DR. WOLFGANG JOHANNES WEISE (M.D.) – Nephrology Physician, NPI 1790865004

DR. WOLFGANG JOHANNES WEISE (M.D.) is a healthcare provider. based in Burlington, Vermont. specializing in INTERNAL MEDICINE, NEPHROLOGY. They hold the professional credentials M.D.. The NPI Number for DR. WOLFGANG JOHANNES WEISE (M.D.) is 1790865004

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
DR. WOLFGANG JOHANNES WEISE (M.D.)
NPI
1790865004
Phone
(802) 660-4910
Address
136 N PROSPECT ST
Enumeration Date
17 October 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8028473030
Graduation Year
1980 (46 years ago)
PAC ID
2769490408
Group Practice PAC ID
3779491071
Professional Enrollment ID
I20060322000542
Address ID
VT054036119SO35XXXDRXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

385 INTERNAL MEDICINE in VT

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Provider Addresses for DR. WOLFGANG JOHANNES WEISE (M.D.)

  • 136, North Prospect Street, North Hill Section, Burlington, Chittenden County, Vermont, 05401, United States

    BURLINGTON, VT 054013347

    Phone: (802) 660-4910

    Type: Mailing

  • UVMMC DU Campus Arnold Pavilion, 1, South Prospect Street, Burlington, Chittenden County, Vermont, 05401, United States

    2318 REHAB.BLDG, UHC

    BURLINGTON, VT 054013456

    Phone: (802) 847-3572

    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: 2006-03-22

PECOS data refreshed: 2026-06-15

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
I20060322000542IInternal MedicineVTTBD

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
90960Dialysis services, 4 or more physician visits per month (20 years or older)19831$0
99213Established patient office or other outpatient visit, 20-29 minutes9274$0
90935Hemodialysis procedure with physician evaluation7031$0
90961Dialysis services, 2-3 physician visits per month (20 years or older)6927$0
99214Established patient office or other outpatient visit, 30-39 minutes4738$0
View full utilization report →

Insurance plans in this area (ZIP 05401)

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Provider's Procedures

DR. WOLFGANG JOHANNES WEISE (M.D.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEVT90935Hemodialysis procedure with one physician evaluation4727

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: 3779491071View full group profile

Reviews

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Frequently asked questions

Does DR. WOLFGANG JOHANNES WEISE (M.D.) have a public NPI I can cite?
Public records show DR. WOLFGANG JOHANNES WEISE (M.D.) under NPI 1790865004.
Quick check: is DR. WOLFGANG JOHANNES WEISE (M.D.) active?
Public NPPES data shows DR. WOLFGANG JOHANNES WEISE (M.D.) with an active NPI status right now.
Which specialty label fits DR. WOLFGANG JOHANNES WEISE (M.D.)?
NPPES ties DR. WOLFGANG JOHANNES WEISE (M.D.) to Nephrology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to DR. WOLFGANG JOHANNES WEISE (M.D.)?
The directory associates DR. WOLFGANG JOHANNES WEISE (M.D.) with Burlington, Vermont. Check all listed addresses for suites or satellite offices.
Why is information missing for DR. WOLFGANG JOHANNES WEISE (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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