MARY J WEIR (PA-C) – Medical Physician Assistant, NPI 1861689200

MARY J WEIR (PA-C) is a healthcare provider. based in Weatherford, Texas. specializing in Medical Physician Assistant. They hold the professional credentials PA-C. They hold a License No. PA17711 (CA). The NPI Number for MARY J WEIR (PA-C) is 1861689200

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
MARY J WEIR (PA-C)
NPI
1861689200
Phone
(817) 599-6387
Address
150 WILLOW CREEK DR STE 103
Enumeration Date
1 October 2007
Last Update Date
4 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9517882224
Graduation Year
2004 (22 years ago)
PAC ID
4688627235
Group Practice PAC ID
4486607033
Professional Enrollment ID
I20050223000954
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:18State licenses:2Digital endpointsOther names

Provider Addresses for MARY J WEIR (PA-C)

  • 150 WILLOW CREEK DR STE 103

    WEATHERFORD, TX 760853652

    Phone: (817) 599-6387

    Fax: (817) 599-6378

    Type: Location

  • 4000, 14th Street, Riverside, Riverside County, California, 92501, United States

    408

    RIVERSIDE, CA 925014010

    Phone: (951) 788-2224

    Fax: (951) 788-5190

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 167 Open Payments records for all available years, with a total value of $3,082.

Total Amount is formed as General ($3,082) + Research ($0) + Ownership ($0) = $3,082.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($448).

Total Amount

$3,082

General + Research + Ownership

Payments

167

Total payment records

General Amount

$3,082

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2021-08-16

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
I20210816000019IPhysician AssistantTXTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes143118$0
99205New patient office or other outpatient visit, 60-74 minutes8888$0
99215Established patient office or other outpatient visit, 40-54 minutes5754$0
99483Assessment of and care planning for patient with impaired thought processing, typically 60 minutes2727$0
99213Established patient office or other outpatient visit, 20-29 minutes1615$0
View full utilization report →

Insurance plans in this area (ZIP 76085)

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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: 4486607033View full group profile
NameSpecialtyState
-CA

Reviews

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Frequently asked questions

What is the registry number for MARY J WEIR (PA-C)?
The registry entry for MARY J WEIR (PA-C) shows NPI 1861689200.
Is MARY J WEIR (PA-C)'s NPI status active today?
Active status means MARY J WEIR (PA-C)'s NPI record is not deactivated in the public file.
How should patients interpret MARY J WEIR (PA-C)'s specialty?
The extract shows Medical Physician Assistant for MARY J WEIR (PA-C). Clinical services aligned with this taxonomy classification.
Can patients visit MARY J WEIR (PA-C) in Weatherford, Texas?
For routing, start with Weatherford, Texas for MARY J WEIR (PA-C), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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