DR. TITUS JACK WELLER (M.D.) – Emergency Medicine Physician, NPI 1356760243

DR. TITUS JACK WELLER (M.D.) is a healthcare provider. based in Pittsburg, Kansas. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 2018004967 (MO). The NPI Number for DR. TITUS JACK WELLER (M.D.) is 1356760243

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. TITUS JACK WELLER (M.D.)
NPI
1356760243
Phone
(620) 231-6100
Address
1 MT CARMEL WAY
Enumeration Date
8 April 2014
Last Update Date
2 April 2018

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
6052245901
Graduation Year
2014 (12 years ago)
PAC ID
9537471826
Group Practice PAC ID
0143134965
Professional Enrollment ID
I20221122002193
Address ID
SD575013323PI801XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:12State licenses:2Digital endpointsOther names

453 EMERGENCY MEDICINE in KS

Provider Addresses for DR. TITUS JACK WELLER (M.D.)

  • 1 MT CARMEL WAY

    PITTSBURG, KS 667627587

    Phone: (620) 231-6100

    Type: Mailing

  • 800 S Ash St

    Nevada, MO 647723224

    Phone: (417) 667-3355

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-11-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20170307000200IEmergency MedicineKSTBD
I20221122002193IEmergency MedicineSDTBD

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
99285Emergency department visit with high level of medical decision making230208$0
99284Emergency department visit with moderate level of medical decision making113107$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only10084$0
View full utilization report →

Insurance plans in this area (ZIP 66762)

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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: 0143134965View full group profile
NameSpecialtyState
Internal MedicineSD
Physical Medicine And Rehabilitation, Osteopathic Manipulative Medicine, Pain Management, Interventional RadiologySD
Certified Registered Nurse Anesthetist (Crna)SD
Family PracticeAZ
-SD
Physician AssistantSD
Nephrology, Internal MedicinePA
Internal Medicine, Internal Medicine, HospitalistCO
Nurse PractitionerSD
Nurse PractitionerSD

Reviews

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Frequently asked questions

How do payers reference DR. TITUS JACK WELLER (M.D.)?
For DR. TITUS JACK WELLER (M.D.), use NPI 1356760243 as the unique 10-digit identifier.
Is there an active status for DR. TITUS JACK WELLER (M.D.)?
For scheduling context, DR. TITUS JACK WELLER (M.D.) is shown as active in the registry.
What expertise is attributed to DR. TITUS JACK WELLER (M.D.)?
DR. TITUS JACK WELLER (M.D.)'s specialty line reads Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. TITUS JACK WELLER (M.D.) located near Pittsburg?
DR. TITUS JACK WELLER (M.D.) currently maps to Pittsburg, Kansas in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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