BRIAN C WEITZ (MD) – Family Medicine Physician, NPI 1790786564

BRIAN C WEITZ (MD) is a healthcare provider. based in Apple valley, Minnesota. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 5307 (MT). The NPI Number for BRIAN C WEITZ (MD) is 1790786564

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
BRIAN C WEITZ (MD)
NPI
1790786564
Phone
(952) 997-4100
Address
15650 CEDAR AVE
Enumeration Date
3 August 2005
Last Update Date
22 June 2012

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
6514068860
Graduation Year
1983 (43 years ago)
PAC ID
8921050295
Group Practice PAC ID
7113830142
Professional Enrollment ID
I20110409000034
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for BRIAN C WEITZ (MD)

  • Fairview Cedar Ridge Clinic, 15650, Cedar Avenue, Apple Valley, Dakota County, Minnesota, 55124, United States

    APPLE VALLEY, MN 551247283

    Phone: (952) 997-4100

    Mailing address matches the actual address.

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: 2011-04-09

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110409000034IFamily PracticeMNTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes305161$0
36415Insertion of needle into vein for collection of blood sample279148$0
83036Hemoglobin a1c level11683$0
80053Blood test, comprehensive group of blood chemicals9283$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count9172$0
View full utilization report →

Insurance plans in this area (ZIP 55124)

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Provider's Procedures

BRIAN C WEITZ (MD) performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMN20610Aspiration and/or injection of large joint or joint capsule1612
FAMILY MEDICINEMN83036Hemoglobin A1C level8453
FAMILY MEDICINEMN85610Blood test, clotting time12216

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: 7113830142View full group profile

Reviews

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Frequently asked questions

What is BRIAN C WEITZ (MD)'s NPI number?
BRIAN C WEITZ (MD)'s NPI is 1790786564 — the number used across U.S. healthcare to identify this provider.
Is BRIAN C WEITZ (MD) shown as active in public data?
Registry records indicate BRIAN C WEITZ (MD) maintains an active NPI.
What kind of doctor is BRIAN C WEITZ (MD)?
BRIAN C WEITZ (MD) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is BRIAN C WEITZ (MD) located near Apple Valley?
BRIAN C WEITZ (MD) currently maps to Apple Valley, Minnesota in this extract.
When was this NPI issued?
Enumeration for BRIAN C WEITZ (MD) is noted as August 3, 2005 where the registry provides it.

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