DR. JACK H WHITAKER (MD) – Cardiovascular Disease Physician, NPI 1922064047
Cardiovascular Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
758 CARDIOVASCULAR DISEASE (CARDIOLOGY) in TN
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Provider Addresses for DR. JACK H WHITAKER (MD)
West Stone Drive, Howard Hill, Kingsport, Sullivan County, Tennessee, 37660-3000, United States
SUITE 6A
KINGSPORT, TN 376603365
Phone: (423) 408-7220
Fax: (423) 408-7405
Type: Mailing
1410, Tusculum Boulevard, Willis Subdivision, Greeneville, Greene County, East Tennessee, Tennessee, 37745, United States
SUITE 1500
GREENEVILLE, TN 37745
Phone: (423) 638-2270
Fax: (423) 928-0219
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 175 Open Payments records for all available years, with a total value of $5,477.
Total Amount is formed as General ($5,477) + Research ($0) + Ownership ($0) = $5,477.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Medtronic, Inc. ($1,114).
Total Amount
$5,477
General + Research + Ownership
Payments
175
Total payment records
General Amount
$5,477
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $1,114 |
| AstraZeneca Pharmaceuticals LP | $820 |
| HeartFlow, Inc. | $723 |
| Novartis Pharmaceuticals Corporation | $503 |
| ABIOMED | $410 |
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: 2010-12-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040607001001 | I | Cardiovascular Disease (Cardiology) | TN | TBD |
| I20101221001144 | I | Cardiovascular Disease (Cardiology) | VA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 562 | 543 | $0 |
| 93018 | Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician | 224 | 222 | $0 |
| 93016 | Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician | 210 | 208 | $0 |
| 78452 | Nuclear medicine studies of heart muscle at rest and with stress and spect | 208 | 206 | $0 |
| 93280 | Programming of dual lead pacemaker system | 207 | 110 | $0 |
Insurance plans in this area (ZIP 37660)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | TN | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 297 | 293 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | TN | 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 189 | 108 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | TN | 93284 | Evaluation, testing and programming adjustment of defibrillator with analysis, review and report | 27 | 17 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | TN | 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 39 | 38 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Cardiology | FL | |
| Nurse Practitioner | TN | |
| Physician Assistant | TN | |
| - | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| - | TN | |
| - | TN | |
| Cardiovascular Disease (Cardiology), Cardiac Electrophysiology | TN | |
| Nurse Practitioner | VA |
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