DON EDWARD II WIESE (M.D.) – Diagnostic Radiology Physician, NPI 1114908159

DON EDWARD II WIESE (M.D.) is a healthcare provider. based in St paul, Minnesota. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 48546 (MN). The NPI Number for DON EDWARD II WIESE (M.D.) is 1114908159

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DON EDWARD II WIESE (M.D.)
NPI
1114908159
Phone
(651) 292-2043
Address
166 4TH ST E
Enumeration Date
8 November 2005
Last Update Date
22 July 2021

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
6512922000
Graduation Year
1999 (27 years ago)
PAC ID
7810971843
Group Practice PAC ID
4486568482
Professional Enrollment ID
I20060830000035
Address ID
MN561369598HE503XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,801 DIAGNOSTIC RADIOLOGY in MN

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Provider Addresses for DON EDWARD II WIESE (M.D.)

  • 4th Street East, Downtown, Saint Paul, Ramsey County, Minnesota, 55146, United States

    ST PAUL RADIOLOGY PA

    ST PAUL, MN 551011421

    Phone: (651) 292-2043

    Fax: (651) 292-2204

    Type: Mailing

  • 2355 HIGHWAY 36 W STE 100

    ROSEVILLE, MN 551133905

    Phone: (651) 292-2000

    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: 2008-12-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20060830000035IDiagnostic RadiologyMNTBD
I20060914000586IDiagnostic RadiologyWITBD
I20081205000501IDiagnostic RadiologyNDTBD

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
A9585Injection, gadobutrol, 0.1 ml1,65720$0
70450Ct scan head or brain without contrast470454$0
70553Mri scan of brain before and after contrast183175$0
72125Ct scan of upper spine without contrast152152$0
72148Mri scan of lower spinal canal without contrast149147$0
View full utilization report →

Insurance plans in this area (ZIP 55101)

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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: 4486568482View full group profile

Reviews

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Frequently asked questions

What identifier follows DON EDWARD II WIESE (M.D.) across health systems?
The NPI 1114908159 uniquely identifies DON EDWARD II WIESE (M.D.) in U.S. healthcare data.
Quick check: is DON EDWARD II WIESE (M.D.) active?
Public NPPES data shows DON EDWARD II WIESE (M.D.) with an active NPI status right now.
What services align with DON EDWARD II WIESE (M.D.)'s listing?
DON EDWARD II WIESE (M.D.)'s public classification highlights Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DON EDWARD II WIESE (M.D.)?
DON EDWARD II WIESE (M.D.) shows a connection to St Paul, Minnesota in registry-derived data.
Why is information missing for DON EDWARD II WIESE (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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