Troy L Wiedenbeck, M.D.

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

15302 Issued in NV

Practice address

1500 E 2ND St
Suite 400
Reno, NV 89502-1262

Phone

(775) 982-5000

Fax

(775) 982-2410

NPI assigned

May 4, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV, CA2 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

Specialty

Interventional Cardiology

Education

University of Nevada School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Care Services LLCGroup PAC ID 1951324318, 630 clinicians

Simonmed Reno PLLCGroup PAC ID 5991140360, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Renown Regional Medical Center Hospital, Reno, NV, CCN 290001
• Renown South Meadows Medical Center Hospital, Reno, NV, CCN 290049
• Tahoe Forest Hospital Hospital, Truckee, CA, CCN 051328
• Banner Lassen Medical Center Hospital, Susanville, CA, CCN 051320
• Carson Valley Health Hospital, Gardnerville, NV, CCN 291306

Merit-based Incentive Payment System (MIPS)

Final score

85.15 of 100Reported as group

Quality

79.09

Promoting interoperability

100

Improvement activities

40

Cost

71.43

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

96.42 of 100Reported as group

Quality

93.48

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: twiedenbeck97274@direct.renown.org

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.

• Community Care Services LLC

  • Internal Medicine Physician
  • Reno, NV
  • NPI 1720031768

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Simonmed Reno PLLC

  • Diagnostic Radiology Physician
  • Reno, NV
  • NPI 1306576145
  Medicare reassignment Care Compare group NPD
• Health Diagnostics of California a Professional Corporation

  • Diagnostic Radiology Physician
  • Mountain View, CA
  • NPI 1104321959

  NV

  Medicare reassignment NPD
• Northern Inyo Healthcare District

  • Critical Access Hospital
  • Bishop, CA
  • NPI 1922198712
  Medicare reassignment NPD
• Smi Imaging, LLC

  • Diagnostic Radiology Physician
  • Scottsdale, AZ
  • NPI 1972004489

  NV

  Medicare reassignment NPD
• Community Care Services LLC

  • Cardiac Rehabilitation Clinic/Center
  • Reno, NV
  • NPI 1295180735
  Medicare reassignment
• Simonmed Reno PLLC

  • Diagnostic Radiology Physician
  • Reno, NV
  • NPI 1043952484
  NPD
• Smi Imaging LLC

  • Diagnostic Radiology Physician
  • Henderson, NV
  • NPI 1295506483
  NPD
• Washoe Barton Medical Clinic a Nevada Nonprofit Corporation

  • Critical Access Hospital
  • Gardnerville, NV
  • NPI 1396799102
  NPD
• Northern Inyo Healthcare District

  • Medicare Defined Swing Bed Hospital Unit
  • Bishop, CA
  • NPI 1669798815
  NPD
• Carson Valley Medical Center Rural Health Clinic

  • Internal Medicine Physician
  • Gardnerville, NV
  • NPI 1174708879
  NPD (past)
• Community Care Services LLC

  • Obstetrics & Gynecology Physician
  • Reno, NV
  • NPI 1982088274
  NPD (past)

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

• Renown Regional Medical Center

  • General Acute Care Hospital
  • Reno, NV
  • NPI 1124098421
  Care Compare affiliation
• Renown Regional Medical Center

  • General Acute Care Hospital
  • Sparks, NV
  • NPI 1932517299
  Care Compare affiliation
• Renown South Meadows Medical Center

  • General Acute Care Hospital
  • Reno, NV
  • NPI 1720058027
  Care Compare affiliation
• Washoe Barton Medical Clinic a Nevada Nonprofit Corporation

  • Community/Behavioral Health Agency
  • Gardnerville, NV
  • NPI 1104482918

  Hospital

  Care Compare affiliation
• Washoe Barton Medical Clinic a Nevada Nonprofit Corporation

  • Critical Access Hospital
  • Gardnerville, NV
  • NPI 1396799102
  Care Compare affiliation
• Banner Lassen Medical Center

  • Critical Access Hospital
  • Susanville, CA
  • NPI 1538197231
  Care Compare affiliation
• Tahoe Forest Hospital District

  • Critical Access Hospital
  • Truckee, CA
  • NPI 1538265780
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1487866059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 MILL ST # MCM14",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021576",
            "telephone_number": "775-982-5262",
            "fax_number": "775-982-5496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E 2ND ST",
            "address_2": "SUITE 400",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021262",
            "telephone_number": "775-982-5000",
            "fax_number": "775-982-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEDENBECK",
        "first_name": "TROY",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NV",
            "license": "15302",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NV",
            "license": "15302",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea L Wicker, MSW, LSW, CSWI
• Chelsea Stewart Wicks, M.D.
• Curtis Charles Wickwire, PHARMD
• Alyssa Widmark, M.A.
• Douglas James Widmark
• Amanda Wiese
• Kristen Mary Wiese, PA-C
• Matthew Claude Wiese, PA-C
• Kylie Wiesner, CCC SLP
• Susan Wiessner, PATHOLOGISTS' ASSIST

• Interventional Cardiology Physician in Reno, NV
• Providers in Reno, NV by specialty
• Interventional Cardiology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.

Verify at the official NPI Registry.