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DR. MARC W. WEISE M.D.
NPI 1609843499
Orthopaedic Surgery in Pismo Beach, CA

Active since March 01, 2006PECOS EnrolledAccepts Medicare Assignment
29.44/100
CMS Quality Rating
2 JAMES WAY, SUITE 115, PISMO BEACH, CA 93449(805) 773-2650(805) 773-2655 Get Directions Write a Review

NPPES record last updated: June 10, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Marc W. Weise M.d. NPPES

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

DR. MARC W. WEISE M.D. (NPI 1609843499) is an individual orthopaedic surgery provider in Pismo Beach, California, licensed in California (A44223) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, San Diego School Of Medicine (1984).

NPPES Registry Identity

NPI1609843499
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. MARC W. WEISECredential: M.D.
Location Address2 JAMES WAY, SUITE 115Pismo Beach, CA 93449-4973
Mailing Address2 James Way, Suite 115Pismo Beach, CA 93449-4973 · (805) 773-2650 · Fax (805) 773-2655
Phone(805) 773-2650
Fax(805) 773-2655
Sole ProprietorYes
Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 1984
Enumeration DateMarch 1, 2006
Last NPPES UpdateJune 10, 2010
✔ NPI 1609843499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in CA · A44223
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.
2 JAMES WAY, Pismo Beach, CA 93449
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Other Identifiers 10

Medicaid00A442230CA
Other611373100Usdl Pin
Other00A442230CA · Blue Shield
Other786185Ccn/first Health
OtherA44223CA · Blue Cross
Medicare UPINE36631
Medicare PINWA44223B
Other7941133Aetna
Medicare NSC5684480001
Medicare PINPOO323074

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

Dr. Marc W. Weise M.d. 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 ID7719996446
PECOS Enrollment IDI20060407000382
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 11

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
2,342 services252 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.
872 services390 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
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.
485 services206 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
472 services51 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
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.
159 services159 patients
Aspiration and/or injection of fluid from large joint 20610
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.
120 services80 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93449 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
$91.64 typical visit price
range $59.84 – $178.89
Typical copayment $22.91 (range $14.96 – $44.72)
Most-billed visit code 99203
Established Patient
$74.24 typical visit price
range $19.70 – $146.55
Typical copayment $18.56 (range $4.92 – $36.63)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

29.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality6.72
Improvement Activities0
Cost89.18

Reported Quality Measures

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)
Lower rates are better for this measure.
0.03%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
2 suppliers15 claims15 services$52.73 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 16

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

COASTAL VILLAGE PRIMARY CARE, A MEDICAL GROUP
Family Medicine
2 JAMES WAY, STE 209
PISMO BEACH, CA 93449
San Luis Obispo County (805) 773-7440
MARC W. WEISE, M.D., INC.
Orthopaedic Surgery
2 JAMES WAY, SUITE 115
PISMO BEACH, CA 93449
San Luis Obispo County (805) 773-2650
IRMA DEL CARMEN PEREZ MARTINEZ DMD, MS
Dentist (Pediatric Dentistry)
2 JAMES WAY, SUITE 201
PISMO BEACH, CA 93449
San Luis Obispo County (805) 773-1600
MS. KENDRA JOELLE JAMES NP-C, AGACNP-BC
Nurse Practitioner
2 JAMES WAY
PISMO BEACH, CA 93449
San Luis Obispo County (805) 295-6594
PAUL T STALLMAN MD
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
2 JAMES WAY, SUITE 203
PISMO BEACH, CA 93449
San Luis Obispo County (805) 481-3733
COASTAL PODIATRY CLINIC
Podiatrist (Foot Surgery)
2 JAMES WAY, SUITE 205
PISMO BEACH, CA 93449
San Luis Obispo County (805) 773-3668
COASTAL VILLAGE PRIMARY, INC
Family Medicine
2 JAMES WAY, SUITE 209
PISMO BEACH, CA 93449
San Luis Obispo County (805) 773-7440
ANN LOUISE MCNEIL NP
Nurse Practitioner (Family)
2 JAMES WAY, SUITE 209
PISMO BEACH, CA 93449
San Luis Obispo County (805) 773-7440

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 Marc Weise's NPI number?

The NPI number for Marc Weise is 1609843499. It was assigned to this individual provider in the NPPES registry on March 1, 2006.

Where is Marc Weise located?

Marc Weise practices at 2 James Way Suite 115, Pismo Beach, CA 93449. The listed phone number is (805) 773-2650.

What is Marc Weise's specialty?

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

Is Marc Weise enrolled in Medicare?

Yes. Marc Weise 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.

When was this NPI record last updated?

The NPPES record for Marc Weise was last updated on June 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.