KELLY B WEAVER MD
NPI 1295831352
Physical Medicine & Rehabilitation in Everett, WA

NPI Status: Active since September 16, 2006

Contact Information

1330 ROCKEFELLER AVE
EVERETT, WA
ZIP 98201
Phone: (425) 339-5476

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  • Individual
  • Male
  • Physical Medicine & Rehabilitation
  • Accepts Insurance
  • PECOS Enrolled

About KELLY WEAVER

This page provides the complete NPI Profile along with additional information for Kelly Weaver, a provider established in Everett, Washington with a medical specialization in Physical Medicine & Rehabilitation. The healthcare provider is registered in the NPI registry with number 1295831352 assigned on September 2006. The practitioner's primary taxonomy code is 208100000X with license number MD00038761 (WA). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1295831352
Provider Name
KELLY B WEAVER MD
Gender
Male
Entity Type
Individual
Location Address
1330 ROCKEFELLER AVE EVERETT, WA 98201
Location Phone
(425) 339-5476
Mailing Address
PO BOX 5127 EVERETT, WA 98206
Mailing Phone
(425) 258-3903
Is Sole Proprietor?
Yes
Enumeration Date
09-16-2006
Last Update Date
11-14-2025
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Location Map

Secondary Locations

  • 12911 Beverly Park Rd
    Lynnwood, WA 98087
    (615) 920-7000

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

Physical Medicine & Rehabilitation

Taxonomy Code
208100000X
Type
Allopathic & Osteopathic Physicians
License No.
MD00038761
License State
WA
Taxonomy Description
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Core Bronze HSA 10600 - EPO
  • Core Bronze HSA 7500 - EPO
  • Core Bronze HSA 8300 - EPO
  • Core Gold 1500 - EPO
  • Core Gold 3000 - EPO
  • Core Silver 3500 - EPO
  • Core Silver 4500 - EPO
  • Core Silver 5000 - EPO
  • Core Silver 7500 - EPO
  • Core Standard Expanded Bronze HSA - EPO
  • Core Standard Gold - EPO
  • Core Standard Silver - EPO
  • PacificSource Oregon Standard Bronze HSA Plan Core - EPO
  • PacificSource Oregon Standard Gold Plan Core - EPO
  • PacificSource Oregon Standard Silver Plan Core - EPO
  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO
  • Premera Blue Cross Family Dental - PPO
  • Premera Blue Cross Pediatric Dental - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1007095MEDICAID (05)WA 

Medicare Participation & PECOS Enrollment Status

Kelly Weaver 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

  • 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

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Aspiration and/or injection of fluid from large joint

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

This service was performed 17 times for 12 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

This service was performed 30 times for 28 patients

Established patient office or other outpatient visit, 20-29 minutes

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.

This service was performed 39 times for 37 patients

Established patient office or other outpatient visit, 30-39 minutes

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.

This service was performed 120 times for 87 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

This service was performed 11 times for 11 patients

New patient office or other outpatient visit, 30-44 minutes

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

This service was performed 15 times for 15 patients

New patient office or other outpatient visit, 45-59 minutes

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 118 times for 118 patients

Reviews for KELLY B WEAVER MD

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1295831352, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
5
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
3
Unchanged
Pos 7
1
Doubled → 2
Pos 8
3
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 8 → 16 → 7 1 → 2 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 8 + 5 + 1 + 6 + 3 + 2 + 3 + 1 + 0 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1295831352.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Physician Assistant (Medical)
1330 ROCKEFELLER AVE, SUITE 225
EVERETT, WA 98201
Internal Medicine (Pulmonary Disease)
1330 ROCKEFELLER AVE, SUITE 340
EVERETT, WA 98201
Internal Medicine (Cardiovascular Disease)
1330 ROCKEFELLER AVE, SUITE 540
EVERETT, WA 98201
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1330 ROCKEFELLER AVE, SUITE 330
EVERETT, WA 98201
Hospitalist
1330 ROCKEFELLER AVE
EVERETT, WA 98201
Neurological Surgery
1330 ROCKEFELLER AVE, SUITE 220
EVERETT, WA 98201
Internal Medicine (Infectious Disease)
1330 ROCKEFELLER AVE, SUITE 210
EVERETT, WA 98201
Internal Medicine (Cardiovascular Disease)
1330 ROCKEFELLER AVE, 225
EVERETT, WA 98201
Registered Nurse (Cardiac Rehabilitation)
1330 ROCKEFELLER AVE, 225
EVERETT, WA 98201
Internal Medicine (Critical Care Medicine)
1330 ROCKEFELLER AVE, SUITE 340
EVERETT, WA 98201
Surgery
1330 ROCKEFELLER AVE, #120
EVERETT, WA 98201
Surgery
1330 ROCKEFELLER AVE
EVERETT, WA 98201
Surgery (Surgical Oncology)
1330 ROCKEFELLER AVE
EVERETT, WA 98201
Nurse Practitioner (Gerontology)
1330 ROCKEFELLER AVE, SUITE 230
EVERETT, WA 98201
Internal Medicine (Nephrology)
1330 ROCKEFELLER AVE, SUITE 450
EVERETT, WA 98201
Internal Medicine (Nephrology)
1330 ROCKEFELLER AVE, SUITE 450
EVERETT, WA 98201
Pharmacist
1330 ROCKEFELLER AVE, SUITE 220
EVERETT, WA 98201
Internal Medicine
1330 ROCKEFELLER AVE, SUITE 210
EVERETT, WA 98201
Internal Medicine
1330 ROCKEFELLER AVE, SUITE 210
EVERETT, WA 98201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295831352, enumerated as an "individual" on September 16, 2006.

The provider is located at 1330 ROCKEFELLER AVE EVERETT, WA 98201 and the phone number is (425) 339-5476.

Physical Medicine & Rehabilitation with taxonomy code 208100000X.

The provider might be accepting Accepts: PacificSource Health Plans, Premera Blue Cross. Please consult your insurance carrier or call the provider to verify.