JOSEPH P WIEDEMER (MD) – Family Medicine Physician, NPI 1689648438

JOSEPH P WIEDEMER (MD) is a healthcare provider. based in State college, Pennsylvania. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. MD065285L (PA). The NPI Number for JOSEPH P WIEDEMER (MD) is 1689648438

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
JOSEPH P WIEDEMER (MD)
NPI
1689648438
Phone
(814) 235-2480
Address
1850 E PARK AVE
Enumeration Date
16 February 2006
Last Update Date
28 March 2018

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8142352480
Graduation Year
1995 (31 years ago)
PAC ID
9234254939
Group Practice PAC ID
3870405483
Professional Enrollment ID
I20131127001243
Address ID
PA168033200ST143XXDRXX325
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

6,103 FAMILY PRACTICE in PA

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Provider Addresses for JOSEPH P WIEDEMER (MD)

  • State College, Centre County, Pennsylvania, United States

    STATE COLLEGE, PA 168036706

    Phone: (814) 235-2480

    Fax: (814) 235-2482

    Type: Location

  • PO BOX 858

    MC A410

    HERSHEY, PA 170330858

    Phone: (800) 243-1455

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2013-11-27

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
I20131127001243IFamily PracticePATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes7456$0
99213Established patient office or other outpatient visit, 20-29 minutes6559$0
View full utilization report →

Insurance plans in this area (ZIP 16803)

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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: 3870405483View full group profile
NameSpecialtyState
P A T H O L O G YPA
Vascular SurgeryMD
O P H T H A L M O L O G YPA
-PA
Nurse PractitionerPA
-FL
-PA
-PA
Emergency MedicinePA
Critical Care (Intensivists)PA

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.

Frequently asked questions

How do I look up JOSEPH P WIEDEMER (MD) by NPI?
Use NPI 1689648438 when you need to reference JOSEPH P WIEDEMER (MD) in forms, claims, or directories.
Does this profile mean JOSEPH P WIEDEMER (MD) is currently active?
Yes — JOSEPH P WIEDEMER (MD) appears active in the national provider directory.
Does JOSEPH P WIEDEMER (MD) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for JOSEPH P WIEDEMER (MD). Clinical services aligned with this taxonomy classification.
Where does public data place JOSEPH P WIEDEMER (MD)?
The snapshot lists State College, Pennsylvania for JOSEPH P WIEDEMER (MD); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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