GLENN E WEAVER (DO) – Anesthesiology Physician, NPI 1063463495
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for GLENN E WEAVER (DO)
3998, Fair Ridge Drive, Pender, Chantilly, Fairfax (city), Virginia, 22033, United States
SUITE 300
FAIRFAX, VA 220332921
Phone: (703) 259-9360
Fax: (703) 766-9725
Type: Mailing
Wilkes-Barre General Hospital, 575, North River Street, North End, Wilkes-Barre, Luzerne County, Pennsylvania, 18764, United States
WILKES BARRE, PA 187640999
Phone: (570) 829-8111
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $683.
Total Amount is formed as General ($683) + Research ($0) + Ownership ($0) = $683.
Last reported payment date: 2024-08-22 • Largest payer in this snapshot: Medtronic, Inc. ($137).
Total Amount
$683
General + Research + Ownership
Payments
6
Total payment records
General Amount
$683
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $137 |
| Phathom Pharmaceuticals, Inc. | $126 |
| Bayer Healthcare Pharmaceuticals Inc. | $115 |
| Janssen Pharmaceuticals, Inc | $106 |
| Mylan Specialty L.P. | $101 |
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: 2011-04-11
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 |
|---|---|---|---|---|
| I20110411000179 | I | Anesthesiology | PA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 22033)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | PA | |
| - | PA | |
| Certified Registered Nurse Anesthetist (Crna) | PA | |
| - | PA | |
| A N E S T H E S I O L O G Y | MD | |
| - | VA | |
| - | VA | |
| - | VA | |
| Certified Registered Nurse Anesthetist (Crna) | PA | |
| Certified Registered Nurse Anesthetist (Crna) | PA |
Reviews
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