VERNON WHITE (M.D.) – Family Medicine Physician, NPI 1396765376

VERNON WHITE (M.D.) is a healthcare provider. based in Provo, Utah. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 186968-1205 (UT). The NPI Number for VERNON WHITE (M.D.) is 1396765376

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
VERNON WHITE (M.D.)
NPI
1396765376
Phone
(801) 429-2000
Address
589 SOUTH STATE STREET
Enumeration Date
20 July 2006
Last Update Date
20 May 2024

Doctor Profile

Medical School Name
UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Secondary Phone
8014292000
Graduation Year
1989 (37 years ago)
PAC ID
8628155199
Group Practice PAC ID
6305872201
Professional Enrollment ID
I20080408000465
Address ID
UT846065056PR589XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,136 FAMILY PRACTICE in UT

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Provider Addresses for VERNON WHITE (M.D.)

  • 589, South State Street, Maeser, Provo, Utah County, Utah, 84606, United States

    PROVO, UT 846065056

    Phone: (801) 429-2000

    Fax: (801) 429-2001

    Mailing address matches the actual address.

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: 2008-04-08

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
I20080408000465IFamily PracticeUTTBD

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 84606)

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Provider's Procedures

VERNON WHITE (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEUT83036Hemoglobin A1C level3411

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: 6305872201View full group profile
NameSpecialtyState
Physician AssistantUT
Physician AssistantUT
Physician AssistantUT
Clinical Social WorkerUT
General PracticeUT
Nurse PractitionerUT
Family PracticeUT
-UT
Family PracticeUT
Nurse PractitionerUT

Reviews

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Frequently asked questions

What is VERNON WHITE (M.D.)'s NPI number?
VERNON WHITE (M.D.)'s NPI is 1396765376 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to VERNON WHITE (M.D.)?
You should see VERNON WHITE (M.D.) as active in CMS-hosted NPPES data.
What expertise is attributed to VERNON WHITE (M.D.)?
VERNON WHITE (M.D.)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is VERNON WHITE (M.D.) located near Provo?
VERNON WHITE (M.D.) currently maps to Provo, Utah in this extract.
Does VERNON WHITE (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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