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DR. THOMAS ALAN WEINZAPFEL M.D.
NPI 1811961642
Pediatrics in Evansville, IN

Active since February 16, 2006PECOS Enrolled
100 S ROSENBERGER AVE STE B400, EVANSVILLE, IN 47712(812) 485-1566 Get Directions Write a Review

NPPES record last updated: May 19, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Thomas Alan Weinzapfel M.d. NPPES

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

DR. THOMAS ALAN WEINZAPFEL M.D. (NPI 1811961642) is an individual pediatrics provider in Evansville, Indiana, licensed in Indiana (01040956A) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811961642
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. THOMAS ALAN WEINZAPFELCredential: M.D.
Location Address100 S ROSENBERGER AVE STE B400Evansville, IN 47712-6510
Mailing Address100 S Rosenberger Ave Ste B400Evansville, IN 47712-6510
Phone(812) 485-1566
Sole ProprietorNo
Enumeration DateFebruary 16, 2006
Last NPPES UpdateMay 19, 2022
NPPES CertifiedMay 19, 2022
✔ NPI 1811961642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IN · 01040956A
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

100 S ROSENBERGER AVE STE B400, Evansville, IN 47712
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Other Identifiers 1

Medicaid100242890IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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)

Dr. Thomas Alan Weinzapfel M.d. 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 47712 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
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.

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
18%340 patients1/55-star benchmark: 95%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%288 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
69%262 patients3/55-star benchmark: 97%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
70%792 patients3/55-star benchmark: 96%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 99% · 170 patients
98%170 patients5/55-star benchmark: 98%
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents
Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.
Patients nutrition: 83% · 1,428 patients
Patients physicalActivity: 83% · 1,428 patients
91%1,428 patients
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.

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.

DR. JILL SUZANNE SMITH MD
Pediatrics
100 S ROSENBERGER AVE STE B400
EVANSVILLE, IN 47712
Vanderburgh County (812) 485-1566
CAROL JEAN BUTRUM NP-C
Nurse Practitioner (Family)
100 S ROSENBERGER AVE STE B400
EVANSVILLE, IN 47712
Vanderburgh County (812) 485-1550
DR. KELLY NICOLE NIXON DO
Pediatrics
100 S ROSENBERGER AVE STE B400
EVANSVILLE, IN 47712
Vanderburgh County (812) 485-1566

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 Thomas Weinzapfel's NPI number?

The NPI number for Thomas Weinzapfel is 1811961642. It was assigned to this individual provider in the NPPES registry on February 16, 2006.

Where is Thomas Weinzapfel located?

Thomas Weinzapfel practices at 100 S Rosenberger Ave Ste B400, Evansville, IN 47712. The listed phone number is (812) 485-1566.

What is Thomas Weinzapfel's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Thomas Weinzapfel enrolled in Medicare?

Yes. Thomas Weinzapfel is registered in the Medicare PECOS enrollment system.

What insurance does Thomas Weinzapfel accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Thomas Weinzapfel 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 Thomas Weinzapfel was last updated on May 19, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.