DR. IRVIN MICHAEL WIESMAN MD
NPI 1194897587
Plastic Surgery in Chicago, IL

Q: What is Irvin Wiesman's NPI number?

The NPI number for Irvin Wiesman is 1194897587. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Q: What is Irvin Wiesman's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Q: Is Irvin Wiesman enrolled in Medicare?

No. Irvin Wiesman has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Irvin Wiesman was last updated on June 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since November 14, 2006Opted out of Medicare · through Jan 1, 2028

712 N DEARBORN ST, CHICAGO, IL 60654(312) 981-1290(312) 981-1292 Get Directions Write a Review

NPPES record last updated: June 11, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Irvin Michael Wiesman Md NPPES

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

DR. IRVIN MICHAEL WIESMAN MD (NPI 1194897587) is an individual plastic surgery provider in Chicago, Illinois, licensed in Illinois (036095961) and active in the NPI registry since November 2006. He has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1194897587

Entity TypeIndividualMale

Primary Taxonomy208200000X

Provider Legal NameDR. IRVIN MICHAEL WIESMANCredential: MD

Location Address712 N DEARBORN STChicago, IL 60654-3818

Mailing Address712 N Dearborn StChicago, IL 60654-3818 · (312) 981-1290 · Fax (312) 981-1292

Phone(312) 981-1290

Fax(312) 981-1292

Sole ProprietorNo

Enumeration DateNovember 14, 2006

Last NPPES UpdateJune 11, 2015

✔ NPI 1194897587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in IL · 036095961

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

712 N DEARBORN ST, Chicago, IL 60654

Open in Google Maps ↗

Other Identifiers 4

Medicare UPINH80822

Medicare ID-Type Unspecified205252

Medicaid036095961IL

Other01633365Bcbs

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Irvin Michael Wiesman Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2018 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2018

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60654 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

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 20

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

MEDICOS PAIN & SURGICAL SPECIALISTS, S.C.

Pain Medicine (Pain Medicine)

712 N DEARBORN ST
CHICAGO, IL 60654

Cook County (773) 283-3131

JULIA LYNN FRYE PA-C

Physician Assistant

712 N DEARBORN ST
CHICAGO, IL 60654

Cook County (312) 951-8200

MS. AUDREY R CHAKONIS PA-C

Physician Assistant

712 N DEARBORN ST
CHICAGO, IL 60654

Cook County (312) 951-8200

KIERRA LA SHAWN BRUNO-RODGERS

Specialist/Technologist, Other (Surgical Technologist)

712 N DEARBORN ST
CHICAGO, IL 60654

Cook County (708) 692-0728

DEARBORN MEDICAL CONSULTANTS, LLC

Pain Medicine (Interventional Pain Medicine)

712 N DEARBORN ST, SUITE 200
CHICAGO, IL 60654

Cook County (312) 280-4700

REBECCA E BIRNBAUM FNP

Nurse Practitioner (Family)

712 N DEARBORN ST
CHICAGO, IL 60654

Cook County (312) 951-8200

IV SOLUTION & INFUSION CENTERS, LLC

Anesthesiology

712 N DEARBORN ST
CHICAGO, IL 60654

Cook County (844) 948-6337

MARISSA FLUTURE PT

Physical Therapist

712 N DEARBORN ST
CHICAGO, IL 60654

Cook County (312) 951-8200

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 Irvin Wiesman's NPI number?

The NPI number for Irvin Wiesman is 1194897587. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Where is Irvin Wiesman located?

Irvin Wiesman practices at 712 N Dearborn St, Chicago, IL 60654. The listed phone number is (312) 981-1290.

What is Irvin Wiesman's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Irvin Wiesman enrolled in Medicare?

No. Irvin Wiesman has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Irvin Wiesman was last updated on June 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.