (MD)?
At a glance, DR. FREDERICK ETHAN WEISS (MD) is tied to Pain Medicine (Anesthesiology) Physician. Clinical services aligned with this taxonomy classification.
Is DR. FREDERICK ETHAN WEISS (MD) associated with East Boston?
Public fields place DR. FREDERICK ETHAN WEISS (MD) around East Boston, Massachusetts. Always confirm the exact site before visiting.
Does DR. FREDERICK ETHAN WEISS (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.