JEFFREY THOMAS WEIDEMAN (PA-C) – Medical Physician Assistant, NPI 1013149079
Medical Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
4,031 PHYSICIAN ASSISTANT in MN
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Provider Addresses for JEFFREY THOMAS WEIDEMAN (PA-C)
Mankato Clinic, 1230, East Main Street, High Ciara, Mankato, Blue Earth County, Minnesota, 56001, United States
PO BOX 8674
MANKATO, MN 560015066
Phone: (507) 625-1811
Type: Mailing
1901, Old Minnesota Avenue, stp, Nicollet County, Minnesota, 56082, United States
SAINT PETER, MN 560821763
Phone: (507) 934-2325
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $310.
Total Amount is formed as General ($310) + Research ($0) + Ownership ($0) = $310.
Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($66).
Total Amount
$310
General + Research + Ownership
Payments
18
Total payment records
General Amount
$310
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Regeneron Healthcare Solutions, Inc. | $66 |
| Dermavant Sciences, Inc. | $53 |
| Incyte Corporation | $51 |
| UCB, Inc. | $48 |
| Amgen Inc. | $18 |
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: 2009-12-09
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 |
|---|---|---|---|---|
| I20091209000698 | I | Physician Assistant | MN | 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 | 863 | 136 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 256 | 211 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 203 | 161 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 148 | 134 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 117 | 93 | $0 |
Insurance plans in this area (ZIP 56001)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | MN | 83036 | Hemoglobin A1C level | 21 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MN | |
| - | MN | |
| Diagnostic Radiology | CO | |
| Physician Assistant | MN | |
| P O D I A T R Y | MN | |
| - | MN | |
| - | MN | |
| General Surgery | MN | |
| Diagnostic Radiology, Internal Medicine | MN | |
| N E U R O L O G Y | MN |
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