JERRY WARREN WHETZEL (MD) – Family Medicine Physician, NPI 1215935705

JERRY WARREN WHETZEL (MD) is a healthcare provider. based in Portland, Indiana. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 01051865 (IN). The NPI Number for JERRY WARREN WHETZEL (MD) is 1215935705

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
JERRY WARREN WHETZEL (MD)
NPI
1215935705
Phone
(260) 726-7616
Address
430 W Votaw St
Enumeration Date
8 July 2005
Last Update Date
8 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2607262993
Graduation Year
1993 (33 years ago)
PAC ID
6406760925
Group Practice PAC ID
9537072640
Professional Enrollment ID
I20031118000519
Address ID
IN473711322PO510XXSTXX400

Contacts

Secure Messaging
jwhetzel@direct.iuhealth.org
Secure Messaging
jwhetzel1@direct.iuhealth.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness95
Years active:20State licenses:2Other names

2,861 FAMILY PRACTICE in IN

Provider Addresses for JERRY WARREN WHETZEL (MD)

  • 430 W Votaw St

    Portland, IN 473711302

    Phone: (260) 726-7616

    Fax: (260) 726-8165

    Type: Location

  • 250 N SHADELAND AVE

    INDIANAPOLIS, IN 462194959

    Phone:

    Type: Mailing

  • 2901 W JACKSON ST

    MUNCIE, IN 473044307

    Phone: (765) 751-5010

    Type: Location

  • West 100 South, Portland, Jay County, Indiana, 47371, United States

    PORTLAND, IN 473718204

    Phone: (260) 726-7616

    Fax: (260) 726-8165

    Type: Location

  • 1200 W WHITE RIVER BLVD

    MUNCIE, IN 473034988

    Phone: (877) 668-5621

    Type: Mailing

  • 430 W VOTAW ST

    PORTLAND, IN 473711302

    Phone: (260) 726-7616

    Fax: (260) 726-8165

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $123.

Total Amount is formed as General ($123) + Research ($0) + Ownership ($0) = $123.

Last reported payment date: 2024-10-31 • Largest payer in this snapshot: Kerecis Limited ($63).

Total Amount

$123

General + Research + Ownership

Payments

4

Total payment records

General Amount

$123

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-31

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2003-11-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20031118000519IFamily PracticeINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes437248$0
99213Established patient office or other outpatient visit, 20-29 minutes408215$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes16338$0
99215Established patient office or other outpatient visit, 40-54 minutes11792$0
20610Aspiration and/or injection of fluid from large joint4630$0
View full utilization report →

Insurance plans in this area (ZIP 47371)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537072640View full group profile
NameSpecialtyState
Nurse PractitionerIN
Nephrology, Internal MedicineIN
General SurgeryMI
-OH
Family PracticeIN
H E M A T O L O G Y/ O N C O L O G YNC
Infectious Disease, Internal MedicineNJ
Cardiovascular Disease (Cardiology), Internal MedicineIN
Clinical Social WorkerIN
-IN

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I cross-check JERRY WARREN WHETZEL (MD) using NPI 1215935705?
NPI 1215935705 belongs to JERRY WARREN WHETZEL (MD); compare other details if you need extra assurance.
Is JERRY WARREN WHETZEL (MD) shown as active in public data?
Registry records indicate JERRY WARREN WHETZEL (MD) maintains an active NPI.
How would a patient describe JERRY WARREN WHETZEL (MD)'s focus?
For JERRY WARREN WHETZEL (MD), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is JERRY WARREN WHETZEL (MD) located near Portland?
JERRY WARREN WHETZEL (MD) currently maps to Portland, Indiana in this extract.
When was this NPI issued?
Enumeration for JERRY WARREN WHETZEL (MD) is noted as July 8, 2005 where the registry provides it.

Similar Providers

J FRANK VORMOHR (MD)

Family Medicine Physician
West 100 South, Portland, Jay County, Indiana, 47371, United States
NPI: 1033117726

VORMOHR MEDICAL CENTER

Family Medicine Physician
West 100 South, Portland, Jay County, Indiana, 47371, United States
NPI: 1508864091

STEPHEN R. MYRON (M.D.)

Emergency Medicine Physician
North Shadeland Avenue, Indianapolis, Marion, Indiana, 46226, United States
NPI: 1801889142

THERESA K HOFFMAN (DO)

Family Medicine Physician
500 W Votaw St
NPI: 1992786198

CHARLES T WEBSTER (MD)

Family Medicine Physician
Margaret Mary Health, 321, Mitchell Avenue, Huntersville, Batesville, Franklin County, Indiana, 47006, United States
NPI: 1346222429

THOMAS D STEWART (MD)

Family Medicine Physician
500 W Votaw St
NPI: 1316901200

DR. MARK ALLEN HAGGENJOS (D.O.)

Family Medicine Physician
428, West Votaw Street, Portland, Jay County, Indiana, 47371, United States
NPI: 1619935475

DR. JOHN M HAWROT (MD)

Family Medicine Physician
500 W Votaw St
NPI: 1679521587

DR. DAVID C DUNNINGTON (MD)

Family Medicine Physician
430, West Votaw Street, Portland, Jay County, Indiana, 47371, United States
NPI: 1700834397