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ETHAN WECKSTEIN D.O.
NPI 1235634403
Psychiatry & Neurology - Psychiatry in Traverse City, MI

Active since March 28, 2018PECOS EnrolledAccepts Medicare Assignment
934 S GARFIELD AVE STE A, TRAVERSE CITY, MI 49686(231) 935-0355 Get Directions Write a Review

NPPES record last updated: July 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 28, 2022, Dec 17, 2020, Mar 28, 2018 (3 updates tracked since 2018).

About Ethan Weckstein D.o. NPPES

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

ETHAN WECKSTEIN D.O. (NPI 1235634403) is an individual psychiatry provider in Traverse City, Michigan, licensed in Illinois (036.154155) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2018).

NPPES Registry Identity

NPI1235634403
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameETHAN WECKSTEINCredential: D.O.
Location Address934 S GARFIELD AVE STE ATraverse City, MI 49686-2402
Mailing Address934 S Garfield Ave Ste ATraverse City, MI 49686-2402 · (231) 935-0355
Phone(231) 935-0355
Sole ProprietorYes
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2018
Enumeration DateMarch 28, 2018
Last NPPES UpdateJuly 28, 20223 updates tracked since enumeration
NPPES CertifiedJuly 28, 2022
✔ NPI 1235634403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in IL · 036.154155✔ Licensed in MI · 5101025942
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
934 S GARFIELD AVE STE A, Traverse City, MI 49686
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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

Ethan Weckstein D.o. 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 ID7214287358
PECOS Enrollment IDI20210112000403
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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
131 services34 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49686 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
$166.68 typical visit price
range $54.34 – $166.68
Typical copayment $41.67 (range $13.58 – $41.67)
Most-billed visit code 99205
Established Patient
$68.07 typical visit price
range $17.09 – $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.

Other Providers at the Same Location NPPES

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

LAURA MILLER LMSW
Social Worker
934 S GARFIELD AVE STE A
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 935-0355

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 Ethan Weckstein's NPI number?

The NPI number for Ethan Weckstein is 1235634403. It was assigned to this individual provider in the NPPES registry on March 28, 2018.

Where is Ethan Weckstein located?

Ethan Weckstein practices at 934 S Garfield Ave Ste A, Traverse City, MI 49686. The listed phone number is (231) 935-0355.

What is Ethan Weckstein's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Ethan Weckstein enrolled in Medicare?

Yes. Ethan Weckstein 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 Ethan Weckstein was last updated on July 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.