JAY L WITTENKELLER (MD) – Hematology & Oncology Physician, NPI 1487647566

JAY L WITTENKELLER (MD) is a healthcare provider. based in Spokane, Washington. specializing in HEMATOLOGY/ONCOLOGY. They hold the professional credentials MD. They hold a License No. MD00033837 (WA). The NPI Number for JAY L WITTENKELLER (MD) is 1487647566

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
JAY L WITTENKELLER (MD)
NPI
1487647566
Phone
(509) 838-2531
Address
910 W 5TH AVE
Enumeration Date
24 August 2005
Last Update Date
15 December 2008

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1990 (36 years ago)
PAC ID
1355329533
Group Practice PAC ID
7719899897
Professional Enrollment ID
I20040713000960
Address ID
WA983351706GI4700XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

403 HEMATOLOGY/ONCOLOGY in WA

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Provider Addresses for JAY L WITTENKELLER (MD)

  • 910, West 5th Avenue, Cliff–Cannon, Spokane, Spokane County, Washington, 99204, United States

    SUITE 700

    SPOKANE, WA 992042966

    Phone: (509) 838-2531

    Type: Location

  • PO BOX 3649

    SPOKANE, WA 992203649

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2024-03-13 • Largest payer in this snapshot: Celgene Corporation ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Celgene Corporation$15
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: 2004-07-13

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
I20040713000960IHematology/OncologyWATBD

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
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml3,20023$0
99214Established patient office or other outpatient visit, 30-39 minutes407157$0
99215Established patient office or other outpatient visit, 40-54 minutes12864$0
99213Established patient office or other outpatient visit, 20-29 minutes11898$0
71260Ct scan of chest with contrast3022$0
View full utilization report →

Insurance plans in this area (ZIP 99204)

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Provider's Procedures

JAY L WITTENKELLER (MD) performs procedures in HEMATOLOGY/ONCOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
HEMATOLOGY/ONCOLOGYWA78815Nuclear medicine study with CT imaging skull base to mid-thigh11661
HEMATOLOGY/ONCOLOGYWA96367Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour27956
HEMATOLOGY/ONCOLOGYWA96375Injection of different drug or substance into a vein for therapy, diagnosis, or prevention9034

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: 7719899897View full group profile
NameSpecialtyState
Physician AssistantWA
Nurse PractitionerWA
-IL
O P H T H A L M O L O G YOR
O P H T H A L M O L O G YWA
Nurse PractitionerWA
Family PracticeWA
Interventional Radiology, Diagnostic RadiologyOH
Physician AssistantID
Clinical PsychologistWA

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Frequently asked questions

What is the standard ID for JAY L WITTENKELLER (MD) in the U.S.?
In the U.S., JAY L WITTENKELLER (MD) is identified by NPI 1487647566.
Should I treat JAY L WITTENKELLER (MD) as an active provider?
Patients and plans typically see JAY L WITTENKELLER (MD) as active in the national extract.
What type of care does JAY L WITTENKELLER (MD) provide?
JAY L WITTENKELLER (MD)'s profile centers on Hematology & Oncology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit JAY L WITTENKELLER (MD) in Spokane, Washington?
For routing, start with Spokane, Washington for JAY L WITTENKELLER (MD), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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