GERALD WHITNEY MD
NPI 1164914768
Internal Medicine in Midland, MI
About Gerald Whitney Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GERALD WHITNEY MD (NPI 1164914768) is an individual internal medicine provider in Midland, Michigan, licensed in Michigan (4301503782) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Ascension St Mary's Hospital, and maintains a secondary practice location in Detroit.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Gerald Whitney 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.
Medicare Billing Reassignments
2Medicare enrollment records show Gerald Whitney reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Midland, MI 48670
- Reassigned Medicare billing, Michigan enrollment
- 197 clinicians in this Medicare group
Grayling, MI 49738
- Reassigned Medicare billing, Michigan enrollment
- 596 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.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ascension St Mary's Hospital
Acute Care Hospitals · Saginaw, MITawas St Joseph Hospital
Acute Care Hospitals · Tawas City, MIMymichigan Medical Center Midland
Acute Care Hospitals · Midland, MISaint Mary's Standish Community Hospital
Critical Access Hospitals · Standish, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48670 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
MIDLAND, MI 48670
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 Gerald Whitney's NPI number?
The NPI number for Gerald Whitney is 1164914768. It was assigned to this individual provider in the NPPES registry on May 31, 2018.
Where is Gerald Whitney located?
Gerald Whitney practices at 4000 Wellness Dr, Midland, MI 48670. The listed phone number is (989) 839-3000.
What is Gerald Whitney's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Gerald Whitney enrolled in Medicare?
Yes. Gerald Whitney 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 Gerald Whitney's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gerald Whitney reassigns Medicare benefits to 2 organizations: Mymichigan Medical Group (Midland, MI) and Sound Inpatient Physicians-Michigan PLLC (Grayling, MI). 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 Gerald Whitney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gerald Whitney accept?
Health plans from Priority Health list Gerald Whitney 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 Gerald Whitney affiliated with any hospitals?
According to CMS data, Gerald Whitney is affiliated with Ascension St Mary's Hospital, Tawas St Joseph Hospital, Mymichigan Medical Center Midland and Saint Mary's Standish Community Hospital.
When was this NPI record last updated?
The NPPES record for Gerald Whitney was last updated on January 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.