DR. SALLY P WEAVER (MD) – Family Medicine Physician, NPI 1457338733

DR. SALLY P WEAVER (MD) is a healthcare provider. based in Waco, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. K3039 (TX). The NPI Number for DR. SALLY P WEAVER (MD) is 1457338733

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. SALLY P WEAVER (MD)
NPI
1457338733
Phone
(254) 313-4200
Address
1600 PROVIDENCE DR
Enumeration Date
28 December 2005
Last Update Date
26 April 2013

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
2547514000
Graduation Year
1996 (30 years ago)
PAC ID
1254524291
Group Practice PAC ID
1759481724
Professional Enrollment ID
I20101021001284
Address ID
TX767127910WA6901XPKWY300
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

8,706 FAMILY PRACTICE in TX

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Provider Addresses for DR. SALLY P WEAVER (MD)

  • Providence Drive, Waco, McLennan County, Texas, 76707, United States

    WACO, TX 767072261

    Phone: (254) 313-4200

    Fax: (254) 313-4326

    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)

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: 2010-10-21

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
I20101021001284IFamily PracticeTXTBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes5551$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes5421$0
99238Hospital discharge day management, 30 minutes or less2421$0
83036Hemoglobin a1c level2015$0
View full utilization report →

Insurance plans in this area (ZIP 76707)

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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: 1759481724View full group profile
NameSpecialtyState
Internal MedicineTX
Internal Medicine, Emergency MedicineTX
Internal MedicineTX
-TX
Internal MedicineTX
Emergency MedicineTX
-TX
Family PracticeTX
Internal MedicineTX
Family PracticeTX

Reviews

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Frequently asked questions

What federal number belongs to DR. SALLY P WEAVER (MD)?
The federal identifier for DR. SALLY P WEAVER (MD) is NPI 1457338733.
Is DR. SALLY P WEAVER (MD) active in the national directory?
DR. SALLY P WEAVER (MD)'s public NPI profile is in an active state.
What kind of provider is DR. SALLY P WEAVER (MD)?
The page reflects Family Medicine Physician for DR. SALLY P WEAVER (MD). Clinical services aligned with this taxonomy classification.
Where is DR. SALLY P WEAVER (MD)'s primary listing?
We display Waco, Texas because that is what the record indicates for DR. SALLY P WEAVER (MD).
Is DR. SALLY P WEAVER (MD) a real provider?
This page reflects official NPPES data for NPI 1457338733. Always confirm identity and privileges with the practice and licensing boards.

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