GERALD SCOTT WITHERELL MD
NPI 1114970126
Family Medicine in Grand Rapids, MI

Q: What is Gerald Witherell's NPI number?

The NPI number for Gerald Witherell is 1114970126. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Q: What is Gerald Witherell's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: Is Gerald Witherell enrolled in Medicare?

No. Gerald Witherell has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Gerald Witherell was last updated on September 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 19, 2006Opted out of Medicare · through Jan 1, 2028

2155 E PARIS AVE SE STE 220, GRAND RAPIDS, MI 49546(616) 685-3100(616) 685-3111 Get Directions Write a Review

NPPES record last updated: September 30, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 30, 2022, Apr 23, 2019 (2 updates tracked since 2019).

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About Gerald Scott Witherell Md NPPES

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

GERALD SCOTT WITHERELL MD (NPI 1114970126) is an individual family medicine provider in Grand Rapids, Michigan, licensed in Michigan (4301070459) and active in the NPI registry since May 2006. He has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1114970126

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameGERALD SCOTT WITHERELLCredential: MD

Location Address2155 E PARIS AVE SE STE 220Grand Rapids, MI 49546-6195

Mailing AddressPo Box 776974Chicago, IL 60677-6974 · (231) 672-2119

Phone(616) 685-3100

Fax(616) 685-3111

Sole ProprietorNo

Enumeration DateMay 19, 2006

Last NPPES UpdateSeptember 30, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 30, 2022

✔ NPI 1114970126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MI · 4301070459

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2155 E PARIS AVE SE STE 220, Grand Rapids, MI 49546

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Other Identifiers 11

Medicaid4218917MI

Medicaid4218935MI

Medicaid4591682MI

Medicaid4218819MI

Medicaid4218846MI

Medicaid4218837MI

Medicaid4218855MI

Medicaid4876833MI

Medicaid4218891MI

Medicaid4218864MI

Medicaid4591655MI

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Gerald Scott Witherell Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2026 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2026

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49546 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers15 claims33 services$6.04 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier14 claims14 services$184.33 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

EXPONENTIAL HEALTH,PC

Internal Medicine