KENNETH WEISMAN M.D.
NPI 1194785642
Urology in Marietta, OH

Active since March 27, 2006PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
400 MATTHEW ST, SUITE 303, MARIETTA, OH 45750(740) 373-7828(740) 373-5898 Get Directions Write a Review

NPPES record last updated: August 14, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenneth Weisman M.d. NPPES

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

KENNETH WEISMAN M.D. (NPI 1194785642) is an individual urology provider in Marietta, Ohio, licensed in Ohio (35.097897) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1986).

NPPES Registry Identity

NPI1194785642
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameKENNETH WEISMANCredential: M.D.
Location Address400 MATTHEW ST, SUITE 303Marietta, OH 45750-1644
Mailing Address201 N Mountain RdPlainville, CT 06062-1848 · (740) 374-4500 · Fax (740) 374-5887
Fax(740) 373-5898
Sole ProprietorYes
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1986
Enumeration DateMarch 27, 2006
Last NPPES UpdateAugust 14, 2019
NPI 1194785642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses Licensed in OH · 35.097897 Licensed in CT · 47702
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
400 MATTHEW ST, Marietta, OH 45750

Other Identifiers 5

Medicaid3810021225WV
Other000000728272OH · Anthem
OtherP01216329OH · Railroad Medicare
Other000000727239OH · Anthem
Medicaid0052750OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Kenneth Weisman 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 ID2961588918
PECOS Enrollment IDI20090803000493
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 13

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
301 services194 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
190 services121 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
69 services58 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
52 services52 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
38 services33 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
32 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45750 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.28
Promoting Interoperability100
Improvement Activities40
Cost59.59

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
2 suppliers11 claims3,415 services$1.62 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Surgery
400 MATTHEW ST, STE 401
MARIETTA, OH 45750
Physician Assistant
400 MATTHEW ST, SUITE 200
MARIETTA, OH 45750
Neurological Surgery
400 MATTHEW ST, SUITE 401
MARIETTA, OH 45750
Internal Medicine (Pulmonary Disease)
400 MATTHEW ST, SUITE 305
MARIETTA, OH 45750
Obstetrics & Gynecology
400 MATTHEW ST
MARIETTA, OH 45750
Internal Medicine
400 MATTHEW ST
MARIETTA, OH 45750
Physician Assistant
400 MATTHEW ST, SUITE 401
MARIETTA, OH 45750
Internal Medicine (Hematology & Oncology)
400 MATTHEW ST
MARIETTA, OH 45750

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 Kenneth Weisman's NPI number?

The NPI number for Kenneth Weisman is 1194785642. It was assigned to this individual provider in the NPPES registry on March 27, 2006.

Where is Kenneth Weisman located?

Kenneth Weisman practices at 400 Matthew St Suite 303, Marietta, OH 45750. The listed phone number is (740) 373-7828.

What is Kenneth Weisman's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Kenneth Weisman enrolled in Medicare?

Yes. Kenneth Weisman 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 Kenneth Weisman was last updated on August 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.