Active NPI 1861600017 Individual Practitioner Male Practitioner

Timothy L. Weide , PA

Physician Assistant • Derby, KS

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Timothy Weide, PA is a certified Physician Assistant practicing in Derby, KS. With approximately 26 years of clinical experience since completing medical education in 2000, Timothy Weide delivers high-quality medical care to the local community at 1121 N COLLEGE PARK ST.

Timothy Weide is affiliated with Derby Derm and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of up to 14 skin growths. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1121 N College Park St
Suite # 400

Derby, KS 670373665

Telephone 3167883376

Fax 3167883378

Associated Practice Facility / Clinic

🏢 Derby Derm Facility NPI 1871771998

Medicare Profile & Education

Medical School

Other

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Derby, KS

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs +12.7 yrs vs City Avg

City Avg: 13.3 Yrs

State Avg: 14.0 Yrs

Regional Practice Density

4 Specialists

Practicing in Derby, KS (1349 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

50.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Weide (26 Years) 26 Yrs

Derby Specialty Average (13.3 Years) 13.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	340	92	$47.00	$5.14
99213 Established patient office or other outpatient visit, typically 15 minutes	215	164	$100.00	$70.92
17110 Destruction of up to 14 skin growths	213	144	$159.79	$79.30
17000 Destruction of skin growth	194	141	$115.00	$34.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	152	119	$70.00	$43.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	66	66	$140.00	$87.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	33	$140.00	$100.45
11104 Punch biopsy, first skin growth	28	28	$225.00	$92.46
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$120.00	$56.48
11200 Removal of skin tag, 1-15 skin tags	19	18	$125.00	$43.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	448	81	$47.00	$5.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	184	124	$70.00	$44.33
17110 Destruction of up to 14 skin growths	171	126	$160.00	$77.78
17000 Destruction of skin growth	166	124	$115.00	$33.99
99213 Established patient office or other outpatient visit, typically 15 minutes	146	101	$100.00	$71.37
99202 New patient office or other outpatient visit, typically 20 minutes	46	46	$120.00	$56.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$140.00	$88.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	28	$140.00	$100.93
11104 Punch biopsy, first skin growth	30	29	$225.00	$93.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	420	77	$47.00	$5.30
17110 Destruction of up to 14 skin growths	150	122	$160.00	$82.51
17000 Destruction of skin growth	147	119	$229.88	$34.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	139	114	$70.00	$44.64
99213 Established patient office or other outpatient visit, typically 15 minutes	120	95	$107.83	$71.97
99202 New patient office or other outpatient visit, typically 20 minutes	57	57	$120.00	$57.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$140.00	$89.08
11104 Punch biopsy, first skin growth	30	28	$225.00	$89.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	17	$140.00	$102.94
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	15	14	$175.00	$75.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	374	82	$47.00	$5.12
99213 Established patient office or other outpatient visit, typically 15 minutes	186	144	$100.05	$73.06
17000 Destruction of skin growth	145	121	$115.00	$35.13
17110 Destruction of up to 14 skin growths	134	117	$160.00	$81.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	67	67	$140.00	$90.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	61	53	$70.00	$44.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	39	$140.00	$104.63
11104 Punch biopsy, first skin growth	28	28	$225.00	$96.52
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$120.00	$58.43
17004 Destruction of precancer skin growth, 15 or more growths	14	12	$270.00	$132.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	681	116	$47.00	$4.84
99213 Established patient office or other outpatient visit, typically 15 minutes	249	189	$100.08	$60.38
17000 Destruction of skin growth	223	179	$115.00	$37.07
17110 Destruction of up to 14 skin growths	178	144	$160.00	$80.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	102	102	$140.00	$86.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	53	$140.00	$87.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	38	$70.00	$36.35
99202 New patient office or other outpatient visit, typically 20 minutes	38	38	$120.00	$61.07
11104 Punch biopsy, first skin growth	33	33	$225.00	$94.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	663	114	$47.00	$4.24
99213 Established patient office or other outpatient visit, typically 15 minutes	281	193	$100.00	$57.42
17000 Destruction of skin growth	207	156	$115.00	$33.45
17110 Destruction of up to 14 skin growths	187	148	$160.00	$74.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	81	81	$140.00	$82.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	72	58	$140.00	$83.90
99202 New patient office or other outpatient visit, typically 20 minutes	66	66	$120.00	$59.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	60	51	$70.00	$34.81
11104 Punch biopsy, first skin growth	47	44	$225.00	$94.43
17004 Destruction of precancer skin growth, 15 or more growths	17	12	$281.76	$117.18
11200 Removal of skin tag, 1-15 skin tags	17	16	$125.00	$40.14
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	13	12	$150.00	$96.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	500	90	$47.00	$4.06
99213 Established patient office or other outpatient visit, typically 15 minutes	245	166	$92.69	$57.14
17000 Destruction of skin growth	163	124	$115.00	$35.26
17110 Destruction of up to 14 skin growths	137	111	$160.00	$80.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	69	69	$140.00	$83.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	63	52	$70.00	$34.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	43	$140.00	$84.86
99202 New patient office or other outpatient visit, typically 20 minutes	50	50	$120.00	$58.90
11100 Biopsy of single growth of skin and/or tissue	24	24	$131.00	$75.12
11200 Removal of skin tag, 1-15 skin tags	18	17	$125.00	$46.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$250.00	$129.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	488	93	$47.00	$4.26
99213 Established patient office or other outpatient visit, typically 15 minutes	187	134	$90.00	$57.23
17000 Destruction of skin growth	169	133	$115.00	$32.98
17110 Destruction of up to 14 skin growths	146	120	$160.00	$80.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	56	46	$70.00	$33.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$140.00	$84.30
99202 New patient office or other outpatient visit, typically 20 minutes	51	51	$120.00	$58.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	45	$140.00	$84.30
11100 Biopsy of single growth of skin and/or tissue	32	32	$131.00	$67.27
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	15	13	$287.00	$166.08
17004 Destruction of precancer skin growth, 15 or more growths	13	11	$370.00	$116.11

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License KS 1500761

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Derby Derm

1121 N College Park St, Derby, KS 670373667

Phone: 3167883376

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Lori Falcone , APRN

Nurse Practitioner

NPI 1023615648

Advanced Practice Registered Nurse

Jennifer Allen , APRN

Nurse Practitioner - Family

NPI 1326986373

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active February 01, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location February 01, 2008

Registered at 1121 N COLLEGE PARK ST, SUITE # 400, DERBY, KS 670373665 (Tel: 3167883376)

📍

Updated Business Mailing Address February 01, 2008

Registered at 22120 SW WILLIAMS RD, DOUGLASS, KS 670398539

👤

Provider Name / Credentials Updated February 01, 2008

Recorded as TIMOTHY WEIDE, P.A.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 01, 2008

Physician Assistant (License #1500761 in KS)

🟢

Initial NPI Registration & Enumeration May 20, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1861600017

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 20, 2007

Last Update: February 01, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

22120 Sw Williams Rd

Douglass, KS 670398539

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.