MRS. SALLY J WHITMAN (PA-C) – Medical Physician Assistant, NPI 1629034848

MRS. SALLY J WHITMAN (PA-C) is a healthcare provider. based in Cody, Wyoming. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 316 TL (WY). The NPI Number for MRS. SALLY J WHITMAN (PA-C) is 1629034848

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SALLY J WHITMAN (PA-C)
NPI
1629034848
Phone
(307) 587-1155
Address
721 SHERIDAN AVE
Enumeration Date
25 April 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3075871155
Graduation Year
2003 (23 years ago)
PAC ID
9032127709
Group Practice PAC ID
4789633819
Professional Enrollment ID
I20060323000035
Address ID
WY824144710CO1613XAXXX400
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

324 PHYSICIAN ASSISTANT in WY

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Provider Addresses for MRS. SALLY J WHITMAN (PA-C)

  • 721, Sheridan Avenue, Cody, Park County, Wyoming, 82414, United States

    STE 220

    CODY, WY 824143423

    Phone: (307) 587-1155

    Fax: (307) 587-1166

    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)

CMS reports 4 Open Payments records for all available years, with a total value of $1,931.

Total Amount is formed as General ($1,931) + Research ($0) + Ownership ($0) = $1,931.

Last reported payment date: 2024-06-10 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($1,931).

Total Amount

$1,931

General + Research + Ownership

Payments

4

Total payment records

General Amount

$1,931

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-10

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Intuitive Surgical, Inc.$1,931
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: 2006-03-23

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
I20060323000035IPhysician AssistantWYTBD

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 minutes9471$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination5858$0
Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory5151$0
99212Established patient office or other outpatient visit, 10-19 minutes4646$0
99214Established patient office or other outpatient visit, 30-39 minutes1716$0
View full utilization report →

Insurance plans in this area (ZIP 82414)

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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: 4789633819View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YWY
Physician AssistantCO

Reviews

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Frequently asked questions

Can I use this page to confirm MRS. SALLY J WHITMAN (PA-C)'s NPI?
Yes. MRS. SALLY J WHITMAN (PA-C) is listed with NPI 1629034848 in the public NPI dataset.
Is MRS. SALLY J WHITMAN (PA-C) still practicing?
MRS. SALLY J WHITMAN (PA-C) is currently listed as active in the public NPI registry.
What is MRS. SALLY J WHITMAN (PA-C) best known for clinically?
Directory data describes MRS. SALLY J WHITMAN (PA-C) with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for MRS. SALLY J WHITMAN (PA-C)?
MRS. SALLY J WHITMAN (PA-C)'s geographic hint is Cody, Wyoming in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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