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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

RALPH THANE WIEGMAN MD
NPI 1508852310
Obstetrics & Gynecology in Grand Prairie, TX

Active since September 27, 2005PECOS Enrolled
643 S GREAT SOUTHWEST PKWY, STE 102, GRAND PRAIRIE, TX 75051(972) 647-0994(972) 647-0521 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ralph Thane Wiegman Md NPPES

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

RALPH THANE WIEGMAN MD (NPI 1508852310) is an individual obstetrics & gynecology provider in Grand Prairie, Texas, licensed in Texas (F2113) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508852310
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameRALPH THANE WIEGMANCredential: MD
Location Address643 S GREAT SOUTHWEST PKWY, STE 102Grand Prairie, TX 75051-1056
Mailing Address643 S Great Southwest Pkwy, Ste 102Grand Prairie, TX 75051-1056 · (972) 647-0994 · Fax (972) 647-0521
Phone(972) 647-0994
Fax(972) 647-0521
Sole ProprietorNo
Enumeration DateSeptember 27, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1508852310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TX · F2113
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.
643 S GREAT SOUTHWEST PKWY, Grand Prairie, TX 75051
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ralph Thane Wiegman Md 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.

Areas of Expertise CMS Part B claims

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75051 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
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 3

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

GREAT SOUTHWEST MEDICAL LLC
Clinic/Center (Health Service)
643 S GREAT SOUTHWEST PKWY, SUITE 104
GRAND PRAIRIE, TX 75051
Dallas County (214) 363-5400
MICHAEL R. MCCULLOUGH, D.O., P.A.
Obstetrics & Gynecology
643 S GREAT SOUTHWEST PKWY, SUITE 101
GRAND PRAIRIE, TX 75051
Dallas County (972) 602-0615
DR. MICHAEL REID MCCULLOUGH DO
Obstetrics & Gynecology (Obstetrics)
643 S GREAT SOUTHWEST PKWY, SUITE 101
GRAND PRAIRIE, TX 75051
Dallas County (972) 988-1588

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 Ralph Wiegman's NPI number?

The NPI number for Ralph Wiegman is 1508852310. It was assigned to this individual provider in the NPPES registry on September 27, 2005.

Where is Ralph Wiegman located?

Ralph Wiegman practices at 643 S Great Southwest Pkwy Ste 102, Grand Prairie, TX 75051. The listed phone number is (972) 647-0994.

What is Ralph Wiegman's specialty?

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

Is Ralph Wiegman enrolled in Medicare?

Yes. Ralph Wiegman is registered in the Medicare PECOS enrollment system.

What insurance does Ralph Wiegman accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare and UnitedHealthcare list Ralph Wiegman 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.

When was this NPI record last updated?

The NPPES record for Ralph Wiegman was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.