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DR. GORDON SCOTT WEAVER DDS
NPI 1114930062
Dentist - Oral and Maxillofacial Surgery in Charleston, WV

Active since August 14, 2006PECOS Enrolled
869 OAKWOOD RD, CHARLESTON, WV 25314(304) 343-5161 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gordon Scott Weaver Dds NPPES

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

DR. GORDON SCOTT WEAVER DDS (NPI 1114930062) is an individual oral and maxillofacial surgery provider in Charleston, West Virginia, licensed in West Virginia (2677) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114930062
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. GORDON SCOTT WEAVERCredential: DDS
Location Address869 OAKWOOD RDCharleston, WV 25314-2057
Mailing Address869 Oakwood RdCharleston, WV 25314-2057 · (304) 343-5161
Phone(304) 343-5161
Sole ProprietorNo
Enumeration DateAugust 14, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1114930062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in WV · 2677
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
869 OAKWOOD RD, Charleston, WV 25314
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gordon Scott Weaver Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25314 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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.

Other Providers at the Same Location NPPES 3

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

DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC
Dentist (Oral and Maxillofacial Surgery)
869 OAKWOOD RD
CHARLESTON, WV 25314
Kanawha County (304) 345-1092
SOKOLOSKY AND WEAVER DDS INC
Dentist (Oral and Maxillofacial Surgery)
869 OAKWOOD RD
CHARLESTON, WV 25314
Kanawha County (304) 343-5161
DR. JOSE GREGORIO RAVELO DDS
Dentist (Oral and Maxillofacial Surgery)
869 OAKWOOD RD
CHARLESTON, WV 25314
Kanawha County (304) 345-1092

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 Gordon Weaver's NPI number?

The NPI number for Gordon Weaver is 1114930062. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Where is Gordon Weaver located?

Gordon Weaver practices at 869 Oakwood Rd, Charleston, WV 25314. The listed phone number is (304) 343-5161.

What is Gordon Weaver's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Gordon Weaver enrolled in Medicare?

Yes. Gordon Weaver is registered in the Medicare PECOS enrollment system.

What insurance does Gordon Weaver accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Gordon Weaver as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gordon Weaver was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.