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

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: July 19, 2026.

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

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
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

Other Identifiers 11

Medicaid4218917MI
Medicaid4218935MI
Medicaid4591682MI
Medicaid4218819MI
Medicaid4218846MI
Medicaid4218837MI
Medicaid4218855MI
Medicaid4876833MI
Medicaid4218891MI
Medicaid4218864MI
Medicaid4591655MI

Accepted 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.

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Other DME (DE017N)

    Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)

    4 DME suppliers used 15 Medicare Claims 33 Services Paid

  • DME-Other DME (DE017N)

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

    1 DME suppliers used 14 Medicare Claims 14 Services Paid

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 49546 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $84.74
  • Minimum New Patient Price $54.34
  • Maximum New Patient Price $166.68
  • Average New Patient Copayment $21.18
  • Minimum New Patient Copayment $13.58
  • Maximum New Patient Copayment $41.67

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $96.44
  • Minimum Established Patient Price $17.09
  • Maximum Established Patient Price $135.4
  • Average Established Patient Copayment $24.11
  • Minimum Established Patient Copayment $4.27
  • Maximum Established Patient Copayment $33.85

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner
2155 E PARIS AVE SE STE 220
GRAND RAPIDS, MI 49546
Internal Medicine
2155 E PARIS AVE SE STE 220
GRAND RAPIDS, MI 49546
Pharmacy (Community/Retail Pharmacy)
2155 E PARIS AVE SE STE 220
GRAND RAPIDS, MI 49546
Internal Medicine
2155 E PARIS AVE SE STE 220
GRAND RAPIDS, MI 49546

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114970126, enumerated as an "individual" on May 19, 2006.

The provider is located at 2155 E PARIS AVE SE STE 220 GRAND RAPIDS, MI 49546 and the phone number is (616) 685-3100.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Priority Health, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.