JASON M. WEAVER, MD, PA – Dermatology Physician, NPI 1043363666

JASON M. WEAVER, MD, PA is a healthcare provider. based in College station, Texas. specializing in Dermatology Physician. The NPI Number for JASON M. WEAVER, MD, PA is 1043363666

Main info

Organization
Name
JASON M. WEAVER, MD, PA
NPI
1043363666
Phone
(979) 575-7435
Address
1602 ROCK PRAIRIE RD
Authorized Official
DR. JASON MICHAEL WEAVER PRESIDENT M.D.
Enumeration Date
18 January 2007
Last Update Date
8 April 2013
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for JASON M. WEAVER, MD, PA

  • 1602, Rock Prairie Road, College Station, Brazos County, Texas, 77845, United States

    SUITE 3400

    COLLEGE STATION, TX 778458306

    Phone: (979) 575-7435

    Mailing address matches the actual address.

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: 2007-08-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Revalidation due soon

Earliest CMS due date is 2026-08-31 (84 days away).

Enrollment records

1

Earliest due date

2026-08-31

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
O20070814000176OClinic/Group PracticeTX2026-08-31

What to do next

  • Confirm the due date on the CMS Revalidation Lookup Tool.
  • Complete revalidation in PECOS before the published due date.
  • If you have multiple enrollment records, revalidate each one on its own schedule.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77845)

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Reviews

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Frequently asked questions

Can I cross-check JASON M. WEAVER, MD, PA using NPI 1043363666?
NPI 1043363666 belongs to JASON M. WEAVER, MD, PA; compare other details if you need extra assurance.
Is there an active status for JASON M. WEAVER, MD, PA?
For scheduling context, JASON M. WEAVER, MD, PA is shown as active in the registry.
What area of care is associated with JASON M. WEAVER, MD, PA?
JASON M. WEAVER, MD, PA's record emphasizes Dermatology Physician. Clinical services aligned with this taxonomy classification.
Is JASON M. WEAVER, MD, PA located near College Station?
JASON M. WEAVER, MD, PA currently maps to College Station, Texas in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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