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

NPI Status: Active since September 23, 2010

Contact Information

455 PINELLAS ST
SUITE 320
CLEARWATER, FL
ZIP 33756
Phone: (727) 446-2273
Fax: (727) 441-4966

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  • Individual
  • Male
  • Years of Experience 16
  • Physician Assistant
  • Surgical
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About IAN WETHERALL

This page provides the complete NPI Profile along with additional information for Ian Wetherall, a provider established in Clearwater, Florida with a medical specialization in Physician Assistant, focusing in surgical and more than 16 years of experience. The healthcare provider is registered in the NPI registry with number 1164730289 assigned on September 2010. The practitioner's primary taxonomy code is 363AS0400X with license number 10004676A (IN). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1164730289
Provider Name
MR. IAN WETHERALL PA-C
Gender
Male
Entity Type
Individual
Location Address
455 PINELLAS ST SUITE 320 CLEARWATER, FL 33756
Location Phone
(727) 446-2273
Location Fax
(727) 441-4966
Mailing Address
455 PINELLAS ST STE 320 CLEARWATER, FL 33756
Mailing Phone
(727) 446-2273
Mailing Fax
(727) 441-4966
Medical School Name
OTHER
Graduation Year
2010
Is Sole Proprietor?
No
Enumeration Date
09-23-2010
Last Update Date
01-14-2025
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Location Map

Secondary Locations

  • 10580 N Meridian St
    Carmel, IN 46290
    (317) 583-5000

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
10004676A
License State
IN

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363AS0400XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Surgical

PA9108763 (FL)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • AvMed Entrust Bronze 600 (2026) - HMO
  • AvMed Entrust Bronze 650 (2026) - HMO
  • AvMed Entrust Expanded Bronze Standard (2026) - HMO
  • AvMed Entrust Gold 125 (2026) - HMO
  • AvMed Entrust Gold 125 Dental+Vision (2026) - HMO
  • AvMed Entrust Gold Standard (2026) - HMO
  • AvMed Entrust Platinum 25 (2026) - HMO
  • AvMed Entrust Platinum 25 Dental+Vision (2026) - HMO
  • AvMed Entrust Platinum Standard (2026) - HMO
  • AvMed Entrust Silver 350 (2026) - HMO
  • Bronze 7500 $25 Generic Drugs - HMO
  • Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Gold 2000 $15 Generic Drugs - HMO
  • Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Chronic Care Drugs - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Bronze Classic 4700 - HMO
  • Bronze Classic 4700 | with AdventHealth - HMO
  • Bronze Classic Standard - HMO
  • Bronze Classic Standard | with AdventHealth - HMO
  • Bronze Elite + PCP Saver Plus - HMO
  • Bronze Elite + PCP Saver Plus | with AdventHealth - HMO
  • Bronze Simple Breathe Easy with Enhanced COPD Benefits - HMO
  • Bronze Simple Chronic Care CKM - HMO
  • Bronze Simple Diabetes - HMO
  • Gold Classic Standard - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
Y0S8ROTHER (01)FLBLUE CROSS BLUE SHIELD
015310600MEDICAID (05)FL 

Medicare Participation & PECOS Enrollment Status

Ian Wetherall is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Ian Wetherall is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 8628258233

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20250128003014

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Harvest of vein using an endoscope

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.

This service was performed 13 times for 13 patients

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Ian Wetherall is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
ASCENSION ST VINCENT HOSPITAL2001 W 86TH ST
INDIANAPOLIS, IN 46260
(317) 338-7000Acute Care Hospitals
ST VINCENT HEART CENTER10580 N MERIDIAN ST
CARMEL, IN 46290
(317) 583-5000Acute Care Hospitals

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1164730289, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
3
Unchanged
Pos 7
0
Doubled → 0
Pos 8
2
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 7 → 14 → 5 0 → 0 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 2 + 4 + 1 + 4 + 3 + 0 + 2 + 1 + 6 + 24 = 51

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1164730289.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Interventional Cardiology)
455 PINELLAS ST, SUITE 400
CLEARWATER, FL 33756
Nurse Practitioner
455 PINELLAS ST, SUITE 400
CLEARWATER, FL 33756
Internal Medicine (Cardiovascular Disease)
455 PINELLAS ST, SUITE 400
CLEARWATER, FL 33756
Internal Medicine (Cardiovascular Disease)
455 PINELLAS ST, SUITE 400
CLEARWATER, FL 33756
Nurse Practitioner
455 PINELLAS ST, SUITE 400
CLEARWATER, FL 33756
Nurse Practitioner
455 PINELLAS ST, STE 400
CLEARWATER, FL 33756
Physician Assistant
455 PINELLAS ST, STE 400
CLEARWATER, FL 33756
Internal Medicine (Interventional Cardiology)
455 PINELLAS ST, STE 400
CLEARWATER, FL 33756
Internal Medicine (Cardiovascular Disease)
455 PINELLAS ST, STE 400
CLEARWATER, FL 33756
Nurse Practitioner
455 PINELLAS ST, SUITE #400
CLEARWATER, FL 33756
Internal Medicine (Endocrinology, Diabetes & Metabolism)
455 PINELLAS ST
CLEARWATER, FL 33756
Internal Medicine (Endocrinology, Diabetes & Metabolism)
455 PINELLAS ST
CLEARWATER, FL 33756
Physician Assistant
455 PINELLAS ST, SUITE 400
CLEARWATER, FL 33756
Physician Assistant (Surgical)
455 PINELLAS ST, SUITE 320
CLEARWATER, FL 33756
Thoracic Surgery (Cardiothoracic Vascular Surgery)
455 PINELLAS ST, SUITE 320
CLEARWATER, FL 33756
Surgery (Vascular Surgery)
455 PINELLAS ST, SUITE 320
CLEARWATER, FL 33756
Physician Assistant
455 PINELLAS ST, #320
CLEARWATER, FL 33756
Internal Medicine (Cardiovascular Disease)
455 PINELLAS ST, STE 400
CLEARWATER, FL 33756
Internal Medicine (Cardiovascular Disease)
455 PINELLAS ST, SUITE 400
CLEARWATER, FL 33756
Internal Medicine (Interventional Cardiology)
455 PINELLAS ST, SUITE 400
CLEARWATER, FL 33756

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164730289, enumerated as an "individual" on September 23, 2010.

The provider is located at 455 PINELLAS ST SUITE 320 CLEARWATER, FL 33756 and the phone number is (727) 446-2273.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

The provider might be accepting Accepts: AvMed, CareSource, Oscar Health Maintenance. Please consult your insurance carrier or call the provider to verify.

Ian Wetherall is affiliated with: ASCENSION ST VINCENT HOSPITAL and ST VINCENT HEART CENTER.