MR. NICHOLAS KEITH WEBER (MD) – Gastroenterology Physician, NPI 1164544953

MR. NICHOLAS KEITH WEBER (MD) is a healthcare provider. based in Olympia, Washington. specializing in GASTROENTEROLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. MD60445962 (WA). The NPI Number for MR. NICHOLAS KEITH WEBER (MD) is 1164544953

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
MR. NICHOLAS KEITH WEBER (MD)
NPI
1164544953
Phone
(360) 413-8250
Address
500 Lilly Rd NE Ste 204
Enumeration Date
4 April 2007
Last Update Date
21 April 2021

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
3604138250
Graduation Year
2007 (19 years ago)
PAC ID
8921286964
Group Practice PAC ID
1759278252
Professional Enrollment ID
I20140731002857
Address ID
WA985065030OL209XXNEXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

474 GASTROENTEROLOGY in WA

Provider Addresses for MR. NICHOLAS KEITH WEBER (MD)

  • 500 Lilly Rd NE Ste 204

    Olympia, WA 985065197

    Phone: (360) 413-8250

    Fax: (360) 413-8830

    Type: Location

  • 209 LILLY RD NE

    OLYMPIA, WA 985065030

    Phone: (360) 413-8250

    Fax: (360) 413-8830

    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: 2014-07-31

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
I20140731002857IGastroenterologyWATBD

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
45380Biopsy of large bowel using a flexible endoscope197197$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope121112$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare8079$0
99214Established patient office or other outpatient visit, 30-39 minutes5448$0
99213Established patient office or other outpatient visit, 20-29 minutes3633$0
View full utilization report →

Insurance plans in this area (ZIP 98506)

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Provider's Procedures

MR. NICHOLAS KEITH WEBER (MD) performs procedures in GASTROENTEROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYWA45385Removal of polyps or growths of large bowel using an endoscope6563

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: 1759278252View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YWA
Nurse PractitionerWA
Nurse PractitionerWA
G A S T R O E N T E R O L O G YWA
G A S T R O E N T E R O L O G YWA
Nurse PractitionerWA
G A S T R O E N T E R O L O G YWA
G A S T R O E N T E R O L O G YWA
Physician AssistantWA
G A S T R O E N T E R O L O G YWA

Reviews

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Frequently asked questions

What is the 10-digit NPI for MR. NICHOLAS KEITH WEBER (MD)?
MR. NICHOLAS KEITH WEBER (MD) — NPI 1164544953 — is the standard way to identify this listing.
Is MR. NICHOLAS KEITH WEBER (MD) listed as active for patients and plans?
The listing shows MR. NICHOLAS KEITH WEBER (MD) as active in the NPI system.
What taxonomy line describes MR. NICHOLAS KEITH WEBER (MD)?
For research purposes, treat MR. NICHOLAS KEITH WEBER (MD) as Gastroenterology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect MR. NICHOLAS KEITH WEBER (MD) on a map?
Expect Olympia, Washington as a primary anchor for MR. NICHOLAS KEITH WEBER (MD) unless the record lists multiple sites.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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