DR. JOHN MICHAEL WHAPHAM MD
NPI 1154347011
Psychiatry & Neurology - Neurology in Fort Myers, FL

Active since July 14, 2006PECOS EnrolledAccepts Medicare Assignment
11215 METRO PKWY STE 100, FORT MYERS, FL 33966(239) 208-2212 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 26, 2025, Mar 5, 2025, Dec 7, 2024 and 3 more (6 updates tracked since 2020).

About Dr. John Michael Whapham Md NPPES

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

DR. JOHN MICHAEL WHAPHAM MD (NPI 1154347011) is an individual neurology provider in Fort Myers, Florida, licensed in Ohio (35094617) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1154347011
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. JOHN MICHAEL WHAPHAMCredential: MD
Location Address11215 METRO PKWY STE 100Fort Myers, FL 33966-1206
Mailing Address5007 Timber Lake TrlClarkston, MI 48346-3974 · (248) 877-9707 · Fax (248) 869-3982
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2001
Enumeration DateJuly 14, 2006
Last NPPES UpdateJune 26, 20256 updates tracked since enumeration
NPPES CertifiedJune 26, 2025
✔ NPI 1154347011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in OH · 35094617✔ Licensed in AL · MD.35092✔ Licensed in FL · ME159333✔ Licensed in MI · 4301078362✔ Licensed in MO · 2024039735✔ Licensed in OR · MD221027✔ Licensed in WA · MD61558129
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
11215 METRO PKWY STE 100, Fort Myers, FL 33966

Secondary Practice Locations 2

Location 13700 Southern Blvd Ste 300Kettering, OH 45429-1265 · Phone (937) 643-9299
Location 22790 Clay Edwards Dr Ste 1235North Kansas City, MO 64116-3276 · Phone (816) 472-5157 · Fax (816) 472-7201

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. John Michael Whapham Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931102365
PECOS Enrollment IDI20060824000292, I20120730000109, I20240712002538, I20241018001858, I20241212003293, I20241220000164
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.

Medicare Billing Reassignments

16

Medicare enrollment records show John Whapham reassigns Medicare billing to 16 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neurology
11215 METRO PKWAY, BLDG. 3, STE 1
Fort Myers, FL 33966
  • Reassigned Medicare billing, Michigan enrollment
  • 3 clinicians in this Medicare group
Neurology
11215 METRO PKWY STE 1
Fort Myers, FL 33966
  • Reassigned Medicare billing, Michigan enrollment
  • 2 clinicians in this Medicare group
Long Term Care Hospital
1500 LEE BLVD FL 3
Lehigh Acres, FL 33936
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Nchmd Inc
  • 808 clinicians in this Medicare group
Gynecology
1118 ROSS CLARK CIR, SUITE 210
Dothan, AL 36301
  • Reassigned Medicare billing, Alabama enrollment
  • 514 clinicians in this Medicare group
Internal Medicine
2413 RING RD STE 100
Elizabethtown, KY 42701
  • Reassigned Medicare billing, Kentucky enrollment
  • 967 clinicians in this Medicare group
Orthopaedic Surgery
1 PRESTIGE PL, SUITE 910
Miamisburg, OH 45342
  • Reassigned Medicare billing, Ohio enrollment
  • 984 clinicians in this Medicare group
Neurology
320 DECKER DR
Irving, TX 75062
  • Reassigned Medicare billing, Michigan enrollment
  • 3 clinicians in this Medicare group
Neurological Surgery
5400 FORT ST STE 200
Trenton, MI 48183
  • Reassigned Medicare billing, Michigan enrollment
  • 66 clinicians in this Medicare group
Cardiovascular Disease
916 WOLLARD BLVD
Richmond, MO 64085
  • Reassigned Medicare billing, Missouri enrollment
  • 702 clinicians in this Medicare group
Emergency Medicine
250 PLEASANT ST
Concord, NH 03301
  • Reassigned Medicare billing, New Hampshire enrollment
  • 636 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 5

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Hca Florida Citrus Hospital

Acute Care Hospitals · Inverness, FL
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100023
Location502 W Highland BlvdInverness, FL 34452 · Citrus County
Emergency services Birthing friendly

Hca Florida Lake City Hospital

Acute Care Hospitals · Lake City, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100156
Location340 NW Commerce DrLake City, FL 32055 · Columbia County
Emergency services

Hca Florida Fawcett Hospital

Acute Care Hospitals · Port Charlotte, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100236
Location21298 Olean BlvdPort Charlotte, FL 33952 · Charlotte County
Emergency services

Redmond Regional Medical Center

Acute Care Hospitals · Rome, GA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number110168
Location501 Redmond Road NWRome, GA 30165 · Floyd County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33966 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
12%49 patients1/55-star benchmark: 85%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
97%32 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
30%87 patients2/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%36 patients5/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
99%87 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
7%87 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
23%87 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

Psychiatry & Neurology (Neurology)
11215 METRO PKWY STE 100
FORT MYERS, FL 33966
Psychiatry & Neurology (Neurology)
11215 METRO PKWY STE 100
FORT MYERS, FL 33966
Psychiatry & Neurology (Neurology)
11215 METRO PKWY STE 100
FORT MYERS, FL 33966
Psychiatry & Neurology (Neurology)
11215 METRO PKWY STE 100
FORT MYERS, FL 33966
Psychiatry & Neurology (Neurology)
11215 METRO PKWY STE 100
FORT MYERS, FL 33966
Psychiatry & Neurology (Neurology)
11215 METRO PKWY STE 100
FORT MYERS, FL 33966
Psychiatry & Neurology (Neurology)
11215 METRO PKWY STE 100
FORT MYERS, FL 33966
Case Manager/Care Coordinator
11215 METRO PKWY STE 100
FORT MYERS, FL 33966

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 John Whapham's NPI number?

The NPI number for John Whapham is 1154347011. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is John Whapham located?

John Whapham practices at 11215 Metro Pkwy Ste 100, Fort Myers, FL 33966. The listed phone number is (239) 208-2212.

What is John Whapham's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is John Whapham enrolled in Medicare?

Yes. John Whapham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for John Whapham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Whapham reassigns Medicare benefits to 16 organizations: Virtual Neurology, LLC (Fort Myers, FL), Virtual Neurology Kansas, LLC (Fort Myers, FL), Landmark Hospital Of Southwest Florida, LLC (Lehigh Acres, FL), Houston County Healthcare Authority (Dothan, AL), Baptist Health Medical Group Inc (Elizabethtown, KY) and 11 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Whapham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Whapham accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Arizona, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Blue Cross Blue Shield of North Dakota and 17 other insurers list John Whapham 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 John Whapham affiliated with any hospitals?

According to CMS data, John Whapham is affiliated with Adventhealth Orlando, Hca Florida Citrus Hospital, Hca Florida Lake City Hospital, Hca Florida Fawcett Hospital and Redmond Regional Medical Center.

When was this NPI record last updated?

The NPPES record for John Whapham was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.