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Dr. Kenneth C Weimer , MD

Pediatrics β€’ Mankato, MN

Active NPI 1174624761 Individual Practitioner Male Practitioner
Practice location in NPPES

1025 Marsh St
Mankato, MN 560014752

Call 5076254031 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1025 Marsh St

Mankato, MN 560014752

Telephone 5076254031
Organization at the Same NPPES Address or Phone
Mayo Clinic Health System-Southwest Minnesota Region Facility NPI 1154302487

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Phoenix, AZ. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

30-day fills

14 standardized 30-day fills in 2015

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$2,919 in 2015

The total cost of these prescriptions in 2015, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2015.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Weimer has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Weimer as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Mankato and Minnesota

Billing and prescribing volume is not a quality rating.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Dr. Weimer are from 2015.

27 active clinicians are listed under Pediatrics with a practice address in Mankato, MN (1,292 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Mankato

0% of these 27 clinicians have the CMS telehealth indicator.

11.1% of these 27 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2015), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2015.

CMS Part D Β· Data Year 2015
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Zostavax Zoster Vaccine Live/Pf 14 43 $2,919.49 14

Source: CMS Part D by Provider and Drug, 2015; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-09-18
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES MN 56450

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

License # reported to NPPES AZ 52805

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

License # reported to NPPES WI 43671

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics - Adolescent Medicine

NUCC Taxonomy Code: 2080A0000X

License # reported to NPPES MN 56450

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20161101001941

Enrollment State Jurisdiction

AZ

PECOS Control ID

1557435484

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

2510 W Dunlap Ave, Ste 290

Phoenix, AZ 850212737

Phone: 6027890344

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

37 listed
NPI 1043892540

Doctor of Medicine (M.D.)

Dr. James Boles , MD

Internal Medicine

NPI 1093752412

Doctor of Medicine (M.D.)

Sharon Brandt , CRNA

Nurse Anesthetist, Certified Registered

NPI 1013989169

Certified Registered Nurse Anesthetist

Dr. Tucker Carlson , DO

Emergency Medicine

NPI 1083110738

Doctor of Osteopathic Medicine (D.O.)

Kristin Clifford , CNP

Nurse Practitioner

NPI 1003508318

Certified Nurse Practitioner

Dr. Stuart Clive , MD

Emergency Medicine

NPI 1053396614

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

15 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2020

Pediatrics (license number reported to NPPES: AZ 52805)

πŸ“
Updated Business Mailing Address June 12, 2019

Registered at 1025 MARSH ST, MANKATO, MN 560014752 (Tel: 5076254031)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2019

Pediatrics (license number reported to NPPES: MN 56450)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Pediatrics (license number reported to NPPES: WI 43671)

βœ…
NPI Profile Active October 30, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location October 30, 2017

Registered at 1025 MARSH ST, MANKATO, MN 560014752 (Tel: 5076254031)

πŸ“
Updated Business Mailing Address October 30, 2017

Registered at 2510 W DUNLAP AVE, STE 290, PHOENIX, AZ 850212737 (Tel: 6027890344)

πŸ‘€
Provider Name / Credentials Updated October 30, 2017

Recorded as KENNETH WEIMER, MD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2017

Pediatrics (license number reported to NPPES: MN 56450)

βœ…
NPI Profile Active October 19, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 19, 2016

Registered at 2510 W DUNLAP AVE, STE 290, PHOENIX, AZ 850212737 (Tel: 6027890344)

πŸ“
Business Mailing Address (Initial Record) October 19, 2016

Registered at 2510 W DUNLAP AVE, STE 290, PHOENIX, AZ 850212737 (Tel: 6027890344)

πŸ‘€
Provider Name / Credentials (Initial Record) October 19, 2016

Recorded as KENNETH WEIMER, MD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2016

Pediatrics (license number reported to NPPES: AZ 52805)

🟒
Initial NPI Registration & Enumeration September 26, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1174624761
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 26, 2006
Last Update: September 18, 2020
Sole Proprietor: No

Mailing Address

1025 Marsh St

Mankato, MN 560014752

Phone: 5076254031

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.