Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LAWRENCE D WEIDELL PA-C
NPI 1770540122
Physician Assistant - Medical in Panama City, FL

Q: What is Lawrence Weidell's NPI number?

The NPI number for Lawrence Weidell is 1770540122. It was assigned to this individual provider in the NPPES registry on April 28, 2006.

Q: What is Lawrence Weidell's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Lawrence Weidell was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since April 28, 2006PECOS EnrolledAccepts Medicare Assignment

85.47/100

CMS Quality Rating

1900 HARRISON AVE, PANAMA CITY, FL 32405(850) 769-7546(850) 785-2123 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 11, 2026, Mar 14, 2026, Aug 29, 2023 and 1 more (4 updates tracked since 2023).

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About Lawrence D Weidell Pa-c NPPES

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

LAWRENCE D WEIDELL PA-C (NPI 1770540122) is an individual medical provider in Panama City, Florida, licensed in Florida (9105951) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1770540122

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameLAWRENCE D WEIDELLCredential: PA-C

Location Address1900 HARRISON AVEPanama City, FL 32405-4542

Mailing Address1900 Harrison AvePanama City, FL 32405-4542 · (850) 769-7546 · Fax (850) 785-2123

Phone(850) 769-7546

Fax(850) 785-2123

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateApril 28, 2006

Last NPPES UpdateAugust 11, 20264 updates tracked since enumeration

NPPES CertifiedAugust 11, 2026

✔ NPI 1770540122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

Licenses✔ Licensed in FL · 9105951✔ Licensed in OR · PA217838✔ Licensed in AL · PA2893

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA217838 (OR)

1900 HARRISON AVE, Panama City, FL 32405

Open in Google Maps ↗

Secondary Practice Locations 5

Location 11733 W Main St Ste 500Dothan, AL 36301-1321 · Phone (334) 699-7546 · Fax (334) 699-7548

Location 2100 N Richard Jackson Blvd Ste 140Panama City Beach, FL 32407-2517 · Phone (850) 769-7546 · Fax (850) 785-2123

Location 3877 3rd St Ste 3Chipley, FL 32428-1855 · Phone (850) 769-7546 · Fax (850) 785-2123

Location 48411 Town Center Blvd Unit 105Panama City Beach, FL 32413-9668 · Phone (850) 769-7546

Location 5860 Beltline RdSpringfield, OR 97477-1091 · Phone (541) 344-4168 · Fax (458) 201-8510

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

Lawrence D Weidell Pa-c 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 ID1850389339

PECOS Enrollment IDI20230913000869

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.

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

1,027 services205 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

279 services240 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.

257 services231 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

121 services117 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.

117 services103 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

75 services69 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.

57 services57 patients

Biopsy of related skin growth, each additional growth 11103

A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.

35 services27 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.

31 services31 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

30 services27 patients

Destruction of precancer skin growth, 15 or more growths 17004

This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.

20 services20 patients

Biopsy of ear 69100

A biopsy of the ear is a medical procedure where a small sample of tissue is taken from your ear for examination. This helps doctors diagnose any abnormalities or diseases. It's a simple process, usually done under local anesthesia, and has minimal risks.

19 services18 patients

Punch biopsy, first skin growth 11104

A punch biopsy is a procedure where a small, circular tool is used to remove a sample of skin tissue. This is usually done to test a skin growth for potential issues. You may feel a pinch, but discomfort is minimal. The area heals quickly.

16 services16 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

15 services15 patients

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.

85.47/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

93.28

Promoting Interoperability

100

Improvement Activities

Cost

58.29

Other Providers at the Same Location NPPES 11

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

JENNY LEE OWENS NP

Nurse Practitioner (Family)