AMANDA ELIZABETH WEAVER MD
NPI 1295350999
Family Medicine - Sports Medicine in San Angelo, TX

Q: What is Amanda Weaver's NPI number?

The NPI number for Amanda Weaver is 1295350999. It was assigned to this individual provider in the NPPES registry on June 9, 2020.

Q: What is Amanda Weaver's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Weaver was last updated on July 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 09, 2020PECOS EnrolledAccepts Medicare Assignment

2237 S JACKSON ST, SAN ANGELO, TX 76904(325) 747-1511 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 16, 2024, Jun 9, 2020 (2 updates tracked since 2020).

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About Amanda Elizabeth Weaver Md NPPES

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

AMANDA ELIZABETH WEAVER MD (NPI 1295350999) is an individual sports medicine provider in San Angelo, Texas, licensed in Texas (T6074) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Shannon Medical Center, and is a graduate of Texas Tech University Health Science Center School Of Medicine (2020).

NPPES Registry Identity

NPI1295350999

Entity TypeIndividualFemale

Primary Taxonomy207QS0010X

Provider Legal NameAMANDA ELIZABETH WEAVERCredential: MD

Location Address2237 S JACKSON STSan Angelo, TX 76904-5131

Mailing Address2237 S Jackson StSan Angelo, TX 76904-5131 · (325) 747-1511

Phone(325) 747-1511

Sole ProprietorNo

Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2020

Enumeration DateJune 9, 2020

Last NPPES UpdateJuly 16, 20242 updates tracked since enumeration

NPPES CertifiedJuly 16, 2024

✔ NPI 1295350999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in TX · T6074

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedFamily MedicineTaxonomy 207Q00000X · License T6074 (TX)

2237 S JACKSON ST, San Angelo, TX 76904

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Amanda Elizabeth Weaver 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 ID9830634724

PECOS Enrollment IDI20240716001513

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.

Hospital Affiliations CMS Care Compare

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

Shannon Medical Center

Acute Care Hospitals · San Angelo, TX

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450571

Location120 E Harris Ave.San Angelo, TX 76903 · Tom Green County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76904 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

Most-billed visit code 99214

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 19

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

LACY FOSTER LAT

Physical Medicine & Rehabilitation (Sports Medicine)