DR. JONATHAN WIESEN (M.D.) – Internal Medicine Physician, NPI 1912149006
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
850 PULMONARY DISEASE in OH
Provider Addresses for DR. JONATHAN WIESEN (M.D.)
667 Eastland Ave SE
Warren, OH 444844503
Phone: (330) 841-4034
Fax: (330) 841-4919
Type: Location
1044 Belmont Ave
Youngstown, OH 445041006
Phone: (330) 480-3258
Fax: (330) 480-4119
Type: Location
8401 Market St
Youngstown, OH 445126725
Phone: (330) 729-4200
Fax: (330) 729-4249
Type: Location
600 GRESHAM DR STE 8630B
NORFOLK, VA 235071904
Phone: (757) 388-6115
Fax: (757) 275-9998
Type: Location
211 4th St
Alexandria, LA 713018421
Phone: (216) 297-9477
Type: Location
8201 W Broward Blvd
Plantation, FL 333242701
Phone: (216) 297-9477
Type: Location
1075 Stephenson Ave # D2
Oceanport, NJ 077571242
Phone: (551) 486-6214
Type: Location
9500 Euclid Ave
NA10
Cleveland, OH 441950001
Phone: (216) 444-2336
Fax: (216) 445-6290
Type: Location
Bainbridge Road, Solon, Cuyahoga County, Ohio, 44023, United States
SOLON, OH 441392275
Phone: (216) 297-9477
Type: Mailing
Cleveland Clinic, 9500, Euclid Avenue, Newton Avenue Historic District, University Circle, Cleveland, Cuyahoga County, Ohio, 44195, United States
NA10
CLEVELAND, OH 441950001
Phone: (216) 444-2336
Fax: (216) 445-6290
Type: Location
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: 2024-09-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 9 Medicare enrollment records; no due dates published yet.
Enrollment records
9
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 |
|---|---|---|---|---|
| I20150106001254 | I | Internal Medicine | OH | TBD |
| I20191003001627 | I | Internal Medicine | FL | TBD |
| I20200212001932 | I | Pulmonary Disease | NJ | TBD |
| I20220406003083 | I | Internal Medicine | PA | TBD |
| I20220630001642 | I | Pulmonary Disease | NY | TBD |
| I20220707000470 | I | Pulmonary Disease | NV | TBD |
| I20230913003323 | I | Pulmonary Disease | VA | TBD |
| I20240313003078 | I | Critical Care (Intensivists) | NC | TBD |
| I20240924004305 | I | Internal Medicine | 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 |
|---|---|---|---|---|
| J1306 | Injection, inclisiran, 1 mg | 55,238 | 175 | $0 |
| J2356 | Injection, tezepelumab-ekko, 1 mg | 14,910 | 23 | $0 |
| J3245 | Injection, tildrakizumab, 1 mg | 14,500 | 86 | $0 |
| J3032 | Injection, eptinezumab-jjmr, 1 mg | 2,500 | 12 | $0 |
| J0897 | Injection, denosumab, 1 mg | 1,320 | 22 | $0 |
Insurance plans in this area (ZIP 44484)
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