DR. JOHN WEITLICH (M.D.) – Orthopaedic Surgery Physician, NPI 1417339623
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
802 ORTHOPEDIC SURGERY in MO
Provider Addresses for DR. JOHN WEITLICH (M.D.)
3107 FREDERICK AVE
STE B
SAINT JOSEPH, MO 645063082
Phone: (816) 233-9888
Fax: (816) 233-0414
Type: Mailing
1100 VIRGINIA ST
COLUMBIA, MO 652120001
Phone: (573) 882-5731
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 39 Open Payments records for all available years, with a total value of $5,123.
Total Amount is formed as General ($5,123) + Research ($0) + Ownership ($0) = $5,123.
Last reported payment date: 2024-10-16 • Largest payer in this snapshot: ACUMED LLC ($4,969).
Total Amount
$5,123
General + Research + Ownership
Payments
39
Total payment records
General Amount
$5,123
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 |
|---|---|
| ACUMED LLC | $4,969 |
| Avita Medical Americas, Llc | $62 |
| PolyNovo North America LLC | $37 |
| Smith+Nephew, Inc. | $20 |
| ConvaTec Inc. | $17 |
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: 2020-08-07
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 |
|---|---|---|---|---|
| I20200807000804 | I | Orthopedic Surgery | MO | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 128 | 100 | $0 |
| 73100 | X-ray of wrist, 2 views | 83 | 56 | $0 |
| 73610 | X-ray of ankle, minimum of 3 views | 61 | 32 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 52 | 46 | $0 |
| 25609 | Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing device | 42 | 41 | $0 |
Insurance plans in this area (ZIP 64506)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MO | |
| Orthopedic Surgery | VA | |
| Physician Assistant | MO | |
| Orthopedic Surgery | MO | |
| Physician Assistant | GA | |
| Orthopedic Surgery | MO | |
| - | MO | |
| Nurse Practitioner | MO | |
| Physical Therapist In Private Practice | MO | |
| Orthopedic Surgery | MO |
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