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CHARLES WHITTAKER
NPI 1215671458
Family Medicine in Traverse City, MI

Active since April 25, 2022PECOS EnrolledAccepts Medicare Assignment
1400 MEDICAL CAMPUS DR, TRAVERSE CITY, MI 49684(231) 935-8000(231) 935-8099 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 8, 2022, Apr 25, 2022 (2 updates tracked since 2022).

About Charles Whittaker NPPES

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

CHARLES WHITTAKER (NPI 1215671458) is an individual family medicine provider in Traverse City, Michigan, licensed in Michigan (1215671458) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Munson Healthcare Grayling Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1215671458
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCHARLES WHITTAKER
Location Address1400 MEDICAL CAMPUS DRTraverse City, MI 49684-7823
Mailing Address1400 Medical Campus DrTraverse City, MI 49684-7823 · (231) 935-8000 · Fax (231) 935-8099
Phone(231) 935-8000
Fax(231) 935-8099
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 25, 2022
Last NPPES UpdateJuly 16, 20252 updates tracked since enumeration
NPPES CertifiedJuly 16, 2025
✔ NPI 1215671458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 1215671458
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1400 MEDICAL CAMPUS DR, Traverse City, MI 49684
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.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

Charles Whittaker 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 ID8628584117
PECOS Enrollment IDI20250722001598
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.

Hospital Affiliations CMS Care Compare 2

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

Munson Healthcare Grayling Hospital

Acute Care Hospitals · Grayling, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230058
Location1100 E Michigan AveGrayling, MI 49738 · Crawford County
Emergency services Birthing friendly

Munson Medical Center

Acute Care Hospitals · Traverse City, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230097
Location1105 Sixth StreetTraverse City, MI 49684 · Grand Traverse County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49684 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
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.

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.

SATYA PILLAY DO
Family Medicine
1400 MEDICAL CAMPUS DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-8000
SAMANTHA K WINDLE D.O.
Family Medicine
1400 MEDICAL CAMPUS DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-8000
DR. ELENA NIKONOVA MD
Student in an Organized Health Care Education/Training Program
1400 MEDICAL CAMPUS DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-8000
KAITLYN LEE KILPATRICK DO
Family Medicine
1400 MEDICAL CAMPUS DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-8000
DR. GWENDOLYN M GRAVELIE MD
Family Medicine
1400 MEDICAL CAMPUS DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-8000
JACOB GEORGE FLYNN M.D.
Family Medicine
1400 MEDICAL CAMPUS DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-8000
BREANNA TRIBELHORN MD
Student in an Organized Health Care Education/Training Program
1400 MEDICAL CAMPUS DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-8000
NATALIE A GRAY MD
Family Medicine
1400 MEDICAL CAMPUS DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-8031

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 Charles Whittaker's NPI number?

The NPI number for Charles Whittaker is 1215671458. It was assigned to this individual provider in the NPPES registry on April 25, 2022.

Where is Charles Whittaker located?

Charles Whittaker practices at 1400 Medical Campus Dr, Traverse City, MI 49684. The listed phone number is (231) 935-8000.

What is Charles Whittaker's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Charles Whittaker enrolled in Medicare?

Yes. Charles Whittaker 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 Charles Whittaker accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Charles Whittaker 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 Charles Whittaker affiliated with any hospitals?

According to CMS data, Charles Whittaker is affiliated with Munson Healthcare Grayling Hospital and Munson Medical Center.

When was this NPI record last updated?

The NPPES record for Charles Whittaker was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.