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MR. IAN WETHERALL PA-C
NPI 1164730289
Physician Assistant - Surgical in Clearwater, FL

Active since September 23, 2010PECOS EnrolledAccepts Medicare Assignment
455 PINELLAS ST, SUITE 320, CLEARWATER, FL 33756(727) 446-2273(727) 441-4966 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 7, 2025, Dec 16, 2024, Apr 13, 2023 and 5 more (8 updates tracked since 2018).

About Mr. Ian Wetherall Pa-c NPPES

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

MR. IAN WETHERALL PA-C (NPI 1164730289) is an individual surgical provider in Clearwater, Florida, licensed in Indiana (10004676A) and active in the NPI registry since September 2010. He is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent Hospital, and maintains a secondary practice location in Carmel.

NPPES Registry Identity

NPI1164730289
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. IAN WETHERALLCredential: PA-C
Location Address455 PINELLAS ST, SUITE 320Clearwater, FL 33756-3354
Mailing Address455 Pinellas St Ste 320Clearwater, FL 33756-3369 · (727) 446-2273 · Fax (727) 441-4966
Phone(727) 446-2273
Fax(727) 441-4966
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateSeptember 23, 2010
Last NPPES UpdateJanuary 14, 20258 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2025
✔ NPI 1164730289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses✔ Licensed in IN · 10004676A✔ Licensed in FL · PA9108763
455 PINELLAS ST, Clearwater, FL 33756
Open in Google Maps ↗

Secondary Practice Location 1

Location 110580 N Meridian StCarmel, IN 46290-1028 · Phone (317) 583-5000

Other Identifiers 2

OtherY0S8RFL · Blue Cross Blue Shield
Medicaid015310600FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, CareSource, Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Ian Wetherall Pa-c 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 ID8628258233
PECOS Enrollment IDI20250128003014
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 2

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.

Removal of lymph nodes of chest cavity using an endoscope 32674
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to access and remove lymph nodes in the chest cavity. It's a minimally invasive method, which can help in diagnosing or treating certain conditions.
12 services12 patients
Harvest of vein using an endoscope 33508
Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension St Vincent Hospital

Acute Care Hospitals · Indianapolis, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150084
Location2001 W 86th StIndianapolis, IN 46260 · Marion County
Emergency services Birthing friendly

St Vincent Heart Center

Acute Care Hospitals · Carmel, IN
5/5 CMS rating
OwnershipProprietary
CMS Certification Number150153
Location10580 N Meridian StCarmel, IN 46290 · Hamilton County
Emergency services

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.

KERRIE MICHELLE COFFMAN ARNP
Nurse Practitioner
455 PINELLAS ST, SUITE 400
CLEARWATER, FL 33756
Pinellas County (727) 445-1992
DAVID DANIEL DIETERICH DO
Internal Medicine (Cardiovascular Disease)
455 PINELLAS ST, SUITE 400
CLEARWATER, FL 33756
Pinellas County (727) 445-1991
OLIVIA ANNE O'BERRY PA-C
Physician Assistant
455 PINELLAS ST, SUITE 400
CLEARWATER, FL 33756
Pinellas County (727) 445-1911
MRS. LAURA WALLACE ARNP
Nurse Practitioner
455 PINELLAS ST, SUITE #400
CLEARWATER, FL 33756
Pinellas County (727) 445-1911
DR. JOHN BROOKE TOURTELOT M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
455 PINELLAS ST
CLEARWATER, FL 33756
Pinellas County (727) 461-8300
PAUL LESLIE PHILLIPS MD
Internal Medicine (Cardiovascular Disease)
455 PINELLAS ST, STE 400
CLEARWATER, FL 33756
Pinellas County (727) 445-1911
SHANNON O'DONNELL LOFGREN PA-C
Physician Assistant
455 PINELLAS ST
CLEARWATER, FL 33756
Pinellas County (305) 322-6263
MARY CHRISTINE LENYO ARNP
Nurse Practitioner
455 PINELLAS ST, STE 400
CLEARWATER, FL 33756
Pinellas County (727) 445-1911

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 Ian Wetherall's NPI number?

The NPI number for Ian Wetherall is 1164730289. It was assigned to this individual provider in the NPPES registry on September 23, 2010.

Where is Ian Wetherall located?

Ian Wetherall practices at 455 Pinellas St Suite 320, Clearwater, FL 33756. The listed phone number is (727) 446-2273.

What is Ian Wetherall's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Ian Wetherall enrolled in Medicare?

Yes. Ian Wetherall 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.

What insurance does Ian Wetherall accept?

Health plans from AvMed, CareSource and Oscar Health Maintenance Organization of Florida list Ian Wetherall 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 Ian Wetherall affiliated with any hospitals?

According to CMS data, Ian Wetherall is affiliated with Ascension St Vincent Hospital and St Vincent Heart Center.

When was this NPI record last updated?

The NPPES record for Ian Wetherall was last updated on January 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.