DERIK T. WELDON M.D.
NPI 1093924375
Radiology - Diagnostic Radiology in Sartell, MN

Active since May 22, 2007PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
166 19TH STREET SOUTH, SUITE 100, SARTELL, MN 56377(320) 251-0609(320) 251-3806 Get Directions Write a Review

NPPES record last updated: November 8, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Derik T. Weldon M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERIK T. WELDON M.D. (NPI 1093924375) is an individual diagnostic radiology provider in Sartell, Minnesota, licensed in Minnesota (45308) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Minnesota Medical School (2001).

NPPES Registry Identity

NPI1093924375
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDERIK T. WELDONCredential: M.D.
Location Address166 19TH STREET SOUTH, SUITE 100Sartell, MN 56377-2154
Mailing AddressPo Box 1450 Nw 6035Minneapolis, MN 55485-6035 · (800) 634-4064 · Fax (952) 513-6880
Fax(320) 251-3806
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2001
Enumeration DateMay 22, 2007
Last NPPES UpdateNovember 8, 2016
NPI 1093924375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in MN · 45308
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
166 19TH STREET SOUTH, Sartell, MN 56377

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Derik T. Weldon M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739251984
PECOS Enrollment IDI20080702000527
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 33

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, gadoterate meglumine, 0.1 ml A9575
Gadoterate meglumine is a contrast agent used in MRI scans to help visualize certain areas of your body more clearly. It's injected into your bloodstream, typically through a vein in your arm, and helps doctors get more detailed images.
12,061 services77 patients
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml Q9966
Low osmolar contrast material with 200-299 mg/ml iodine concentration is a type of dye used in certain medical tests like CT scans or X-rays. It helps to highlight specific areas in your body, making them easier to see and examine. It's safe and commonly used.
8,860 services156 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
516 services39 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
302 services139 patients
Mri scan of lower spinal canal without contrast 72148
An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
231 services228 patients
Mri scan of upper spinal canal without contrast 72141
An MRI scan of the upper spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your upper spine. This helps doctors identify issues such as injuries, infections or diseases. No dye is used.
89 services87 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56377 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
166 19TH STREET SOUTH, SUITE 100
SARTELL, MN 56377
Pain Medicine (Interventional Pain Medicine)
166 19TH STREET SOUTH, SUITE 100
SARTELL, MN 56377
Radiology (Diagnostic Radiology)
166 19TH STREET SOUTH, SUITE 100
SARTELL, MN 56377
Radiology (Diagnostic Radiology)
166 19TH STREET SOUTH, SUITE 100
SARTELL, MN 56377
Radiology (Diagnostic Radiology)
166 19TH STREET SOUTH, SUITE 100
SARTELL, MN 56377
Radiology (Diagnostic Radiology)
166 19TH STREET SOUTH, SUITE 100
SARTELL, MN 56377
Radiology (Diagnostic Radiology)
166 19TH STREET SOUTH, SUITE 100
SARTELL, MN 56377
Radiology (Diagnostic Radiology)
166 19TH STREET SOUTH, SUITE 100
SARTELL, MN 56377

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 Derik Weldon's NPI number?

The NPI number for Derik Weldon is 1093924375. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Derik Weldon located?

Derik Weldon practices at 166 19th Street South Suite 100, Sartell, MN 56377. The listed phone number is (320) 251-0609.

What is Derik Weldon's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Derik Weldon enrolled in Medicare?

Yes. Derik Weldon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Derik Weldon was last updated on November 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.