JACK EUGENE WEAVER (MD) – Interventional Pain Medicine Physician, NPI 1902802101
Interventional Pain Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,775 FAMILY PRACTICE in OK
Loading map...
Provider Addresses for JACK EUGENE WEAVER (MD)
4750 S GARNETT RD
TULSA, OK 741465222
Phone: (918) 710-4112
Fax: (918) 710-4118
Type: Mailing
209, South 36th Street, Muskogee, Muskogee County, Oklahoma, 74401, United States
MUSKOGEE, OK 744015043
Phone: (918) 710-4112
Fax: (918) 710-4118
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 48 Open Payments records for all available years, with a total value of $2,846.
Total Amount is formed as General ($2,846) + Research ($0) + Ownership ($0) = $2,846.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Medtronic, Inc. ($2,275).
Total Amount
$2,846
General + Research + Ownership
Payments
48
Total payment records
General Amount
$2,846
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
| Company | Amount |
|---|---|
| Medtronic, Inc. | $2,275 |
| Boston Scientific Corporation | $506 |
| Solventum Corporation | $30 |
| Medline Industries LP | $20 |
| PAINTEQ LLC | $15 |
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: 2022-04-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20111020000143 | I | Interventional Pain Management | OK | TBD |
| I20220412001224 | I | Family Practice | TX | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 1,263 | 204 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 749 | 358 | $0 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 350 | 153 | $0 |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 291 | 212 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 178 | 102 | $0 |
Insurance plans in this area (ZIP 74146)
Loading plans...
Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | OK | |
| P O D I A T R Y | OK | |
| - | OK | |
| - | OK | |
| - | OK | |
| - | OK | |
| - | OK | |
| Internal Medicine | MO | |
| - | OK | |
| - | OK |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.