LYDIA WEYENBERG MD
NPI 1407381650
Obstetrics & Gynecology in Bellevue, WA

Active since April 25, 2017PECOS EnrolledAccepts Medicare Assignment
1035 116TH AVE NE, BELLEVUE, WA 98004(425) 688-5000 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 19, 2026, May 7, 2024, Jan 10, 2023 and 4 more (7 updates tracked since 2017).

About Lydia Weyenberg Md NPPES

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

LYDIA WEYENBERG MD (NPI 1407381650) is an individual obstetrics & gynecology provider in Bellevue, Washington, licensed in Arizona (68481) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and maintains a secondary practice location in Huntley.

NPPES Registry Identity

NPI1407381650
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameLYDIA WEYENBERGCredential: MD
Location Address1035 116TH AVE NEBellevue, WA 98004-4604
Mailing Address1035 116th Ave NeBellevue, WA 98004-4604
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2017
Enumeration DateApril 25, 2017
Last NPPES UpdateAugust 19, 20267 updates tracked since enumeration
NPPES CertifiedAugust 19, 2026
✔ NPI 1407381650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in AZ · 68481✔ Licensed in WA · MD61151043✔ Licensed in UT · 13305389-1205
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedHospitalistTaxonomy 208M00000X · License MD61151043 (WA)
1035 116TH AVE NE, Bellevue, WA 98004

Secondary Practice Location 1

Location 110400 Haligus RdHuntley, IL 60142-9553 · Phone (815) 356-2323 ext. 1180 · Fax (520) 281-1112

Other Identifiers 1

Other68481AZ · Arizona Medical Board

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lydia Weyenberg 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 ID4486048592
PECOS Enrollment IDI20240521001392, I20250424002448
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.

Medicare Billing Reassignments

9

Medicare enrollment records show Lydia Weyenberg reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
400 S 43RD ST
Renton, WA 98055
  • Reassigned Medicare billing, Washington enrollment
  • 689 clinicians in this Medicare group
Obstetrics & Gynecology
1800 NW MYHRE RD
Silverdale, WA 98383
  • Reassigned Medicare billing, Washington enrollment
  • 223 clinicians in this Medicare group
Vascular Surgery
4351 E LOHMAN AVE, SUITE 403
Las Cruces, NM 88011
  • Reassigned Medicare billing, New Mexico enrollment
  • 193 clinicians in this Medicare group
Critical Access
135 S GIBSON ST
Medford, WI 54451
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Aspirus Medical Group, Inc.
  • 415 clinicians in this Medicare group
Clinic/Center
103 S 3RD AVE
Edgar, WI 54426
  • Reassigned Medicare billing, Wisconsin enrollment
  • 633 clinicians in this Medicare group
Family Medicine
5777 DEPARTMENT
Carol Stream, IL 60122
  • Reassigned Medicare billing, Illinois enrollment
  • 1,664 clinicians in this Medicare group
Obstetrics & Gynecology
3249 OAK PARK AVE
Berwyn, IL 60402
  • Reassigned Medicare billing, Illinois enrollment
  • 219 clinicians in this Medicare group
General Acute Care Hospital
133 FAIRFIELD ST
Saint Albans, VT 05478
  • Reassigned Medicare billing, Vermont enrollment
  • 184 clinicians in this Medicare group
Health Maintenance Organization
3288 MOANALUA RD
Honolulu, HI 96819
  • Reassigned Medicare billing, Hawaii enrollment
  • 1,187 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Memorial Medical Center

Acute Care Hospitals · Las Cruces, NM
1/5 CMS rating
OwnershipProprietary
CMS Certification Number320018
Location2450 South Telshor BlvdLas Cruces, NM 88011 · Dona Ana County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98004 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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.

Physical Therapist
1035 116TH AVE NE
BELLEVUE, WA 98004
Anesthesiology
1035 116TH AVE NE
BELLEVUE, WA 98004
Physician Assistant (Medical)
1035 116TH AVE NE
BELLEVUE, WA 98004
Physician Assistant
1035 116TH AVE NE
BELLEVUE, WA 98004
Nurse's Aide
1035 116TH AVE NE
BELLEVUE, WA 98004
Nurse Practitioner (Family)
1035 116TH AVE NE
BELLEVUE, WA 98004
Pharmacist (Pharmacotherapy)
1035 116TH AVE NE
BELLEVUE, WA 98004
Emergency Medicine
1035 116TH AVE NE
BELLEVUE, WA 98004

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 Lydia Weyenberg's NPI number?

The NPI number for Lydia Weyenberg is 1407381650. It was assigned to this individual provider in the NPPES registry on April 25, 2017.

Where is Lydia Weyenberg located?

Lydia Weyenberg practices at 1035 116th Ave NE, Bellevue, WA 98004. The listed phone number is (425) 688-5000.

What is Lydia Weyenberg's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Lydia Weyenberg enrolled in Medicare?

Yes. Lydia Weyenberg 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.

Which organizations bill Medicare for Lydia Weyenberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lydia Weyenberg reassigns Medicare benefits to 9 organizations: Valley Medical Group-Renton (Renton, WA), Obhg Washington, PC (Silverdale, WA), Las Cruces Physician Practices, LLC (Las Cruces, NM), Aspirus Medford Hospital & Clinics, Inc. (Medford, WI), Aspirus Wausau Hospital Inc (Edgar, WI) and 4 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lydia Weyenberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lydia Weyenberg accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Cigna HealthCare of Arizona, Inc, HealthPartners and Imperial Insurance Companies, Inc. and 1 other insurer list Lydia Weyenberg 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 Lydia Weyenberg affiliated with any hospitals?

According to CMS data, Lydia Weyenberg is affiliated with Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for Lydia Weyenberg was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.