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ELLIOTT KINGMAN WHITE
NPI 1073243218
Physician Assistant in Clewiston, FL

Active since June 11, 2022PECOS Enrolled
540 W SAGAMORE AVE, CLEWISTON, FL 33440(863) 983-5026 Get Directions Write a Review

NPPES record last updated: November 16, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Nov 16, 2023, Jun 11, 2022 (2 updates tracked since 2022).

About Elliott Kingman White NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLIOTT KINGMAN WHITE (NPI 1073243218) is an individual physician assistant in Clewiston, Florida, licensed in Florida (PA9116146) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, is affiliated with Hendry Regional Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1073243218
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameELLIOTT KINGMAN WHITE
Location Address540 W SAGAMORE AVEClewiston, FL 33440-3514
Mailing Address928 Sawgrass StClewiston, FL 33440-0210
Phone(863) 983-5026
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 11, 2022
Last NPPES UpdateNovember 16, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2023
✔ NPI 1073243218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9116146
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
540 W SAGAMORE AVE, Clewiston, FL 33440
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elliott Kingman White is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557743861
PECOS Enrollment IDI20220803002262
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
46 services27 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
39 services26 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
25 services25 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
16 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hendry Regional Medical Center

Critical Access Hospitals · Clewiston, FL
OwnershipVoluntary non-profit - Other
CMS Certification Number101309
Location524 W Sagamore AveClewiston, FL 33440 · Hendry County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33440 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HENDRY COUNTY HOSPITAL AUTHORITY
Specialist
540 W SAGAMORE AVE
CLEWISTON, FL 33440
Hendry County (863) 983-5023
JEGADEES DEVANESAN M.D.
Surgery
540 W SAGAMORE AVE
CLEWISTON, FL 33440
Hendry County (863) 983-5026

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elliott White's NPI number?

The NPI number for Elliott White is 1073243218. It was assigned to this individual provider in the NPPES registry on June 11, 2022.

Where is Elliott White located?

Elliott White practices at 540 W Sagamore Ave, Clewiston, FL 33440. The listed phone number is (863) 983-5026.

What is Elliott White's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Elliott White enrolled in Medicare?

Yes. Elliott White is registered in the Medicare PECOS enrollment system.

What insurance does Elliott White accept?

Health plans from UnitedHealthcare list Elliott White as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Elliott White affiliated with any hospitals?

According to CMS data, Elliott White is affiliated with Hendry Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Elliott White was last updated on November 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.