DR. NICHOLAS A WEIDA M.D.
NPI 1215298344
Family Medicine in Lawrence, MA
NPI Status: Active since June 05, 2012
Contact Information
34 HAVERHILL ST
LAWRENCE, MA
ZIP 01841
Phone: (978) 686-0090
Fax: (978) 681-5963
- Individual
- Male
- Years of Experience 14
- Family Medicine
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About NICHOLAS WEIDA
This page provides the complete NPI Profile along with additional information for Nicholas Weida, a primary care provider established in Lawrence, Massachusetts with a medical specialization in Family Medicine and more than 14 years of experience. He graduated from Boston University School Of Medicine in 2012. The healthcare provider is registered in the NPI registry with number 1215298344 assigned on June 2012. The practitioner's primary taxonomy code is 207Q00000X with license number 264795 (MA). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1215298344
- Provider Name
- DR. NICHOLAS A WEIDA M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 34 HAVERHILL ST LAWRENCE, MA 01841
- Location Phone
- (978) 686-0090
- Location Fax
- (978) 681-5963
- Mailing Address
- 34 HAVERHILL ST LAWRENCE, MA 01841
- Mailing Phone
- (978) 686-0090
- Mailing Fax
- (978) 681-5963
- Medical School Name
- BOSTON UNIVERSITY SCHOOL OF MEDICINE
- Graduation Year
- 2012
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-05-2012
- Last Update Date
- 10-02-2015
- Code Navigator
A primary care provider (PCP) like Nicholas Weida sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 264795
- License State
- MA
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | ML60293491 (WA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Nicholas Weida is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Nicholas Weida is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 7810214962
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20150818004843, I20151202002421
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $22.67 for a new patient copayment and $25.87 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 01841 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $90.7
- Minimum New Patient Price $58.86
- Maximum New Patient Price $177.36
- Average New Patient Copayment $22.67
- Minimum New Patient Copayment $14.71
- Maximum New Patient Copayment $44.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $103.48
- Minimum Established Patient Price $19.11
- Maximum Established Patient Price $144.84
- Average Established Patient Copayment $25.87
- Minimum Established Patient Copayment $4.77
- Maximum Established Patient Copayment $36.21
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Nicholas Weida is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| LAWRENCE GENERAL HOSPITAL | ONE GENERAL STREET LAWRENCE, MA 01842 | (978) 683-4000 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 1 | 5 | 2 | 9 | 8 | 3 | 4 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 2 | 5 | 4 | 9 | 16 | 3 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 2 + 5 + 4 + 9 + 1 + 6 + 3 + 8 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1215298344 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DR. SHARDUL S PATEL PHARM.D., R.PH.
Pharmacist
34 HAVERHILL ST
LAWRENCE, MA
ZIP 01841
TRINIDAD L TELLEZ MD
Family Medicine
34 HAVERHILL ST
GREATER LAWRENCE FAMILY HEALTH CENTER INC
LAWRENCE, MA
ZIP 01841
LEON FAY MD
Family Medicine
34 HAVERHILL ST
LAWRENCE, MA
ZIP 01841
DR. PHI VAN TRAN MD
Family Medicine
34 HAVERHILL ST
LAWRENCE, MA
ZIP 01841
PATRICIA A DOYLE NP
Nurse Practitioner
(Family)
34 HAVERHILL ST
LAWRENCE, MA
ZIP 01841
BRIAN SCOTT ANDERSON M.D.
Family Medicine
34 HAVERHILL ST
LAWRENCE FAMILY MEDICINE RESIDENCY
LAWRENCE, MA
ZIP 01841
MRS. STACEY LYNN ROBERT RPH
Pharmacist
34 HAVERHILL ST
LAWRENCE, MA
ZIP 01841
DR. AMBER LAMBERT MD
Family Medicine
34 HAVERHILL ST
LAWRENCE, MA
ZIP 01841
DR. ABIGAIL RATTIN
Family Medicine
34 HAVERHILL ST
LAWRENCE, MA
ZIP 01841
KRISTINE LYNNE SHEEHAN RPH
Pharmacist
34 HAVERHILL ST
LAWRENCE, MA
ZIP 01841
JOYCE ANN POULIN RPH
Pharmacist
34 HAVERHILL ST
LAWRENCE, MA
ZIP 01841
LARKIN HOLT M.D.
Family Medicine
34 HAVERHILL ST
LAWRENCE, MA
ZIP 01841
MRS. JOAN QUINN RD, LDN
Nutritionist
(Nutrition, Education)
34 HAVERHILL ST
LAWRENCE, MA
ZIP 01841
PRUDENCE BARKER NP
Nurse Practitioner
34 HAVERHILL ST
LAWRENCE, MA
ZIP 01841
CARLOS FRANCISCO CAPPAS PSYD
Psychologist
(Counseling)
34 HAVERHILL ST
LAWRENCE, MA
ZIP 01841
MRS. MARIA J PARHAM RD, LDN, CDE
Dietitian, Registered
34 HAVERHILL ST
LAWRENCE, MA
ZIP 01841
KATRINA SAULRIETA BAUMGARTNER MD
Family Medicine
34 HAVERHILL ST
3RD FLOOR RESIDENCY
LAWRENCE, MA
ZIP 01841
CIARAN A DELLAFERA MD
Family Medicine
34 HAVERHILL ST
3RD FLOOR RESIDENCY
LAWRENCE, MA
ZIP 01841
ERIN BASSETT MD
Family Medicine
34 HAVERHILL ST
LAWRENCE, MA
ZIP 01841
GEOFFREY ALAN PECHINSKY MD
Family Medicine
34 HAVERHILL ST
LAWRENCE, MA
ZIP 01841
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215298344, enumerated as an "individual" on June 05, 2012.
The provider is located at 34 HAVERHILL ST LAWRENCE, MA 01841 and the phone number is (978) 686-0090.
Family Medicine with taxonomy code 207Q00000X.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to verify.
Nicholas Weida is affiliated with: LAWRENCE GENERAL HOSPITAL.
