DR. ROBERT C WEIXELDORFER (OD) – Optometrist, NPI 1528051802

DR. ROBERT C WEIXELDORFER (OD) is a healthcare provider. based in Independence, Missouri. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 1635 (KS). The NPI Number for DR. ROBERT C WEIXELDORFER (OD) is 1528051802

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROBERT C WEIXELDORFER (OD)
NPI
1528051802
Phone
(816) 478-1230
Address
4801 S CLIFF AVE
Enumeration Date
23 August 2005
Last Update Date
6 December 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8164781230
Graduation Year
2001 (25 years ago)
PAC ID
5991832032
Group Practice PAC ID
4385544600
Professional Enrollment ID
I20100422000321
Address ID
MO640811425LE425XXRDXX400
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

863 OPTOMETRY in MO

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Provider Addresses for DR. ROBERT C WEIXELDORFER (OD)

  • 4801, South Cliff Avenue, Independence, Jackson County, Missouri, 64055, United States

    SUITE 100

    INDEPENDENCE, MO 640557015

    Phone: (816) 478-1230

    Fax: (816) 478-4413

    Type: Mailing

  • 600, Northwest Murray Road, Lee's Summit, Jackson County, Missouri, 64081, United States

    STE 115

    LEES SUMMIT, MO 640811204

    Phone: (816) 478-1230

    Fax: (816) 350-4190

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 53 Open Payments records for all available years, with a total value of $2,614.

Total Amount is formed as General ($2,614) + Research ($0) + Ownership ($0) = $2,614.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($1,893).

Total Amount

$2,614

General + Research + Ownership

Payments

53

Total payment records

General Amount

$2,614

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-04-22

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
I20100422000321IOptometryMOTBD

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
92014Established patient complete exam of visual system601586$0
92012Established patient problem focused exam of visual system141108$0
92133Imaging of optic nerve6555$0
92004New patient complete exam of visual system5555$0
92134Imaging of retina3529$0
View full utilization report →

Insurance plans in this area (ZIP 64055)

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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: 4385544600View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)AZ
O P T O M E T R YMO
O P T O M E T R YKS
O P T O M E T R YMO
O P T O M E T R YMO
O P H T H A L M O L O G YMO
-MO
O P H T H A L M O L O G YKY
O P T O M E T R YMO
O P H T H A L M O L O G YMO

Reviews

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Frequently asked questions

Is DR. ROBERT C WEIXELDORFER (OD) listed with a National Provider Identifier?
Yes — DR. ROBERT C WEIXELDORFER (OD) has NPI 1528051802 on file in the registry.
Is DR. ROBERT C WEIXELDORFER (OD) still an active registrant?
DR. ROBERT C WEIXELDORFER (OD) carries an active NPI according to the public dataset.
What area of care is associated with DR. ROBERT C WEIXELDORFER (OD)?
DR. ROBERT C WEIXELDORFER (OD)'s record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. ROBERT C WEIXELDORFER (OD) located near Independence?
DR. ROBERT C WEIXELDORFER (OD) currently maps to Independence, Missouri in this extract.
Can I trust this NPI listing for DR. ROBERT C WEIXELDORFER (OD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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