DR. KEITH ANDREW WEAVER (DO) – General Practice Physician, NPI 1265652317
General Practice Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
111 GENERAL PRACTICE in TN
Provider Addresses for DR. KEITH ANDREW WEAVER (DO)
1013 EXECUTIVE DR
SUITE 101
HIXSON, TN 373437912
Phone: (423) 875-2538
Fax: (423) 875-2539
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 87 Open Payments records for all available years, with a total value of $1,473.
Total Amount is formed as General ($1,473) + Research ($0) + Ownership ($0) = $1,473.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Novo Nordisk Inc ($307).
Total Amount
$1,473
General + Research + Ownership
Payments
87
Total payment records
General Amount
$1,473
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $307 |
| Amneal Pharmaceuticals LLC | $224 |
| ABBVIE INC. | $129 |
| Esperion Therapeutics, Inc. | $71 |
| TOLMAR, INC. | $69 |
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: 2010-02-15
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 |
|---|---|---|---|---|
| I20100215000317 | I | General Practice | TN | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 544 | 156 | $0 |
| 82962 | Blood glucose (sugar) test performed by hand-held instrument | 54 | 17 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 32 | 32 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 15 | 15 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 13 | 12 | $0 |
Insurance plans in this area (ZIP 37343)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL PRACTICE | TN | 81002 | Urinalysis, manual test | 50 | 42 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN |
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