MR. PHILIP LOUIS II WEIDNER (PA-C) – Physician Assistant, NPI 1295037844
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
4,282 PHYSICIAN ASSISTANT in WA
Provider Addresses for MR. PHILIP LOUIS II WEIDNER (PA-C)
PO BOX 421
LIBERTY LAKE, WA 990190421
Phone: (866) 747-2455
Fax: (509) 227-7070
Type: Mailing
820 S MCCLELLAN ST STE 300
SPOKANE, WA 99204
Phone: (509) 838-7100
Fax: (509) 227-7070
Type: Location
1233 N NORTHWOOD CENTER CT STE 101
COEUR D ALENE, ID 838146190
Phone: (208) 457-4211
Fax: (208) 773-1473
Type: Mailing
320 WARNER DR
LEWISTON, ID 835014441
Phone: (208) 743-3523
Fax: (833) 941-3874
Type: Mailing
8552 N Government Way
Hayden, ID 838359280
Phone: (208) 457-4211
Fax: (208) 773-1473
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $28.
Total Amount is formed as General ($28) + Research ($0) + Ownership ($0) = $28.
Last reported payment date: 2024-01-18 • Largest payer in this snapshot: Smith+Nephew, Inc. ($28).
Total Amount
$28
General + Research + Ownership
Payments
1
Total payment records
General Amount
$28
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $28 |
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: 2021-07-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20110128000609 | I | Physician Assistant | WA | TBD |
| I20210715000393 | I | Physician Assistant | ID | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 81 | 16 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 57 | 46 | $0 |
| 73562 | X-ray of knee, 3 views | 56 | 43 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 47 | 23 | $0 |
| 73502 | X-ray of hip, 2-3 views | 35 | 34 | $0 |
Insurance plans in this area (ZIP 99019)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | UT | |
| - | ID | |
| Interventional Radiology | WA | |
| Nurse Practitioner | WA | |
| Family Practice | ID | |
| - | ID | |
| Nurse Practitioner | ID | |
| H E M A T O L O G Y/ O N C O L O G Y | ID | |
| General Surgery | CO | |
| Orthopedic Surgery | ID |
Reviews
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