Individual provider Active NPI

Dewayne Lynn Weaver, MD

  • Orthopaedic Surgery Physician
  • Lewiston, ID
National Provider Identifier
1265674071
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
M-14024 Issued in ID
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

Updated by the provider on Jun 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1265674071MedicaidWA
1265674071MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180516001582 ID Practitioner - Orthopedic Surgery 1355605528 Reassigns benefits to 2 organizations
I20180807003081 WA Practitioner - Orthopedic Surgery 1355605528 Reassigns benefits to 3 organizations

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
Catalyst Medical Group PLLCGroup PAC ID 2365722105, 31 clinicians
St Joseph Hospital LLCGroup PAC ID 8325325806, shared by 6 NPIs, 91 clinicians

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 Hospital, Clarkston, WA, CCN 501332
  • St Joseph Regional Medical Center Hospital, Lewiston, ID, CCN 130003
  • St Mary'S Hospital Hospital, Cottonwood, ID, CCN 131321
  • Dayton General Hospital Hospital, Dayton, WA, CCN 501302
  • Syringa General Hospital Hospital, Grangeville, ID, CCN 131315

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement24
Knee replacement40
Lower limb (leg) arthroscopy (minimally invasive joint repair)15
Upper limb (arm) arthroscopy (minimally invasive joint repair)39
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M-14024IDMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Joseph Hospital LLC CurrentSince Sep 14, 2025 Accepting new patients
St Joseph Hospital LLC CurrentSince Sep 14, 2025 Accepting new patients
Columbia County Hospital District CurrentSince Jan 1, 2020 Accepting new patients
Columbia County Hospital District CurrentSince Jan 1, 2020 Accepting new patients
Catalyst Medical Group, PLLC CurrentSince Jul 2, 2018 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

  • Direct secure messaging: dweaver@cmgadmin.directmessaging.net
  • Direct secure messaging: dewayne.weaver.1@28344.direct.athenahealth.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.