Active NPI
Dewayne Lynn Weaver, MD
- Orthopaedic Surgery Physician
- Lewiston, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- M-14024
- Practice address
- 320 Warner Dr
Lewiston, ID 83501-4441 - Phone
- (208) 743-3523
- Fax
- (208) 746-8741
- NPI assigned
- Mar 26, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | M-14024 | ID | Primary |
| Orthopaedic Surgery Physician | 207X00000X | MD60798747 | WA |
Addresses
Primary practice location
320 Warner Dr
Lewiston, ID 83501-4441
Mailing address
320 Warner Dr
Lewiston, ID 83501-4441
Phone (208) 743-3523
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265674071 | Medicaid | WA | |
| 1265674071 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Indiana University School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Joseph Hospital LLC
Practice addresses (Care Compare)
1221 Highland Ave
Clarkston, WA 99403-2829
Phone (208) 746-1383
320 Warner Dr
Lewiston, ID 83501-4441
Phone (208) 743-3523
415 6TH St
Lewiston, ID 83501-2431
Phone (208) 743-2511
Hospital & facility affiliations
- Tri-State Memorial Hospital
- St Joseph Regional Medical Center
- St Mary'S Hospital
- Dayton General Hospital
- Syringa General Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 24 |
| Knee replacement | 40 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 15 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 39 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-14024 | ID | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Joseph Hospital LLC | Current | Accepting new patients | |
| St Joseph Hospital LLC | Current | Accepting new patients | |
| Columbia County Hospital District | Current | Accepting new patients | |
| Columbia County Hospital District | Current | Accepting new patients | |
| Catalyst Medical Group, PLLC | Current | Accepting new patients |
Locations
320 Warner Dr
Lewiston, ID 83501
Phone (208) 298-1022
2315 8th St Grade
Lewiston, ID 83501
Phone (208) 746-1383
318 Warner Dr
Lewiston, ID 83501
Phone (208) 298-1050
415 6th St
Lewiston, ID 83501
Phone (208) 750-7445
821 21st Ave
Lewiston, ID 83501
Phone (208) 799-3422
1174 Alturas Dr
Moscow, ID 83843
Phone (208) 743-3523
808 Port Dr
Clarkston, WA 99403
Phone (208) 746-1383
1221 Highland Ave
Clarkston, WA 99403
Phone (509) 751-0312
1012 S 3rd St
Dayton, WA 99328
Phone (509) 382-2531
Interoperability endpoints
- dweaver@cmgadmin.directmessaging.net
- dewayne.weaver.1@28344.direct.athenahealth.com
- dewayne.weaver.1@16883.direct.athenahealth.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Lewiston, ID
- NPI 1205368404
-
- Critical Access Hospital
- Dayton, WA
- NPI 1134128911
-
- Primary Care Clinic/Center
- College Place, WA
- NPI 1851050264
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lewiston, ID
- NPI 1225090954
-
- Durable Medical Equipment & Medical Supplies
- Cottonwood, ID
- NPI 1174673552
Hospital
-
- Critical Access Hospital
- Cottonwood, ID
- NPI 1841292307
-
- Critical Access Hospital
- Grangeville, ID
- NPI 1750336608
-
- Critical Access Hospital
- Dayton, WA
- NPI 1134128911
-
- Critical Access Hospital
- Clarkston, WA
- NPI 1760485221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782777600000",
"number": "1265674071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 WARNER DR",
"city": "LEWISTON",
"state": "ID",
"postal_code": "835014441",
"telephone_number": "208-743-3523",
"fax_number": "208-746-8741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 WARNER DR",
"city": "LEWISTON",
"state": "ID",
"postal_code": "835014441",
"telephone_number": "208-743-3523",
"fax_number": "208-746-8741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "DEWAYNE",
"middle_name": "LYNN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-03-26",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "ID",
"license": "M-14024",
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WA",
"license": "MD60798747",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1265674071",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1265674071",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lewiston, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.