ANDREW ALEX WHITESIDE (DO) – Family Medicine Physician, NPI 1710330634

ANDREW ALEX WHITESIDE (DO) is a healthcare provider. based in Bay city, Michigan. specializing in GENERAL PRACTICE. They hold the professional credentials DO. They hold a License No. 5101022548 (MI). The NPI Number for ANDREW ALEX WHITESIDE (DO) is 1710330634

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW ALEX WHITESIDE (DO)
NPI
1710330634
Phone
Not provided
Address
74 N TUSCOLA RD
Enumeration Date
15 July 2016
Last Update Date
11 October 2021

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
9898949000
Graduation Year
2015 (11 years ago)
PAC ID
9830483759
Group Practice PAC ID
2163481664
Professional Enrollment ID
I20190716000723
Address ID
MI487065076BA901XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

216 GENERAL PRACTICE in MI

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Provider Addresses for ANDREW ALEX WHITESIDE (DO)

  • 74, Tuscola Road, City of Bay City, Hampton Charter Township, Bay County, Michigan, 48708, United States

    BAY CITY, MI 487086970

    Phone:

    Type: Mailing

  • 901 S HENRY ST

    BAY CITY, MI 487065076

    Phone: (989) 894-9000

    Fax: (989) 894-9018

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 350 Open Payments records for all available years, with a total value of $5,777.

Total Amount is formed as General ($5,777) + Research ($0) + Ownership ($0) = $5,777.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: ABBVIE INC. ($662).

Total Amount

$5,777

General + Research + Ownership

Payments

350

Total payment records

General Amount

$5,777

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

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: 2019-07-16

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
I20190716000723IGeneral PracticeMITBD

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
99213Established patient office or other outpatient visit, 20-29 minutes265128$0
99214Established patient office or other outpatient visit, 30-39 minutes181138$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit120120$0
G0444Annual depression screening, 5 to 15 minutes8787$0
20610Aspiration and/or injection of fluid from large joint5627$0
View full utilization report →

Insurance plans in this area (ZIP 48708)

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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: 2163481664View full group profile
NameSpecialtyState
Nurse PractitionerMI
Nurse PractitionerMI
-MI
Family PracticeMI
Physician AssistantMI

Reviews

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Frequently asked questions

What is the standard ID for ANDREW ALEX WHITESIDE (DO) in the U.S.?
In the U.S., ANDREW ALEX WHITESIDE (DO) is identified by NPI 1710330634.
Does the public listing show ANDREW ALEX WHITESIDE (DO) as active?
ANDREW ALEX WHITESIDE (DO)'s NPI record reflects an active status in NPPES.
What does the directory say ANDREW ALEX WHITESIDE (DO) does?
Insurance directories may phrase it differently, but here ANDREW ALEX WHITESIDE (DO) maps to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ANDREW ALEX WHITESIDE (DO)?
ANDREW ALEX WHITESIDE (DO) is associated with Bay City, Michigan in the same public data insurers reference.
Why is information missing for ANDREW ALEX WHITESIDE (DO)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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