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DR. SCOTT DAVID WIEDENMANN M.D.
NPI 1245340744
Radiology - Diagnostic Radiology in Ponte Vedra Beach, FL

Active since August 30, 2006PECOS Enrolled
128 LAGOON FOREST DR, PONTE VEDRA BEACH, FL 32082(904) 273-9591(904) 273-9591 Get Directions Write a Review

NPPES record last updated: March 24, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Scott David Wiedenmann M.d. NPPES

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

DR. SCOTT DAVID WIEDENMANN M.D. (NPI 1245340744) is an individual diagnostic radiology provider in Ponte Vedra Beach, Florida, licensed in Florida (ME51674) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245340744
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. SCOTT DAVID WIEDENMANNCredential: M.D.
Location Address128 LAGOON FOREST DRPonte Vedra Beach, FL 32082-2122
Mailing Address128 Lagoon Forest DrPonte Vedra Beach, FL 32082-2122 · (904) 273-9591 · Fax (904) 273-9591
Phone(904) 273-9591
Fax(904) 273-9591
Sole ProprietorNo
Enumeration DateAugust 30, 2006
Last NPPES UpdateMarch 24, 2012
✔ NPI 1245340744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in FL · ME51674
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

128 LAGOON FOREST DR, Ponte Vedra Beach, FL 32082
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Other Identifiers 1

Medicare UPINE53002FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Scott David Wiedenmann M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32082 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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 Scott Wiedenmann's NPI number?

The NPI number for Scott Wiedenmann is 1245340744. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Scott Wiedenmann located?

Scott Wiedenmann practices at 128 Lagoon Forest Dr, Ponte Vedra Beach, FL 32082. The listed phone number is (904) 273-9591.

What is Scott Wiedenmann's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Scott Wiedenmann enrolled in Medicare?

Yes. Scott Wiedenmann is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Scott Wiedenmann was last updated on March 24, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.