ERIC WEISSMANN – Diagnostic Radiology Physician, NPI 1104141399

ERIC WEISSMANN is a healthcare provider. based in Fort worth, Texas. specializing in DIAGNOSTIC RADIOLOGY. They hold a License No. P1029 (TX). The NPI Number for ERIC WEISSMANN is 1104141399

Main info

Male
16 Years Of Experience
Name
ERIC WEISSMANN
NPI
1104141399
Phone
(817) 321-0404
Address
816 W CANNON ST
Enumeration Date
31 March 2010
Last Update Date
18 November 2020

Doctor Profile

Medical School Name
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Secondary Phone
9729200115
Graduation Year
2010 (16 years ago)
PAC ID
2466772231
Group Practice PAC ID
3072836600
Professional Enrollment ID
I20150519000267
Address ID
TX750822807RI4140XRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

3,303 DIAGNOSTIC RADIOLOGY in TX

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Provider Addresses for ERIC WEISSMANN

  • 816 W CANNON ST

    FORT WORTH, TX 761043146

    Phone: (817) 321-0404

    Type: Mailing

  • 627, Turtle Creek Drive, Tyler, Smith County, Texas, 75701, United States

    TYLER, TX 757011832

    Phone: (903) 593-2539

    Fax: (903) 593-0559

    Type: Location

  • Tyler Post Office, Mc Arthur Street, Tyler, Lincoln County, Minnesota, United States

    TYLER, TX 757112590

    Phone: (903) 200-4157

    Fax: (903) 705-7864

    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: 2015-05-19

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
I20150519000267IDiagnostic RadiologyTXTBD

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
71045X-ray of chest, 1 view1,9801,600$0
77080Dxa bone density measurement of hip, pelvis, spine651651$0
70450Ct scan head or brain without contrast517504$0
71046X-ray of chest, 2 views411406$0
74177Ct scan of abdomen and pelvis with contrast238238$0
View full utilization report →

Insurance plans in this area (ZIP 76104)

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Provider's Procedures

ERIC WEISSMANN performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYTX71010X-ray of chest, 1 view, front814710
DIAGNOSTIC RADIOLOGYTX73110X-ray of wrist, minimum of 3 views3431
DIAGNOSTIC RADIOLOGYTX73562X-ray of knee, 3 views5850
DIAGNOSTIC RADIOLOGYTX73630X-ray of foot, minimum of 3 views5249
DIAGNOSTIC RADIOLOGYTX93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers4444

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: 3072836600View full group profile
NameSpecialtyState
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Diagnostic RadiologyNJ
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Diagnostic RadiologyTX

Reviews

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Frequently asked questions

What is the standard ID for ERIC WEISSMANN in the U.S.?
In the U.S., ERIC WEISSMANN is identified by NPI 1104141399.
Is ERIC WEISSMANN's NPI status active today?
Active status means ERIC WEISSMANN's NPI record is not deactivated in the public file.
How should patients interpret ERIC WEISSMANN's specialty?
The extract shows Diagnostic Radiology Physician for ERIC WEISSMANN. Clinical services aligned with this taxonomy classification.
Which community is linked to ERIC WEISSMANN?
ERIC WEISSMANN shows a connection to Fort Worth, Texas in registry-derived data.
Who maintains ERIC WEISSMANN's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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