BROOKE ELIZABETH WIETHARN MD
NPI 1689419087
Surgery in Columbia, MO

Active since June 27, 2024PECOS Enrolled
1 HOSPITAL DR, COLUMBIA, MO 65212(573) 884-2000 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Brooke Elizabeth Wietharn Md NPPES

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

BROOKE ELIZABETH WIETHARN MD (NPI 1689419087) is an individual surgery provider in Columbia, Missouri, licensed in Missouri (2024025232) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689419087
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameBROOKE ELIZABETH WIETHARNCredential: MD
Location Address1 HOSPITAL DRColumbia, MO 65212-1000
Mailing Address1 Hospital DrColumbia, MO 65212-1000
Sole ProprietorNo
Enumeration DateJune 27, 2024
NPPES CertifiedJune 27, 2024
NPI 1689419087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in MO · 2024025232
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1 HOSPITAL DR, Columbia, MO 65212

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Brooke Elizabeth Wietharn 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65212 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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.

Anesthesiology
1 HOSPITAL DR
COLUMBIA, MO 65212
Otolaryngology
1 HOSPITAL DR
COLUMBIA, MO 65212
Psychiatry & Neurology (Psychiatry)
1 HOSPITAL DR
COLUMBIA, MO 65212
Orthopaedic Surgery
1 HOSPITAL DR
COLUMBIA, MO 65212
Psychiatry & Neurology (Psychiatry)
1 HOSPITAL DR
COLUMBIA, MO 65212
Radiology (Diagnostic Radiology)
1 HOSPITAL DR
COLUMBIA, MO 65212
Physician Assistant (Surgical)
1 HOSPITAL DR
COLUMBIA, MO 65212
Emergency Medicine
1 HOSPITAL DR
COLUMBIA, MO 65212

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689419087, enumerated as an "individual" on June 27, 2024.

The provider is located at 1 HOSPITAL DR COLUMBIA, MO 65212 and the phone number is (573) 884-2000.

Surgery with taxonomy code 208600000X.