DR. JEFFREY THOMAS WHITE (M.D.) – Urology Physician, NPI 1083907331

DR. JEFFREY THOMAS WHITE (M.D.) is a healthcare provider. based in Bowling green, Kentucky. specializing in UROLOGY. They hold the professional credentials M.D.. They hold a License No. 51756 (KY). The NPI Number for DR. JEFFREY THOMAS WHITE (M.D.) is 1083907331

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEFFREY THOMAS WHITE (M.D.)
NPI
1083907331
Phone
(270) 598-4878
Address
350 PARK ST STE 100
Enumeration Date
19 May 2011
Last Update Date
14 January 2025

Doctor Profile

Medical School Name
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Secondary Phone
2704671780
Graduation Year
2011 (15 years ago)
PAC ID
3870844160
Group Practice PAC ID
5496667628
Professional Enrollment ID
I20180926000857
Address ID
KY421011784BO350XXSTXX302
Telehealth
Yes

Contacts

Secure Messaging
jwhite149803@direct.nortonhealthcare.org
FHIR Endpoint
https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:15State licenses:1Other namesUpdated within 12 months

156 UROLOGY in KY

Provider Addresses for DR. JEFFREY THOMAS WHITE (M.D.)

  • 350 PARK ST STE 100

    BOWLING GREEN, KY 421011784

    Phone: (270) 598-4878

    Fax: (270) 598-4875

    Type: Location

  • PO BOX 776351

    CHICAGO, IL 606776351

    Phone: (502) 272-5063

    Type: Mailing

  • 4123 DUTCHMANS LN STE 102

    LOUISVILLE, KY 402074718

    Phone: (210) 358-4000

    Type: Location

  • PO BOX 2697

    BOWLING GREEN, KY 421027697

    Phone: (270) 598-4878

    Fax: (270) 598-4875

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $254.

Total Amount is formed as General ($254) + Research ($0) + Ownership ($0) = $254.

Last reported payment date: 2024-09-12 • Largest payer in this snapshot: Teleflex LLC ($235).

Total Amount

$254

General + Research + Ownership

Payments

3

Total payment records

General Amount

$254

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-12

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: 2018-09-26

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
I20180926000857IUrologyKYTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 42101)

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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: 5496667628View full group profile
NameSpecialtyState
Internal MedicineOH
Internal MedicineWI
H O S P I T A L I S TMD
Nurse PractitionerKY
O B S T E T R I C S/ G Y N E C O L O G YKY
Certified Registered Nurse Anesthetist (Crna)KY
Internal MedicineKY
Nurse PractitionerKY
Nurse PractitionerKY
Internal MedicineIN

Reviews

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Frequently asked questions

What unique ID ties claims to DR. JEFFREY THOMAS WHITE (M.D.)?
NPI 1083907331 is assigned to DR. JEFFREY THOMAS WHITE (M.D.) under the national enumeration system.
Is DR. JEFFREY THOMAS WHITE (M.D.) currently active in the NPI registry?
CMS-published data lists DR. JEFFREY THOMAS WHITE (M.D.) as an active registrant.
Does DR. JEFFREY THOMAS WHITE (M.D.) list a primary specialty?
If you are matching referrals, note Urology Physician for DR. JEFFREY THOMAS WHITE (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for DR. JEFFREY THOMAS WHITE (M.D.)?
We surface Bowling Green, Kentucky for DR. JEFFREY THOMAS WHITE (M.D.) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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