NPIMap

Individual provider Active NPI

Marc W. Weise, M.D.

  • Orthopaedic Surgery Physician
  • Pismo Beach, CA
National Provider Identifier
1609843499
Registry record updated Jun 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A44223 Issued in CA
Practice address
2 James Way
Suite 115
Pismo Beach, CA 93449-4973
Phone
(805) 773-2650
Fax
(805) 773-2655
NPI assigned
Mar 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A44223 CA Primary

Addresses

Primary practice location

2 James Way
Suite 115
Pismo Beach, CA 93449-4973

Mailing address

2 James Way
Suite 115
Pismo Beach, CA 93449-4973
Phone (805) 773-2650

Other identifiers 6

IdentifierTypeStateIssuer
611373100OtherUSDL PIN
A44223OtherCABLUE CROSS
00A442230OtherCABLUE SHIELD
00A442230MedicaidCA
7941133OtherAETNA
786185OtherCCN/FIRST HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20060407000382 CA Practitioner - Orthopedic Surgery 7719996446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of California, San Diego School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2 James Way
Suite 115
Pismo Beach, CA 93449-4975
Phone (805) 773-2650

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
26.9 of 100Reported as individual
Quality
10.23
Improvement activities
0
Cost
76.02

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement25
Knee replacement39
Lower limb (leg) arthroscopy (minimally invasive joint repair)13
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A44223CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Specialties of Arroyo Grande Inc. CurrentSince Dec 2, 2012 Accepting new patients
Dignity Health Past Accepting new patients
Dignity Community Care Past Accepting new patients
Dignity Health Past Accepting new patients
Orthopedic & Sports Medicine Inc Orthopaedic Surgery Past Accepting new patients
Mercy Hospital South Past Accepting new patients
Arroyo Grande Surgical Institute, LLC PastSince Jul 17, 2022 Accepting new patients
Doctors Medical Center of Modesto, Inc. Past Accepting new patients
SSM Health Care St. Louis Past Accepting new patients
Thomas D. Ferro M.D. a Medical Corporation Orthopaedic Surgery PastSince Jan 1, 2006 Accepting new patients

Locations

860 Oak Park Blvd
Ste 203
Arroyo Grande, CA 93420
Phone (650) 889-5650

860 Oak Park Blvd
Ste 101
Arroyo Grande, CA 93420
Phone (805) 202-8245

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 11

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 4

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": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276128000000",
    "number": "1609843499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 JAMES WAY",
            "address_2": "SUITE 115",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934494973",
            "telephone_number": "805-773-2650",
            "fax_number": "805-773-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 JAMES WAY",
            "address_2": "SUITE 115",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934494973",
            "telephone_number": "805-773-2650",
            "fax_number": "805-773-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISE",
        "first_name": "MARC",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2010-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A44223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USDL PIN",
            "identifier": "611373100",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "A44223",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A442230",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A442230",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7941133",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCN/FIRST HEALTH",
            "identifier": "786185",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pismo Beach, CA

Sources for this page

Verify at the official NPI Registry.