DR. JOHN WALTER WIEST (MD) – Vascular Surgery Physician, NPI 1073590998
Vascular Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
79 VASCULAR SURGERY in OR
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Provider Addresses for DR. JOHN WALTER WIEST (MD)
Southwest Barnes Road, Sylvan-Highlands, Portland, Metro, Multnomah County, Oregon, 97210, United States
SUITE 321
PORTLAND, OR 97225
Phone: (503) 292-0070
Fax: (503) 292-7731
Type: Location
Northeast Sandy Boulevard, Sumner, Portland, Metro, Multnomah County, Oregon, 97220, United States
PMB 375
PORTLAND, OR 97232
Phone: (503) 284-8841
Fax: (503) 282-3302
Type: Mailing
9155 SW Barnes Rd Ste 440
Portland, OR 972256631
Phone: (503) 935-8500
Fax: (503) 935-8505
Type: Location
1550 NE 27TH ST STE 100
BEND, OR 977017760
Phone: (413) 138-1115
Fax: (541) 313-8112
Type: Mailing
847 NE 19TH AVE STE 300
PORTLAND, OR 972322686
Phone: (503) 963-2801
Fax: (503) 963-2825
Type: Mailing
9155 SW BARNES RD STE 440
PORTLAND, OR 972256631
Phone: (503) 935-8500
Fax: (503) 935-8505
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $175.
Total Amount is formed as General ($175) + Research ($0) + Ownership ($0) = $175.
Last reported payment date: 2023-01-26 • Largest payer in this snapshot: W. L. Gore & Associates, Inc. ($175).
Total Amount
$175
General + Research + Ownership
Payments
1
Total payment records
General Amount
$175
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-01-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| W. L. Gore & Associates, Inc. | $175 |
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: 2011-01-20
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 |
|---|---|---|---|---|
| I20110120000513 | I | Vascular Surgery | OR | 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 |
|---|---|---|---|---|
| 22558 | Fusion of lower spine bone through abdomen with partial removal of disc | 28 | 28 | $0 |
Insurance plans in this area (ZIP 97225)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| VASCULAR SURGERY | OR | 93922 | Ultrasound study of arteries of both arms and legs | 15 | 15 |
| VASCULAR SURGERY | OR | 93926 | Ultrasound study of arteries and arterial grafts of one leg or limited | 42 | 34 |
| VASCULAR SURGERY | OR | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 14 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Vascular Surgery | UT | |
| Vascular Surgery | OR | |
| General Surgery, Vascular Surgery | OR | |
| Vascular Surgery, General Surgery | OR | |
| Nurse Practitioner | OR | |
| Nurse Practitioner | OR | |
| General Surgery, Vascular Surgery | OR | |
| General Surgery, Vascular Surgery | CT | |
| Vascular Surgery | OR | |
| Nurse Practitioner | OR |
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