DERIK T. WELDON (M.D.) – Diagnostic Radiology Physician, NPI 1093924375
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,801 DIAGNOSTIC RADIOLOGY in MN
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Provider Addresses for DERIK T. WELDON (M.D.)
PO BOX 1450 NW 6035
MINNEAPOLIS, MN 554856035
Phone: (800) 634-4064
Fax: (952) 513-6880
Type: Mailing
19th Street South, Sartell, Stearns County, Minnesota, 56395, United States
SUITE 100
SARTELL, MN 563772154
Phone: (320) 251-0609
Fax: (320) 251-3806
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $30.
Total Amount is formed as General ($30) + Research ($0) + Ownership ($0) = $30.
Last reported payment date: 2024-01-22 • Largest payer in this snapshot: Medtronic, Inc. ($30).
Total Amount
$30
General + Research + Ownership
Payments
1
Total payment records
General Amount
$30
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $30 |
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: 2008-07-02
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 |
|---|---|---|---|---|
| I20080702000527 | I | Diagnostic Radiology | 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 |
|---|---|---|---|---|
| A9575 | Injection, gadoterate meglumine, 0.1 ml | 12,315 | 67 | $0 |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | 5,167 | 176 | $0 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 1,183 | 16 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 811 | 67 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 285 | 135 | $0 |
Insurance plans in this area (ZIP 55485)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | MN | 20610 | Aspiration and/or injection of large joint or joint capsule | 27 | 23 |
| DIAGNOSTIC RADIOLOGY | MN | 62311 | Injections of substances into lower or sacral spine | 64 | 56 |
| DIAGNOSTIC RADIOLOGY | MN | 76830 | Ultrasound pelvis through vagina | 12 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | FL | |
| Physician Assistant | MN | |
| Diagnostic Radiology | NH | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | IA | |
| Diagnostic Radiology | TX | |
| - | MN | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | GA |
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