DR. ADAM P WHITTINGTON (M.D.) – Dermatology Physician, NPI 1093104887

DR. ADAM P WHITTINGTON (M.D.) is a healthcare provider. based in Fond du lac, Wisconsin. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. 70584 (WI). The NPI Number for DR. ADAM P WHITTINGTON (M.D.) is 1093104887

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. ADAM P WHITTINGTON (M.D.)
NPI
1093104887
Phone
(920) 907-7000
Address
210 WISCONSIN AMERICAN DR
Enumeration Date
15 January 2015
Last Update Date
10 March 2022

Doctor Profile

Medical School Name
NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Secondary Phone
2198364563
Graduation Year
2015 (11 years ago)
PAC ID
4981997020
Group Practice PAC ID
3678737012
Professional Enrollment ID
I20220203001935
Address ID
IN463212901MU901XXBLVD300

Contacts

Secure Messaging
awhittington149327@direct.myadvocateaurora.org
FHIR Endpoint
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:11State licenses:2Other namesUpdated within 12 months

339 DERMATOLOGY in WI

Provider Addresses for DR. ADAM P WHITTINGTON (M.D.)

  • 210 WISCONSIN AMERICAN DR

    FOND DU LAC, WI 549372999

    Phone: (920) 907-7000

    Type: Mailing

  • 146 E Geneva Sq

    Lake Geneva, WI 531479694

    Phone: (262) 249-5000

    Fax: (262) 249-7121

    Type: Location

  • 210 Wisconsin American Dr

    Fond Du Lac, WI 549372999

    Phone: (920) 907-7000

    Type: Location

  • 8558 BROADWAY

    MERRILLVILLE, IN 464107032

    Phone: (219) 392-7084

    Fax: (219) 703-6854

    Type: Mailing

  • 800 MACARTHUR BLVD STE 6

    MUNSTER, IN 463212917

    Phone: (219) 703-2417

    Fax: (219) 703-6947

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $361.

Total Amount is formed as General ($361) + Research ($0) + Ownership ($0) = $361.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: ABBVIE INC. ($116).

Total Amount

$361

General + Research + Ownership

Payments

18

Total payment records

General Amount

$361

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

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: 2022-02-03

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
I20220203001935IDermatologyINTBD

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
17003Destruction of precancer skin growth, 2-14 growths474101$0
11102Biopsy of related skin growth, first growth217184$0
99213Established patient office or other outpatient visit, 20-29 minutes200163$0
99203New patient office or other outpatient visit, 30-44 minutes183183$0
17000Destruction of precancer skin growth, 1 growth160137$0
View full utilization report →

Insurance plans in this area (ZIP 54937)

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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: 3678737012View full group profile
NameSpecialtyState
Critical Care (Intensivists)IL
-IN
Nurse PractitionerIN
-IN
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)IL
Nurse PractitionerIN
-IN
Internal Medicine, GastroenterologyIN
Gynecological Oncology, Obstetrics/GynecologyIN
Nurse PractitionerIN

Reviews

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Frequently asked questions

How is DR. ADAM P WHITTINGTON (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. ADAM P WHITTINGTON (M.D.) with NPI 1093104887.
Can I rely on DR. ADAM P WHITTINGTON (M.D.) being an active provider?
As of the registry snapshot, DR. ADAM P WHITTINGTON (M.D.) is marked active.
What is DR. ADAM P WHITTINGTON (M.D.)'s specialty?
The listing groups DR. ADAM P WHITTINGTON (M.D.) with Dermatology Physician. Clinical services aligned with this taxonomy classification.
Does DR. ADAM P WHITTINGTON (M.D.) list a practice location?
Patients near Fond Du Lac, Wisconsin may find DR. ADAM P WHITTINGTON (M.D.) in results; validate coverage separately.
How many locations tie to this NPI?
6 practice locations appear in the available data.

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