NATHAN WIEBRACHT MD
NPI 1649698770
Otolaryngology in Fort Thomas, KY

Active since April 05, 2014PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
40 N GRAND AVE STE 101, FORT THOMAS, KY 41075(859) 781-4900 Get Directions Write a Review

NPPES record last updated: January 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 19, 2021, Jun 20, 2019 (2 updates tracked since 2019).

About Nathan Wiebracht Md NPPES

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

NATHAN WIEBRACHT MD (NPI 1649698770) is an individual otolaryngology provider in Fort Thomas, Kentucky, licensed in Kentucky (52371) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Dearborn Hospital, and maintains a secondary practice location in Cincinnati.

NPPES Registry Identity

NPI1649698770
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameNATHAN WIEBRACHTCredential: MD
Location Address40 N GRAND AVE STE 101Fort Thomas, KY 41075-1765
Mailing Address368 Bielby Rd, Ste 140Lawrenceburg, IN 47025-1067 · (859) 781-4900
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2014
Enumeration DateApril 5, 2014
Last NPPES UpdateJanuary 19, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2021
NPI 1649698770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses Licensed in KY · 52371 Licensed in OH · 57-024381
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedOtolaryngology · Otolaryngic AllergyTaxonomy 207YX0602X · License 52371 (KY)
40 N GRAND AVE STE 101, Fort Thomas, KY 41075

Secondary Practice Location 1

Location 1231 Albert Sabin WayCincinnati, OH 45267-2827 · Phone (513) 558-4198 · Fax (513) 558-5203

Accepted 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

Nathan Wiebracht 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 ID4183841158
PECOS Enrollment IDI20190503002482, I20191002002668
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 14

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.

Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
2,296 services84 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
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.
200 services153 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
111 services32 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
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.
79 services79 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.
65 services65 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
53 services50 patients

Hospital Affiliations CMS Care Compare 4

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

St Elizabeth Dearborn Hospital

Acute Care Hospitals · Lawrenceburg, IN
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150086
Location600 Wilson Creek RdLawrenceburg, IN 47025 · Dearborn County
Emergency services Birthing friendly

St Elizabeth Ft Thomas

Acute Care Hospitals · Fort Thomas, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180001
Location85 North Grand AvenueFort Thomas, KY 41075 · Campbell County
Emergency services

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

St Elizabeth Florence

Acute Care Hospitals · Florence, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180045
Location4900 Houston RoadFlorence, KY 41042 · Boone County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41075 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 8

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

Physician Assistant (Surgical)
40 N GRAND AVE STE 101
FORT THOMAS, KY 41075
Otolaryngology
40 N GRAND AVE STE 101
FORT THOMAS, KY 41075
Physician Assistant
40 N GRAND AVE STE 101
FORT THOMAS, KY 41075
Audiologist
40 N GRAND AVE STE 101
FORT THOMAS, KY 41075
Audiologist
40 N GRAND AVE STE 101
FORT THOMAS, KY 41075
Audiologist
40 N GRAND AVE STE 101
FORT THOMAS, KY 41075
Audiologist
40 N GRAND AVE STE 101, SUITE 101
FORT THOMAS, KY 41075
Audiologist
40 N GRAND AVE STE 101
FORT THOMAS, KY 41075

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 Nathan Wiebracht's NPI number?

The NPI number for Nathan Wiebracht is 1649698770. It was assigned to this individual provider in the NPPES registry on April 5, 2014.

Where is Nathan Wiebracht located?

Nathan Wiebracht practices at 40 N Grand Ave Ste 101, Fort Thomas, KY 41075. The listed phone number is (859) 781-4900.

What is Nathan Wiebracht's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Nathan Wiebracht enrolled in Medicare?

Yes. Nathan Wiebracht 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.

What insurance does Nathan Wiebracht accept?

Health plans from MedMutual list Nathan Wiebracht 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 Nathan Wiebracht affiliated with any hospitals?

According to CMS data, Nathan Wiebracht is affiliated with St Elizabeth Dearborn Hospital, St Elizabeth Ft Thomas, St Elizabeth Edgewood and St Elizabeth Florence.

When was this NPI record last updated?

The NPPES record for Nathan Wiebracht was last updated on January 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.