VICKY LYNN WEIDNER (M.D.) – Emergency Medicine Physician, NPI 1770540221
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
747 EMERGENCY MEDICINE in OK
Provider Addresses for VICKY LYNN WEIDNER (M.D.)
11933 S ERIE AVE
TULSA, OK 741378433
Phone: (918) 261-1225
Type: Mailing
1 TURTLE DR
WYANDOTTE, OK 743702114
Phone: (918) 678-2282
Fax: (918) 678-3136
Type: Location
Physical Therapy of Tulsa, 6767, South Yale Avenue, Willow Creek, Tulsa, Tulsa County, Oklahoma, 74136, United States
TULSA, OK 741363302
Phone: (918) 494-3000
Fax: (918) 494-0003
Type: Mailing
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: 2025-05-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20040120000660 | I | Emergency Medicine | OK | TBD |
| I20240410000561 | I | Emergency Medicine | TX | TBD |
| I20250522000366 | I | Emergency Medicine | MN | 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 | 62 | 35 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 40 | 30 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 25 | 22 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 23 | 19 | $0 |
| 81003 | Automated urinalysis test | 20 | 16 | $0 |
Insurance plans in this area (ZIP 74137)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OK | |
| - | OK | |
| Family Practice | TN | |
| Family Practice | OK | |
| Physical Therapist In Private Practice | OK | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO |
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