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DAVID FREDERICK WIDITZ MD
NPI 1205015906
Psychiatry & Neurology - Child & Adolescent Psychiatry in Council Bluffs, IA

Active since October 30, 2007PECOS EnrolledAccepts Medicare Assignment
28.55/100
CMS Quality Rating
421 W BROADWAY STE 302, COUNCIL BLUFFS, IA 51503(319) 208-2744(319) 208-2627 Get Directions Write a Review

NPPES record last updated: February 1, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 2, 2023, Mar 6, 2023, Nov 1, 2021 and 3 more (6 updates tracked since 2019).

About David Frederick Widitz Md NPPES

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

DAVID FREDERICK WIDITZ MD (NPI 1205015906) is an individual child & adolescent psychiatry provider in Council Bluffs, Iowa, licensed in Illinois (036166942) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Pennsylvania State University College Of Medicine (2005).

NPPES Registry Identity

NPI1205015906
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDAVID FREDERICK WIDITZCredential: MD
Location Address421 W BROADWAY STE 302Council Bluffs, IA 51503-9046
Mailing Address421 W Broadway Ste 302Council Bluffs, IA 51503-9046 · (319) 208-2744 · Fax (319) 208-2627
Phone(319) 208-2744
Fax(319) 208-2627
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 2005
Enumeration DateOctober 30, 2007
Last NPPES UpdateFebruary 1, 20246 updates tracked since enumeration
NPPES CertifiedFebruary 1, 2024
✔ NPI 1205015906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Licenses✔ Licensed in IL · 036166942✔ Licensed in IA · 37338
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 036166942 (IL), 37338 (IA)
421 W BROADWAY STE 302, Council Bluffs, IA 51503
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1707 N Logan AveDanville, IL 61832-4360 · Phone (217) 431-7117 · Fax (217) 477-4754
Location 2101 Oliver StVienna, IL 62995-1660 · Phone (618) 658-3079 · Fax (618) 658-2759

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

David Frederick Widitz Md 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 ID7214172766
PECOS Enrollment IDI20231101002847
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

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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
83 services22 patients

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.

28.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality21.38
Improvement Activities0
Cost55.97

Other Providers at the Same Location NPPES 2

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

MINUTE HOME CARE
Home Health
421 W BROADWAY STE 302
COUNCIL BLUFFS, IA 51503
Pottawattamie County (507) 222-0155
ANY TIME TRANSPORTATION SERVICES
Non-emergency Medical Transport (VAN)
421 W BROADWAY STE 302
COUNCIL BLUFFS, IA 51503
Pottawattamie County (561) 336-8015

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 David Widitz's NPI number?

The NPI number for David Widitz is 1205015906. It was assigned to this individual provider in the NPPES registry on October 30, 2007.

Where is David Widitz located?

David Widitz practices at 421 W Broadway Ste 302, Council Bluffs, IA 51503. The listed phone number is (319) 208-2744.

What is David Widitz's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is David Widitz enrolled in Medicare?

Yes. David Widitz 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 David Widitz was last updated on February 1, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.