GLENN E WEAVER DO
NPI 1063463495
Anesthesiology in Wilkes Barre, PA
About Glenn E Weaver Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GLENN E WEAVER DO (NPI 1063463495) is an individual anesthesiology provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (OS0006308L) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Glenn E Weaver Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Glenn Weaver reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bethlehem, PA 18020
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: Professional Anesthesia Services Of North America PC
- 177 clinicians in this Medicare group
Melville, NY 11747
- Reassigned Medicare billing, Pennsylvania enrollment
- 928 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WILKES BARRE, PA 18764
WILKES BARRE, PA 18764
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Glenn Weaver's NPI number?
The NPI number for Glenn Weaver is 1063463495. It was assigned to this individual provider in the NPPES registry on May 12, 2006.
Where is Glenn Weaver located?
Glenn Weaver practices at 575 N River St, Wilkes Barre, PA 18764. The listed phone number is (570) 829-8111.
What is Glenn Weaver's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Glenn Weaver enrolled in Medicare?
Yes. Glenn Weaver is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Glenn Weaver's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Glenn Weaver reassigns Medicare benefits to 2 organizations: Professional Anesthesia Services Of North America P.C. (Bethlehem, PA) and North American Partners In Anesthesia, Pennsylvania , LLC (Melville, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Glenn Weaver's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Glenn Weaver was last updated on April 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Glenn E Weaver, DO · NPI 1063463495
Anesthesiology physician in Wilkes Barre, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 12, 2006.
## Identity
- **NPI:** 1063463495 (Entity type: Individual)
- **Enumerated:** May 12, 2006
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** OS0006308L (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 575 N RIVER ST, Wilkes Barre, PA 18764-0999
- **Phone:** (570) 829-8111
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Professional Anesthesia Services Of North America P.C. (NPI 1972994820, Bethlehem, PA); North American Partners In Anesthesia, Pennsylvania , LLC (NPI 1639137854, Melville, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 21, 2015
- **Other identifiers:** Medicaid 0014412060007 (PA); Other P01055356 (PA); Medicare UPIN E55585 (PA); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1063463495) · Data from the CMS NPPES public registry.