CHAD H WEAVER (M.D.) – Dermatology Physician, NPI 1235367202

CHAD H WEAVER (M.D.) is a healthcare provider. based in Minneapolis, Minnesota. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. 53511 (MN). The NPI Number for CHAD H WEAVER (M.D.) is 1235367202

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
CHAD H WEAVER (M.D.)
NPI
1235367202
Phone
(612) 213-2370
Address
2603 39th Ave NE
Enumeration Date
29 June 2009
Last Update Date
30 January 2024

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5074543650
Graduation Year
2009 (17 years ago)
PAC ID
3375731433
Group Practice PAC ID
8527977420
Professional Enrollment ID
I20101216000554
Address ID
MN559874868WI855XXAVEX300
Telehealth
Yes

Contacts

Secure Messaging
cweaver89715@ehrdirect.mayoclinicmsg.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:16State licenses:1Other namesUpdated within 12 months

419 DERMATOLOGY in MN

Provider Addresses for CHAD H WEAVER (M.D.)

  • 2603 39th Ave NE

    Suite D-202

    Minneapolis, MN 554214372

    Phone: (612) 213-2370

    Fax: (612) 213-2370

    Type: Location

  • Albert Lea Medical Center, 404, West Fountain Street, Albert Lea, Freeborn County, Minnesota, 56007, United States

    ALBERT LEA, MN 560072437

    Phone: (507) 373-2384

    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: 2010-12-16

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101216000554IDermatologyMNTBD

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
17003Destruction of precancer skin growth, 2-14 growths971201$0
99213Established patient office or other outpatient visit, 20-29 minutes836570$0
17000Destruction of precancer skin growth, 1 growth367289$0
17110Destruction of skin growth, 1-14 growths194166$0
11102Biopsy of related skin growth, first growth182164$0
View full utilization report →

Insurance plans in this area (ZIP 55421)

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Provider's Procedures

CHAD H WEAVER (M.D.) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYMN17003Destruction of 2-14 skin growths772130

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: 8527977420View full group profile
NameSpecialtyState
Physician AssistantMN
Cardiovascular Disease (Cardiology)IL
U R O L O G YWI
-MN
Emergency MedicineMN
O P T O M E T R YMN
Nurse PractitionerWI
Physician AssistantMN
Nurse PractitionerWI
Internal MedicineMN

Reviews

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Frequently asked questions

Can I cross-check CHAD H WEAVER (M.D.) using NPI 1235367202?
NPI 1235367202 belongs to CHAD H WEAVER (M.D.); compare other details if you need extra assurance.
Is CHAD H WEAVER (M.D.) still an active registrant?
CHAD H WEAVER (M.D.) carries an active NPI according to the public dataset.
What kind of doctor is CHAD H WEAVER (M.D.)?
CHAD H WEAVER (M.D.) is associated with Dermatology Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Minnesota is CHAD H WEAVER (M.D.) registered?
Use Minneapolis, Minnesota as the headline location for CHAD H WEAVER (M.D.) here.
When was this NPI issued?
Enumeration for CHAD H WEAVER (M.D.) is noted as June 29, 2009 where the registry provides it.

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