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DR. JUSTIN T WHISENANT MD
NPI 1164602926
Radiology - Diagnostic Radiology in St Petersburg, FL

Active since November 09, 2007PECOS EnrolledAccepts Medicare Assignment
6500 38TH AVE N, ST PETERSBURG, FL 33710(727) 384-1414(727) 345-8075 Get Directions Write a Review

NPPES record last updated: July 3, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 3, 2025, Nov 10, 2022, Aug 5, 2022 and 3 more (6 updates tracked since 2020).

About Dr. Justin T Whisenant Md NPPES

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

DR. JUSTIN T WHISENANT MD (NPI 1164602926) is an individual diagnostic radiology provider in St Petersburg, Florida, licensed in Colorado (FW1856371) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Brandon Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1164602926
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. JUSTIN T WHISENANTCredential: MD
Location Address6500 38TH AVE NSt Petersburg, FL 33710-1629
Mailing Address909 Frostwood Dr Ste 1.100Houston, TX 77024-2301 · (713) 338-5519 · Fax (713) 704-3086
Phone(727) 384-1414
Fax(727) 345-8075
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateNovember 9, 2007
Last NPPES UpdateJuly 3, 20256 updates tracked since enumeration
NPPES CertifiedJuly 3, 2025
✔ NPI 1164602926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in CO · FW1856371
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X · License 2011015524 (MO), N4199 (TX), MD2022-1392 (NM), ME128898 (FL)
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License ME128898 (FL)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
6500 38TH AVE N, St Petersburg, FL 33710
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11350 Hickory StMelbourne, FL 32901-3224 · Phone (321) 434-3533 · Fax (321) 434-3438
Location 29180 Pinecroft Dr Ste 500Shenandoah, TX 77380-3883 · Phone (713) 897-5900
Location 325723 Old Fredericksburg RdBoerne, TX 78015-6605 · Phone (210) 450-6800

Other Identifiers 2

Medicaid018604800FL
OtherM9519FL · Fl Hf Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health of TX, Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc. and more.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. Justin T Whisenant 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 ID9436205093
PECOS Enrollment IDI20161025001815
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

7

Medicare enrollment records show Justin Whisenant reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mori Bean And Brooks Inc
21 mi
Diagnostic Radiology
1 TAMPA GENERAL CIR
Tampa, FL 33606
  • Reassigned Medicare billing, Florida enrollment
  • 1,130 clinicians in this Medicare group
NPI 1093782070 (904) 236-5884
Florida Hospital Physician Group Inc
26 mi
Family Medicine
3000 MEDICAL PARK DR, STE 320
Tampa, FL 33613
  • Reassigned Medicare billing, Florida enrollment
  • 1,719 clinicians in this Medicare group
NPI 1174955256 (813) 336-5766
Fairbanks Partners LLC
98 mi
Neurological Surgery
265 E ROLLINS ST STE 12000
Orlando, FL 32804
  • Reassigned Medicare billing, Florida enrollment
  • 33 clinicians in this Medicare group
NPI 1457735326 (407) 975-0200
Northside Radiology Associates LLC
431 mi
Diagnostic Radiology
1000 JOHNSON FERRY RD
Atlanta, GA 30342
  • Reassigned Medicare billing, Florida enrollment
  • 127 clinicians in this Medicare group
NPI 1013960657 (404) 662-2438
Mhs Physicians Of Texas
787 mi
Neurological Surgery
9180 PINECROFT DR STE 500
Shenandoah, TX 77380
  • Reassigned Medicare billing, Texas enrollment
  • 120 clinicians in this Medicare group
NPI 1184714867 (713) 897-5900
Texas Radiology Associates LLP
908 mi
Diagnostic Radiology
401 W CAMPBELL RD
Richardson, TX 75080
  • Reassigned Medicare billing, Texas enrollment
  • 209 clinicians in this Medicare group
NPI 1235162751 (972) 231-1441
University Of Texas Health Science Center At San Antonio
969 mi
Clinical Pathology/Laboratory Medicine
7703 FLOYD CURL DR RM 327B
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 2,397 clinicians in this Medicare group
NPI 1396717989 (210) 450-9000

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

Areas of Expertise CMS Part B claims 11

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.

Mri scan of brain before and after contrast 70553
An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.
87 services87 patients
Mri scan of brain without contrast 70551
An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.
77 services76 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
56 services56 patients
Mri scan of lower spinal canal without contrast 72148
An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
54 services54 patients
Mri scan of brain before and after contrast 70553
An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.
26 services26 patients
Mri scan of brain without contrast 70551
An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.
23 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Hca Florida Brandon Hospital

Acute Care Hospitals · Brandon, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100243
Location119 Oakfield DrBrandon, FL 33511 · Hillsborough County
Emergency services Birthing friendly

Hca Florida Bayonet Point Hospital

Acute Care Hospitals · Hudson, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100256
Location14000 Fivay RdHudson, FL 34667 · Pasco County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33710 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.

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

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
100%192 patients
Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
92%26 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.

BRYCE SHEDLOCK DO
Emergency Medicine
6500 38TH AVE N
ST PETERSBURG, FL 33710
Pinellas County (727) 341-4870
CHIDI EMMANUEL MARTINS MD
Student in an Organized Health Care Education/Training Program
6500 38TH AVE N
ST PETERSBURG, FL 33710
Pinellas County (727) 384-1414
JOANNE ELIZABETH SASTAMOINEN ARNP
Nurse Practitioner
6500 38TH AVE N
ST PETERSBURG, FL 33710
Pinellas County (727) 341-4870
SHERIDAN RADIOLOGY SERVICES OF PINELLAS, INC
Radiology (Diagnostic Radiology)
6500 38TH AVE N
ST PETERSBURG, FL 33710
Pinellas County (727) 384-1414
REINALDO EMMANUEL CLAUDIO
Student in an Organized Health Care Education/Training Program
6500 38TH AVE N
ST PETERSBURG, FL 33710
Pinellas County (727) 341-4919
DR. JAMES TU D.O.
Family Medicine
6500 38TH AVE N
ST PETERSBURG, FL 33710
Pinellas County (727) 341-4819
EMCARE PHYSICIAN PROVIDERS, INC.
Emergency Medicine
6500 38TH AVE N
ST PETERSBURG, FL 33710
Pinellas County (727) 341-4870
MARILYN MALIA
Family Medicine
6500 38TH AVE N
SAINT PETERSBURG, FL 33710
Pinellas County (727) 384-7727

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 Justin Whisenant's NPI number?

The NPI number for Justin Whisenant is 1164602926. It was assigned to this individual provider in the NPPES registry on November 9, 2007.

Where is Justin Whisenant located?

Justin Whisenant practices at 6500 38th Ave N, St Petersburg, FL 33710. The listed phone number is (727) 384-1414.

What is Justin Whisenant's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Justin Whisenant enrolled in Medicare?

Yes. Justin Whisenant 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 Justin Whisenant's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Whisenant reassigns Medicare benefits to 7 organizations: Mori Bean And Brooks Inc (Tampa, FL), Florida Hospital Physician Group Inc (Tampa, FL), Fairbanks Partners LLC (Orlando, FL), Northside Radiology Associates LLC (Atlanta, GA), Mhs Physicians Of Texas (Shenandoah, TX) and 2 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 Justin Whisenant's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Whisenant accept?

Health plans from Antidote Health of TX, Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Oscar Health and Oscar Health Maintenance Organization of Florida and 2 other insurers list Justin Whisenant 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 Justin Whisenant affiliated with any hospitals?

According to CMS data, Justin Whisenant is affiliated with Hca Florida Brandon Hospital and Hca Florida Bayonet Point Hospital.

When was this NPI record last updated?

The NPPES record for Justin Whisenant was last updated on July 3, 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.