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MARC W. WEISE, M.D., INC.
NPI 1174650279
Orthopaedic Surgery in Pismo Beach, CA

Active since February 27, 2007
2 JAMES WAY, SUITE 115, PISMO BEACH, CA 93449(805) 773-2650(805) 773-2655 Get Directions Write a Review

NPPES record last updated: May 15, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Marc W. Weise, M.d., Inc. NPPES

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

MARC W. WEISE, M.D., INC. (NPI 1174650279) is a healthcare organization registered as an orthopaedic surgery in Pismo Beach, California and active in the NPI registry since February 2007. The organization lists Marc W Weise, President, as its authorized official.

NPPES Registry Identity

NPI1174650279
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameMARC W. WEISE, M.D., INC.
Location Address2 JAMES WAY, SUITE 115Pismo Beach, CA 93449-4973
Mailing Address2 James Way, Suite 115Pismo Beach, CA 93449-4973 · (805) 773-2650 · Fax (805) 773-2655
Phone(805) 773-2650
Fax(805) 773-2655
Organization SubpartNo
Authorized OfficialMarc W WeisePresident · (805) 773-2650
Enumeration DateFebruary 27, 2007
Last NPPES UpdateMay 15, 2012
✔ NPI 1174650279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in CA · 2852009
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License 5684480001 (CA)
2 JAMES WAY, Pismo Beach, CA 93449
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Other Identifiers 4

Medicare PINW19751
Medicare NSC5684480001CA
Medicare PINDE8913
Other611373100Usdept Of Labor

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marc W. Weise, M.d., Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20060421000496Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Marc W. Weise, M.D., Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Marc Weise, M.D.
Orthopedic Surgery
NPI 1609843499
2 JAMES WAY SUITE 115
Pismo Beach, CA 93449
(805) 773-2650
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Marc W. Weise, M.D., Inc.'s NPI number?

The NPI number for Marc W. Weise, M.D., Inc. is 1174650279. It was assigned to this organization in the NPPES registry on February 27, 2007.

Where is Marc W. Weise, M.D., Inc. located?

Marc W. Weise, M.D., Inc. is located at 2 James Way Suite 115, Pismo Beach, CA 93449. The listed phone number is (805) 773-2650.

What is Marc W. Weise, M.D., Inc.'s specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Marc W. Weise, M.D., Inc. enrolled in Medicare?

Yes. Marc W. Weise, M.D., Inc. is registered in the Medicare PECOS enrollment system.

When is Marc W. Weise, M.D., Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Marc W. Weise, M.D., Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Orthopedic Surgery) reassigns their Medicare billing to Marc W. Weise, M.D., Inc.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Marc W. Weise, M.D., Inc. was last updated on May 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.