NPIMap

Individual provider Active NPI

Robert Jerome Wienecke, M.D.

  • Neurological Surgery Physician
  • Oklahoma City, OK
National Provider Identifier
1669461000
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
21277 Issued in OK
Practice address
14100 Parkway Commons Dr Ste 100
Oklahoma City, OK 73134-6036
Phone
(405) 748-3300
Fax
(405) 748-2920
NPI assigned
Oct 18, 2005
Last updated
Feb 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 21277 OK
Neurological Surgery Physician 207T00000X 21277 OK Primary

Addresses

Primary practice location

14100 Parkway Commons Dr Ste 100
Oklahoma City, OK 73134-6036

Mailing address

14100 Parkway Commons Dr Ste 100
Oklahoma City, OK 73134-6036
Phone (405) 748-3300

Other identifiers 1

IdentifierTypeStateIssuer
200043320AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20050208000356 OK Practitioner - Neurosurgery 4082665906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Oklahoma College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neuroscience Specialists PCGroup PAC ID 3375456718, 17 clinicians

Practice addresses (Care Compare)

14100 Pkwy Commons Dr
Suite 100
Oklahoma City, OK 73134-6036
Phone (405) 748-3300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
19.94 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
66.47

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion435
Laminectomy or laminotomy (partial removal of spine bones)55

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neuroscience Specialists PC Neurological Surgery CurrentSince Jan 1, 2005 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

2781 Washington Dr
#101
Norman, OK 73069
Phone (405) 749-2765

14100 Parkway Commons Dr
Ste 100
Oklahoma City, OK 73134
Phone (405) 242-4720

4120 W Memorial Rd
Ste 300
Oklahoma City, OK 73120
Phone (405) 748-3300

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Oklahoma Spine Hospital, L.L.C.Oklahoma City, OK, CCN 370206 Hospital 5% Or Greater Indirect Ownership Interest (3.85%)
Operational/Managerial Control (3.85%)		 Dec 31, 2024
Dec 31, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Oklahoma Spine Hospital LLC

    dba Oklahoma Spine Hospital

    • General Acute Care Hospital
    • Oklahoma City, OK
    • NPI 1699745893

    5% Or Greater Indirect Ownership Interest, Operational/Managerial Control

    CMS ownership

Organizations & group practices 3

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 6

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": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1669461000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 PARKWAY COMMONS DR STE 100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731346036",
            "telephone_number": "405-748-3300",
            "fax_number": "405-748-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 PARKWAY COMMONS DR STE 100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731346036",
            "telephone_number": "405-748-3300",
            "fax_number": "405-748-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIENECKE",
        "first_name": "ROBERT",
        "middle_name": "JEROME",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OK",
            "license": "21277",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OK",
            "license": "21277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200043320A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.