BRENT ROBERT WEED (M.D.) – Dermatopathology Physician, NPI 1104804038
Dermatopathology Physician
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NPPES metrics only — not quality of care.
339 DERMATOLOGY in WI
Provider Addresses for BRENT ROBERT WEED (M.D.)
801 York St
Manitowoc, WI 542204630
Phone: (920) 683-5278
Fax: (920) 686-9674
Type: Location
York Street, Manitowoc, Manitowoc County, Wisconsin, 54220, United States
MANITOWOC, WI 542204630
Phone: (920) 663-9008
Fax: (920) 684-1439
Type: Mailing
Lightning Drive, Appleton, Outagamie County, Wisconsin, 54912, United States
APPLETON, WI 549137890
Phone: (920) 968-1790
Fax: (920) 686-9674
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.
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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: 2008-06-30
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 |
|---|---|---|---|---|
| I20080630000547 | I | Dermatology | WI | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 6,916 | 4,469 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 459 | 228 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 328 | 287 | $0 |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 286 | 249 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 192 | 33 | $0 |
Insurance plans in this area (ZIP 54220)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | WI | 11101 | Biopsy of each additional growth of skin and/or tissue | 16 | 13 |
| DERMATOLOGY | WI | 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 248 | 225 |
| DERMATOLOGY | WI | 88312 | Special stained specimen slides to identify organisms including interpretation and report | 222 | 189 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| Physician Assistant | VA | |
| - | VA | |
| D E R M A T O L O G Y | TX | |
| - | WI | |
| D E R M A T O L O G Y | AL | |
| D E R M A T O L O G Y | WI | |
| - | WI | |
| Physician Assistant | NY | |
| D E R M A T O L O G Y | WA |
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