REBECCA WIESNER (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1104183391

REBECCA WIESNER (DPM) is a healthcare provider. based in Frisco, Texas. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 2228 (TX). The NPI Number for REBECCA WIESNER (DPM) is 1104183391

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
REBECCA WIESNER (DPM)
NPI
1104183391
Phone
(972) 712-7773
Address
5375 COIT RD STE 100
Enumeration Date
12 April 2012
Last Update Date
23 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8607413041
Graduation Year
2012 (14 years ago)
PAC ID
0143533489
Group Practice PAC ID
7719022987
Professional Enrollment ID
I20150716000288
Address ID
CT060825524EN1379XSTXX300

Contacts

Secure Messaging
rwiesner151511@direct.stfranciscare.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness85
Years active:14State licenses:2Other namesUpdated within 12 months

1,097 PODIATRY in TX

Provider Addresses for REBECCA WIESNER (DPM)

  • 5375 COIT RD STE 100

    FRISCO, TX 750354911

    Phone: (972) 712-7773

    Fax: (972) 712-3134

    Type: Mailing

  • 1379 ENFIELD ST

    ENFIELD, CT 060825524

    Phone: (860) 741-3041

    Fax: (860) 741-5644

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $1,628.

Total Amount is formed as General ($1,628) + Research ($0) + Ownership ($0) = $1,628.

Last reported payment date: 2024-11-01 • Largest payer in this snapshot: Stryker Corporation ($321).

Total Amount

$1,628

General + Research + Ownership

Payments

21

Total payment records

General Amount

$1,628

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-01

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: 2016-11-28

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150716000288IPodiatryCTTBD
I20161128002706IPodiatryTXTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes269171$0
11056Removal of noncancer thickened skin growth, 2-4 growths25780$0
11719Trimming of fingernails or toenails24072$0
G0127Trimming of dystrophic nails, any number13938$0
99203New patient office or other outpatient visit, 30-44 minutes110110$0
View full utilization report →

Insurance plans in this area (ZIP 75035)

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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: 7719022987View full group profile

Reviews

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Frequently asked questions

How do payers reference REBECCA WIESNER (DPM)?
For REBECCA WIESNER (DPM), use NPI 1104183391 as the unique 10-digit identifier.
Would REBECCA WIESNER (DPM) appear as active to a payer?
You can treat REBECCA WIESNER (DPM) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for REBECCA WIESNER (DPM)?
At a glance, REBECCA WIESNER (DPM) is tied to Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Is REBECCA WIESNER (DPM) located near Frisco?
REBECCA WIESNER (DPM) currently maps to Frisco, Texas in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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