GARY WHARTON MD
NPI 1265459143
Obstetrics & Gynecology in Providence, RI

Q: What is Gary Wharton's NPI number?

The NPI number for Gary Wharton is 1265459143. It was assigned to this individual provider in the NPPES registry on July 16, 2006.

Q: What is Gary Wharton's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Gary Wharton was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since July 16, 2006PECOS EnrolledAccepts Medicare Assignment

235 PLAIN ST, PROVIDENCE, RI 02905(401) 421-1710 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Gary Wharton Md NPPES

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

GARY WHARTON MD (NPI 1265459143) is an individual obstetrics & gynecology provider in Providence, Rhode Island, licensed in Rhode Island (MD9050) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Rhode Island Hospital, and is a graduate of Georgetown University School Of Medicine (1989).

NPPES Registry Identity

NPI1265459143

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameGARY WHARTONCredential: MD

Location Address235 PLAIN STProvidence, RI 02905-3240

Mailing Address235 Plain StProvidence, RI 02905-3240 · (401) 421-1710

Phone(401) 421-1710

Sole ProprietorNo

Medical School CMSGeorgetown University School Of MedicineGraduated 1989

Enumeration DateJuly 16, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1265459143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in RI · MD9050

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

235 PLAIN ST, Providence, RI 02905

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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

Gary Wharton 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 ID4183639560

PECOS Enrollment IDI20060207000807

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 3

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

66 services66 patients

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091

A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.

59 services59 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

15 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Rhode Island Hospital

Acute Care Hospitals · Providence, RI

3/5 CMS rating

OwnershipTribal

CMS Certification Number410007

Location593 Eddy StreetProvidence, RI 02903 · Providence County

Emergency services

Women & Infants Hospital Of Rhode Island

Acute Care Hospitals · Providence, RI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410010

Location101 Dudley StreetProvidence, RI 02905 · Providence County

Emergency services Birthing friendly

The Miriam Hospital

Acute Care Hospitals · Providence, RI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410012

Location164 Summit AvenueProvidence, RI 02906 · Providence County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02905 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

$134.17 typical visit price

range $58.57 – $177.03

Typical copayment $33.54 (range $14.64 – $44.25)

Most-billed visit code 99204

Established Patient

$72.93 typical visit price

range $18.92 – $144.38

Typical copayment $18.23 (range $4.73 – $36.09)

Most-billed visit code 99213

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.

CENTER FOR PLASTIC AND HAND SURGERY PC

Plastic Surgery

235 PLAIN ST, SUITE 203
PROVIDENCE, RI 02905

Providence County (401) 632-4700

PATRICK K. SULLIVAN, MD, LTD.

Plastic Surgery

235 PLAIN ST, SUITE 502
PROVIDENCE, RI 02905

Providence County (401) 831-8300

NAUREEN ATTIULLAH MD

Psychiatry & Neurology (Psychiatry)

235 PLAIN ST, SUITE 501
PROVIDENCE, RI 02905

Providence County (401) 444-7442

ROBERT B BREEN PHD

Psychologist (Clinical)

235 PLAIN ST, SUITE 501
PROVIDENCE, RI 02905

Providence County (401) 444-7442

NEUROSURGICAL CARE, LLC

Neurological Surgery

235 PLAIN ST
PROVIDENCE, RI 02905

Providence County (401) 521-9909

LAWRENCE P BOWEN MD INC

Surgery (Plastic and Reconstructive Surgery)

235 PLAIN ST, SUITE 304
PROVIDENCE, RI 02905

Providence County (401) 331-4140

LYNNETTE M SCOLPINO CNM

Advanced Practice Midwife

235 PLAIN ST, SUTIE 401
PROVIDENCE, RI 02905

Providence County (401) 421-1710

RACHEL SULLIVAN M.D. P.C.

Plastic Surgery

235 PLAIN ST, SUITE 203
PROVIDENCE, RI 02905

Providence County (401) 649-4901

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 Gary Wharton's NPI number?

The NPI number for Gary Wharton is 1265459143. It was assigned to this individual provider in the NPPES registry on July 16, 2006.

Where is Gary Wharton located?

Gary Wharton practices at 235 Plain St, Providence, RI 02905. The listed phone number is (401) 421-1710.

What is Gary Wharton's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Gary Wharton enrolled in Medicare?

Yes. Gary Wharton 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.

Is Gary Wharton affiliated with any hospitals?

According to CMS data, Gary Wharton is affiliated with Rhode Island Hospital, Women & Infants Hospital Of Rhode Island and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Gary Wharton was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.