DR. JOHN D WEILBACKER DO
NPI 1124013966
Emergency Medicine in Tucson, AZ

Active since September 19, 2005PECOS EnrolledAccepts Medicare Assignment
94.62/100
CMS Quality Rating
6200 N LA CHOLLA BLVD, TUCSON, AZ 85741(520) 742-9000 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 12, 2025, Oct 14, 2022 (2 updates tracked since 2022).

About Dr. John D Weilbacker Do NPPES

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

DR. JOHN D WEILBACKER DO (NPI 1124013966) is an individual emergency medicine provider in Tucson, Arizona, licensed in Arizona (4174) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Ohiohealth Mansfield Hospital, and maintains a secondary practice location in Perth Amboy.

NPPES Registry Identity

NPI1124013966
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JOHN D WEILBACKERCredential: DO
Location Address6200 N LA CHOLLA BLVDTucson, AZ 85741-3529
Mailing Address1620 Royal Oak DrMansfield, OH 44906-3635 · (419) 566-0205
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 1994
Enumeration DateSeptember 19, 2005
Last NPPES UpdateSeptember 12, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2025
✔ NPI 1124013966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in AZ · 4174✔ Licensed in CA · 20A14318✔ Licensed in NJ · 25MB06503500
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
6200 N LA CHOLLA BLVD, Tucson, AZ 85741

Secondary Practice Location 1

Location 1530 New Brunswick AvePerth Amboy, NJ 08861-3674 · Phone (732) 442-3700

Other Identifiers 3

Medicaid7595107NJ
Other000000592219OH · Bcbs St. Rita's
Medicaid2086773OH

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. John D Weilbacker Do 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 ID42289092
PECOS Enrollment IDI20050509000156, I20161205001583
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.

Medicare Billing Reassignments

21

Medicare enrollment records show John Weilbacker reassigns Medicare billing to 21 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
6200 N LA CHOLLA BLVD
Tucson, AZ 85741
  • Reassigned Medicare billing, Arizona enrollment
  • 664 clinicians in this Medicare group
Emergency Medicine
450 S OCOTILLO AVE
Benson, AZ 85602
  • Reassigned Medicare billing, Arizona enrollment
  • 60 clinicians in this Medicare group
Emergency Medicine
5700 E HIGHWAY 90
Sierra Vista, AZ 85635
  • Reassigned Medicare billing, Arizona enrollment
  • 239 clinicians in this Medicare group
Emergency Medical Services
19060 N JOHN WAYNE PARKWAY
Maricopa, AZ 85139
  • Reassigned Medicare billing, Arizona enrollment
  • 159 clinicians in this Medicare group
Emergency Medicine
1400 S DOBSON RD
Mesa, AZ 85202
  • Reassigned Medicare billing, Arizona enrollment
  • 211 clinicians in this Medicare group
Emergency Medical Services
4822 E STATE ROUTE 69
Prescott, AZ 86301
  • Reassigned Medicare billing, Arizona enrollment
  • 123 clinicians in this Medicare group
Emergency Medicine
2648 S ARABY RD
Yuma, AZ 85365
  • Reassigned Medicare billing, Arizona enrollment
  • 147 clinicians in this Medicare group
Emergency Medicine
250 N 1ST ST
Blythe, CA 92225
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1073554002 (California)
  • 2,323 clinicians in this Medicare group
Emergency Medical Services
2365 HIGHWAY 95
Bullhead City, AZ 86442
  • Reassigned Medicare billing, Arizona enrollment
  • 147 clinicians in this Medicare group
Emergency Medicine
800 S MAIN ST
Corona, CA 92882
  • Reassigned Medicare billing, California enrollment
  • 114 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.

Areas of Expertise CMS Part B claims 6

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
231 services197 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
191 services182 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
105 services100 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
21 services19 patients
Simple insertion of temporary bladder tube 51702
This procedure involves placing a temporary tube into your bladder to help with urine flow. It's done when the body can't naturally remove urine. The tube is inserted through a small opening and allows urine to drain into a bag. It's usually a short-term solution.
19 services18 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
16 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ohiohealth Mansfield Hospital

Acute Care Hospitals · Mansfield, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360118
Location335 Glessner AvenueMansfield, OH 44903 · Richland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85741 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
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.

94.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.67
Improvement Activities40
Cost97.14

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.

Nurse Anesthetist, Certified Registered
6200 N LA CHOLLA BLVD
TUCSON, AZ 85741
Student in an Organized Health Care Education/Training Program
6200 N LA CHOLLA BLVD
TUCSON, AZ 85741
Student in an Organized Health Care Education/Training Program
6200 N LA CHOLLA BLVD
TUCSON, AZ 85741
Internal Medicine
6200 N LA CHOLLA BLVD
TUCSON, AZ 85741
Nurse Practitioner (Acute Care)
6200 N LA CHOLLA BLVD
TUCSON, AZ 85741
Nurse Anesthetist, Certified Registered
6200 N LA CHOLLA BLVD
TUCSON, AZ 85741
Registered Nurse (Critical Care Medicine)
6200 N LA CHOLLA BLVD
TUCSON, AZ 85741
Student in an Organized Health Care Education/Training Program
6200 N LA CHOLLA BLVD
TUCSON, AZ 85741

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 John Weilbacker's NPI number?

The NPI number for John Weilbacker is 1124013966. It was assigned to this individual provider in the NPPES registry on September 19, 2005.

Where is John Weilbacker located?

John Weilbacker practices at 6200 N La Cholla Blvd, Tucson, AZ 85741. The listed phone number is (520) 742-9000.

What is John Weilbacker's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is John Weilbacker enrolled in Medicare?

Yes. John Weilbacker 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.

Which organizations bill Medicare for John Weilbacker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Weilbacker reassigns Medicare benefits to 21 organizations: Northwest Hbp Medical Services LLC (Tucson, AZ), Nes Arizona Inc (Benson, AZ), Sound Physicians Emergency Medicine Of Arizona, Inc. (Sierra Vista, AZ), Exceptional Physicians Group Arizona PLLC (Maricopa, AZ), Progressive Medical Associates PLLC (Mesa, AZ) and 16 more organizations, listed in the Medicare section above. 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 John Weilbacker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Weilbacker accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Imperial Insurance Companies, Inc., Oscar Health and Oscar Health Maintenance Organization of Florida and 1 other insurer list John Weilbacker 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.

Is John Weilbacker affiliated with any hospitals?

According to CMS data, John Weilbacker is affiliated with Ohiohealth Mansfield Hospital.

When was this NPI record last updated?

The NPPES record for John Weilbacker was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.