KEVIN GERARD WIETECHA (DO) – Endocrinology, Diabetes & Metabolism Physician, NPI 1669450557
Endocrinology, Diabetes & Metabolism Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
407 ENDOCRINOLOGY in OH
Provider Addresses for KEVIN GERARD WIETECHA (DO)
4634 HILLS AND DALES RD NW
CANTON, OH 447081510
Phone: (330) 477-0255
Fax: (330) 477-7266
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)
CMS reports 100 Open Payments records for all available years, with a total value of $15,357.
Total Amount is formed as General ($15,357) + Research ($0) + Ownership ($0) = $15,357.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Novo Nordisk Inc ($11,984).
Total Amount
$15,357
General + Research + Ownership
Payments
100
Total payment records
General Amount
$15,357
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $11,984 |
| Bayer Healthcare Pharmaceuticals Inc. | $2,169 |
| Lilly USA, LLC | $221 |
| Amgen Inc. | $122 |
| SANOFI-AVENTIS U.S. LLC | $67 |
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: 2010-05-21
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 |
|---|---|---|---|---|
| I20100521000575 | I | Endocrinology | OH | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 2,461 | 926 | $0 |
| 82962 | Blood glucose (sugar) test performed by hand-held instrument | 754 | 286 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 548 | 430 | $0 |
| 83036 | Hemoglobin a1c level | 405 | 254 | $0 |
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 274 | 273 | $0 |
Insurance plans in this area (ZIP 44708)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Hospitalist | OH | |
| Internal Medicine, Hospitalist | OH | |
| Endocrinology, Internal Medicine | OH | |
| N E U R O L O G Y | CO | |
| Plastic And Reconstructive Surgery | OH | |
| Gynecological Oncology | FL | |
| Family Practice | OH | |
| Nurse Practitioner | OH | |
| Hospitalist, Internal Medicine | OH | |
| Nurse Practitioner | OH |
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