GREGORY JOHN WEISBRUCH (MD) – Diagnostic Radiology Physician, NPI 1215980040
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,303 DIAGNOSTIC RADIOLOGY in TX
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Provider Addresses for GREGORY JOHN WEISBRUCH (MD)
Southwest 4th Street, Pine Ridge, Longview, Lee's Summit, Jackson County, Missouri, 64081, United States
LONGVIEW, TX 756055143
Phone: (903) 663-4800
Fax: (903) 663-7394
Type: Mailing
Baylor University Medical Center, 3500, Gaston Avenue, Old East Dallas, Dallas, TX, Dallas, Dallas County, Texas, 75246, United States
DALLAS, TX 75246
Phone: (214) 826-8822
Fax: (214) 826-9792
Type: Location
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: 2003-11-20
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 |
|---|---|---|---|---|
| I20031120000161 | I | Diagnostic Radiology | TX | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 69 | 63 | $0 |
| 71046 | X-ray of chest, 2 views | 32 | 32 | $0 |
| 70450 | Ct scan head or brain without contrast | 24 | 24 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 14 | 14 | $0 |
| 74176 | Ct scan of abdomen and pelvis without contrast | 14 | 14 | $0 |
Insurance plans in this area (ZIP 75605)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | GA | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | TX | |
| - | TX | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | IN | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology, Interventional Radiology | PA | |
| Diagnostic Radiology | TX |
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