NPIMap

Individual provider Active NPI

Christopher Weeden, MD

  • Interventional Pain Medicine Physician
  • Vero Beach, FL
National Provider Identifier
1538628482
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME166949 Issued in FL
Practice address
777 37TH St Ste C101
Vero Beach, FL 32960-7301
Phone
(772) 360-1997
Fax
(772) 492-3541
NPI assigned
Mar 19, 2019
Last updated
Aug 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X ME166949 FL Primary

Addresses

Primary practice location

777 37TH St Ste C101
Vero Beach, FL 32960-7301

Mailing address

777 37TH St Ste C101
Vero Beach, FL 32960-7301
Phone (772) 360-1997

Other practice location 1

5200 Babcock St NE Ste 111
Palm Bay, FL 32905-4639
Phone (321) 374-6850

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240627003503 FL Practitioner - Pain Management 0840614152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Univ of Central Florida, College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

777 37TH St
Suite C101
Vero Beach, FL 32960-7301
Phone (772) 360-1997

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.34 of 100Reported as group
Quality
100
Improvement activities
40
Cost
67.79

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME166949FLMDInterventional Pain Medicine Physician
12474GAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Interventional Spine and Pain Institute LLC Interventional Pain Medicine CurrentSince Aug 1, 2024 Accepting new patients
Interventional Spine and Pain Institute LLC Interventional Pain Medicine CurrentSince Aug 1, 2024 Accepting new patients

Locations

5200 Babcock St NE
Ste 111
Palm Bay, FL 32905
Phone (321) 952-4445

777 37th St
Ste C101
Vero Beach, FL 32960
Phone (772) 360-1997

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DJDGCD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1538628482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 37TH ST STE C101",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607301",
            "telephone_number": "772-360-1997",
            "fax_number": "772-492-3541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 37TH ST STE C101",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607301",
            "telephone_number": "772-360-1997",
            "fax_number": "772-492-3541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5200 Babcock St NE Ste 111",
            "address_purpose": "LOCATION",
            "city": "Palm Bay",
            "state": "FL",
            "postal_code": "329054639",
            "country_code": "US",
            "telephone_number": "321-374-6850",
            "fax_number": "321-374-6950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEEDEN",
        "first_name": "CHRISTOPHER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-19",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME166949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.