WILLIAM J WIEDEMER (D.P.M.) – Podiatrist, NPI 1528027794

WILLIAM J WIEDEMER (D.P.M.) is a healthcare provider. based in Altoona, Pennsylvania. specializing in PODIATRY. They hold the professional credentials D.P.M.. They hold a License No. SC004522L (PA). The NPI Number for WILLIAM J WIEDEMER (D.P.M.) is 1528027794

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM J WIEDEMER (D.P.M.)
NPI
1528027794
Phone
(814) 943-3668
Address
711 LOGAN BLVD
Enumeration Date
17 March 2006
Last Update Date
20 June 2023

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8149433668
Graduation Year
1998 (28 years ago)
PAC ID
4587724653
Group Practice PAC ID
4587553607
Professional Enrollment ID
I20081119000281
Address ID
PA166024165AL711XXBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,279 PODIATRY in PA

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Provider Addresses for WILLIAM J WIEDEMER (D.P.M.)

  • Logan Boulevard, Llyswen, Altoona, Blair County, Pennsylvania, 16603, United States

    ALTOONA, PA 166024165

    Phone: (814) 943-3668

    Fax: (814) 942-7635

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $480.

Total Amount is formed as General ($480) + Research ($0) + Ownership ($0) = $480.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Smith+Nephew, Inc. ($166).

Total Amount

$480

General + Research + Ownership

Payments

28

Total payment records

General Amount

$480

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2008-11-19

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081119000281IPodiatryPATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
11721Removal of fingernails or toenails, 6 or more nails1,381431$0
11720Removal of fingernails or toenails, 1-5 nails395127$0
11056Removal of noncancer thickened skin growth, 2-4 growths344118$0
G0127Trimming of dystrophic nails, any number333102$0
11055Removal of noncancer thickened skin growth, 1 growth21789$0
View full utilization report →

Insurance plans in this area (ZIP 16602)

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Provider's Procedures

WILLIAM J WIEDEMER (D.P.M.) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYPA11056Removal of 2 to 4 thickened skin growths604184
PODIATRYPA11720Removal of tissue from 1 to 5 finger or toe nails4422

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587553607View full group profile
NameSpecialtyState
Orthopedic SurgeryPA
Physician AssistantPA
P O D I A T R YPA
P O D I A T R YPA
Orthopedic SurgeryPA

Reviews

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Frequently asked questions

Does WILLIAM J WIEDEMER (D.P.M.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — WILLIAM J WIEDEMER (D.P.M.) uses 1528027794.
Does the file indicate WILLIAM J WIEDEMER (D.P.M.) is practicing under active NPI?
Directory data currently reports WILLIAM J WIEDEMER (D.P.M.) as active.
What is WILLIAM J WIEDEMER (D.P.M.)'s primary classification?
Podiatrist is the headline specialty for WILLIAM J WIEDEMER (D.P.M.) here. Clinical services aligned with this taxonomy classification.
Where should I expect WILLIAM J WIEDEMER (D.P.M.) on a map?
Expect Altoona, Pennsylvania as a primary anchor for WILLIAM J WIEDEMER (D.P.M.) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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