GERALD WHITNEY MD
NPI 1164914768
Internal Medicine in Midland, MI

Active since May 31, 2018PECOS EnrolledAccepts Medicare Assignment
4000 WELLNESS DR, MIDLAND, MI 48670(989) 839-3000 Get Directions Write a Review

NPPES record last updated: January 31, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 31, 2021, Jun 29, 2018 (2 updates tracked since 2018).

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

NPI1164914768
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameGERALD WHITNEYCredential: MD
Location Address4000 WELLNESS DRMidland, MI 48670
Mailing Address4000 Wellness DrMidland, MI 48670 · (989) 839-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 31, 2018
Last NPPES UpdateJanuary 31, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2021
NPI 1164914768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in MI · 4301503782 Licensed in MI · 4301115372
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

4000 WELLNESS DR, Midland, MI 48670

Secondary Practice Location 1

Location 122201 Moross Rd Ste 50Detroit, MI 48236 · Phone (313) 343-7774 · Fax (313) 343-8747

Accepted 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

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.

PECOS PAC ID4688920812
PECOS Enrollment IDI20210608000912
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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
359 services148 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
96 services96 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
88 services88 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
22 services18 patients

Hospital Affiliations CMS Care Compare 5

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, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230077
Location800 S Washington AvenueSaginaw, MI 48601 · Saginaw County
Emergency services

Tawas St Joseph Hospital

Acute Care Hospitals · Tawas City, MI
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number230100
Location200 HemlockTawas City, MI 48764 · Iosco County
Emergency services Birthing friendly

Mymichigan Medical Center Midland

Acute Care Hospitals · Midland, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230222
Location4000 Wellness DriveMidland, MI 48670 · Midland County
Birthing friendly

Saint Mary's Standish Community Hospital

Critical Access Hospitals · Standish, MI
OwnershipVoluntary non-profit - Church
CMS Certification Number231305
Location805 W Cedar StStandish, MI 48658 · Arenac County
Emergency services

Mymichigan Medical Center Gladwin

Critical Access Hospitals · Gladwin, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231325
Location515 Quarter StreetGladwin, MI 48624 · Gladwin County
Emergency services

Physician 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.

New Patient
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers22 claims22 services$6.49 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Anesthesiology
4000 WELLNESS DR
MIDLAND, MI 48670
Physician Assistant
4000 WELLNESS DR
MIDLAND, MI 48670
Radiology (Radiation Oncology)
4000 WELLNESS DR
MIDLAND, MI 48670
Student in an Organized Health Care Education/Training Program
4000 WELLNESS DR
MIDLAND, MI 48670
Registered Nurse (Critical Care Medicine)
4000 WELLNESS DR
MIDLAND, MI 48670
Pediatrics
4000 WELLNESS DR
MIDLAND, MI 48670
Speech-Language Pathologist
4000 WELLNESS DR
MIDLAND, MI 48670
Family Medicine
4000 WELLNESS DR
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.

What insurance does Gerald Whitney accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and 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, Saint Mary's Standish Community Hospital and Mymichigan Medical Center Gladwin.

When was this NPI record last updated?

The NPPES record for Gerald Whitney was last updated on January 31, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.