LAWRENCE D WEIDELL (PA-C) – Medical Physician Assistant, NPI 1770540122
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,876 PHYSICIAN ASSISTANT in OR
Provider Addresses for LAWRENCE D WEIDELL (PA-C)
860 BELTLINE RD
SPRINGFIELD, OR 974771091
Phone: (541) 344-4168
Fax: (458) 201-8510
Type: Location
12469, Emerald Coast Parkway West, Miramar Beach, Walton County, Florida, 32550, United States
MIRAMAR BEACH, FL 325508305
Phone: (850) 654-3376
Fax: (850) 654-3320
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $378.
Total Amount is formed as General ($378) + Research ($0) + Ownership ($0) = $378.
Last reported payment date: 2024-07-30 • Largest payer in this snapshot: Janssen Biotech, Inc. ($171).
Total Amount
$378
General + Research + Ownership
Payments
15
Total payment records
General Amount
$378
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $171 |
| PFIZER INC. | $53 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $29 |
| Regeneron Healthcare Solutions, Inc. | $25 |
| Lilly USA, LLC | $24 |
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: 2023-09-13
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 |
|---|---|---|---|---|
| I20110517000503 | I | Physician Assistant | FL | TBD |
| I20230913000869 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 961 | 192 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 309 | 276 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 268 | 236 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 156 | 150 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 112 | 102 | $0 |
Insurance plans in this area (ZIP 97477)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | FL | 17003 | Destruction of 2-14 skin growths | 2019 | 306 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Dermatology, Pathology | OR | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | OR | |
| Physician Assistant | OR |
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.