DAVID WEATHERBY MD
NPI 1295110922
Orthopaedic Surgery in Saint Paul, MN

Active since July 23, 2015PECOS EnrolledAccepts Medicare Assignment
435 PHALEN BLVD, SAINT PAUL, MN 55130(651) 254-8300(651) 254-8379 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Jul 28, 2020, Mar 17, 2018 and 2 more (5 updates tracked since 2016).

About David Weatherby Md NPPES

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

DAVID WEATHERBY MD (NPI 1295110922) is an individual orthopaedic surgery provider in Saint Paul, Minnesota, licensed in Minnesota (68544) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, is affiliated with Lakeview Memorial Hospital, and is a graduate of Dalhousie University, Faculty Of Medicine (2010).

NPPES Registry Identity

NPI1295110922
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDAVID WEATHERBYCredential: MD
Location Address435 PHALEN BLVDSaint Paul, MN 55130-5302
Mailing Address8170 33rd Ave S # 21110qBloomington, MN 55425-4516 · (651) 254-8300 · Fax (651) 254-8379
Fax(651) 254-8379
Sole ProprietorNo
Medical School CMSDalhousie University, Faculty Of MedicineGraduated 2010
Enumeration DateJuly 23, 2015
Last NPPES UpdateJuly 21, 20225 updates tracked since enumeration
NPPES CertifiedNovember 20, 2020
NPI 1295110922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in MN · 68544 Licensed in CA · 137749
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Orthopaedic TraumaTaxonomy 207XX0801X · License MD181878 (OR), 68544 (MN)
435 PHALEN BLVD, Saint Paul, MN 55130

Accepted Insurance

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 Weatherby 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 ID9234446873
PECOS Enrollment IDI20210106001440
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 5

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.

X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
43 services22 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
35 services23 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
35 services34 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
13 services13 patients
Prosthetic repair of shoulder joint, total shoulder 23472
Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lakeview Memorial Hospital

Acute Care Hospitals · Stillwater, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number240066
Location927 West Churchill StreetStillwater, MN 55082 · Washington County
Emergency services Birthing friendly

Regions Hospital

Acute Care Hospitals · Saint Paul, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240106
Location640 Jackson StreetSaint Paul, MN 55101 · Ramsey County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55130 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

Podiatrist (Foot & Ankle Surgery)
435 PHALEN BLVD
SAINT PAUL, MN 55130
Speech-Language Pathologist
435 PHALEN BLVD
SAINT PAUL, MN 55130
Orthopaedic Surgery
435 PHALEN BLVD
SAINT PAUL, MN 55130
Psychologist
435 PHALEN BLVD
SAINT PAUL, MN 55130
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
435 PHALEN BLVD
SAINT PAUL, MN 55130
Nurse Practitioner
435 PHALEN BLVD
SAINT PAUL, MN 55130
Orthopaedic Surgery
435 PHALEN BLVD
SAINT PAUL, MN 55130
Internal Medicine (Gastroenterology)
435 PHALEN BLVD
SAINT PAUL, MN 55130

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 Weatherby's NPI number?

The NPI number for David Weatherby is 1295110922. It was assigned to this individual provider in the NPPES registry on July 23, 2015.

Where is David Weatherby located?

David Weatherby practices at 435 Phalen Blvd, Saint Paul, MN 55130. The listed phone number is (651) 254-8300.

What is David Weatherby's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is David Weatherby enrolled in Medicare?

Yes. David Weatherby 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.

What insurance does David Weatherby accept?

Health plans from HealthPartners and Medica list David Weatherby as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is David Weatherby affiliated with any hospitals?

According to CMS data, David Weatherby is affiliated with Lakeview Memorial Hospital and Regions Hospital.

When was this NPI record last updated?

The NPPES record for David Weatherby was last updated on July 21, 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.