KEVIN M WIESMANN (M.D.) – Diagnostic Radiology Physician, NPI 1164401535
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
532 DIAGNOSTIC RADIOLOGY in OR
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Provider Addresses for KEVIN M WIESMANN (M.D.)
UHY Crossleys, Station Road, Ballasalla, Malew, Rushen, IM99 6AB, Isle of Man
PORTLAND, OR 972980180
Phone: (503) 797-6356
Type: Mailing
Southwest Barnes Road, Sylvan-Highlands, Portland, Metro, Multnomah County, Oregon, 97210, United States
PORTLAND, OR 972256603
Phone: (503) 216-4830
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $76.
Total Amount is formed as General ($76) + Research ($0) + Ownership ($0) = $76.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($76).
Total Amount
$76
General + Research + Ownership
Payments
2
Total payment records
General Amount
$76
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Hologic Sales and Service, LLC | $76 |
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: 2017-01-05
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 |
|---|---|---|---|---|
| I20100107000730 | I | Diagnostic Radiology | HI | TBD |
| I20170105001131 | I | Diagnostic Radiology | 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 |
|---|---|---|---|---|
| 77063 | Screening 3d breast mammography | 216 | 216 | $0 |
| 77067 | Screening mammography | 216 | 216 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 180 | 176 | $0 |
| A9585 | Injection, gadobutrol, 0.1 ml | 165 | 20 | $0 |
| 71045 | X-ray of chest, 1 view | 90 | 86 | $0 |
Insurance plans in this area (ZIP 97298)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | OR | 71010 | X-ray of chest, 1 view, front | 322 | 307 |
| DIAGNOSTIC RADIOLOGY | OR | 71250 | CT scan chest | 25 | 25 |
| DIAGNOSTIC RADIOLOGY | OR | 73110 | X-ray of wrist, minimum of 3 views | 25 | 18 |
| DIAGNOSTIC RADIOLOGY | OR | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 50 | 50 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| Diagnostic Radiology | OR | |
| Diagnostic Radiology | TN | |
| Diagnostic Radiology | OR | |
| Diagnostic Radiology | OR | |
| Diagnostic Radiology | MO | |
| - | OR | |
| Diagnostic Radiology | OR | |
| Interventional Radiology, Diagnostic Radiology | OR | |
| Diagnostic Radiology | OR |
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