KATRINA LEE WEAVER (M.D.) – Surgery Physician, NPI 1689804759
Surgery Physician
Main info
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KATRINA LEE WEAVER (M.D.)
1601 Center St
Mobile, AL 366041541
Phone: (251) 415-1475
Fax: (251) 415-1476
Type: Location
202 Conway Dr Ste 200
Kalispell, MT 599013153
Phone: (406) 758-7490
Fax: (406) 758-7080
Type: Location
PO BOX 40480
MOBILE, AL 366400480
Phone: (251) 434-3626
Fax: (251) 445-2464
Type: Mailing
213 S JEFFERSON ST STE 1006
ROANOKE, VA 240111713
Phone: (540) 224-5352
Type: Mailing
4348 ELECTRIC RD
ROANOKE, VA 240180720
Phone: (540) 769-0976
Fax: (540) 857-5383
Type: Location
1601, Center Street, Lyons Park, Mobile, Mobile County, Alabama, 36604, United States
MOBILE, AL 366041541
Phone: (251) 415-1475
Fax: (251) 415-1476
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $10,430.
Total Amount is formed as General ($10,430) + Research ($0) + Ownership ($0) = $10,430.
Last reported payment date: 2024-05-30 • Largest payer in this snapshot: Avita Medical Americas, LLC ($7,858).
Total Amount
$10,430
General + Research + Ownership
Payments
9
Total payment records
General Amount
$10,430
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Avita Medical Americas, LLC | $7,858 |
| Kerecis Limited | $2,373 |
| Avita Medical Americas, Llc | $107 |
| ConvaTec Inc. | $60 |
| Smith+Nephew, Inc. | $33 |
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: 2023-04-14
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 |
|---|---|---|---|---|
| I20180523003028 | I | General Surgery | AL | TBD |
| I20230414000853 | I | Pediatric Medicine | MT | 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 36604)
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