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JOHN LEN WHEAT M.D.
NPI 1265876213
General Practice in Clinton, IN

Active since April 22, 2013PECOS EnrolledAccepts Medicare Assignment
22.18/100
CMS Quality Rating
302 VINE ST, CLINTON, IN 47842(765) 592-3381(765) 820-1105 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 6, 2026, Apr 13, 2021, Dec 18, 2018 (3 updates tracked since 2018).

About John Len Wheat M.d. NPPES

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

JOHN LEN WHEAT M.D. (NPI 1265876213) is an individual general practice provider in Clinton, Indiana, licensed in Indiana (01078016A) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Union Hospital Inc, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1265876213
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameJOHN LEN WHEATCredential: M.D.
Location Address302 VINE STClinton, IN 47842
Mailing AddressPo Box 545Clinton, IN 47842-0545 · (765) 832-6977
Phone(765) 592-3381
Fax(765) 820-1105
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2013
Enumeration DateApril 22, 2013
Last NPPES UpdateMay 6, 20263 updates tracked since enumeration
NPPES CertifiedMay 6, 2026
✔ NPI 1265876213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in IN · 01078016A
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X · License 01078016A (IN)
Also ListedPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineTaxonomy 2083P0500X · License 01078016A (IN)
302 VINE ST, Clinton, IN 47842
Open in Google Maps ↗

Secondary Practice Locations 2

Location 188 Wabash CtTerre Haute, IN 47807-3439 · Phone (812) 231-8484
Location 25333 McAuley Drive, Suite 4001, Academic Internal MedicineYpsilanti, MI 48197-8633 · Phone (734) 712-3971

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.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

John Len Wheat M.d. 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 ID7719106525
PECOS Enrollment IDI20170809003697
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 11

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
1,228 services310 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
285 services185 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
133 services111 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
104 services15 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
98 services58 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
75 services53 patients

Hospital Affiliations CMS Care Compare 2

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

Union Hospital Inc

Acute Care Hospitals · Terre Haute, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150023
Location1606 N Seventh StTerre Haute, IN 47804 · Vigo County
Emergency services Birthing friendly

Union Hospital Clinton

Critical Access Hospitals · Clinton, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number151326
Location801 S Main StClinton, IN 47842 · Vermillion County
Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

22.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost73.96

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers54 claims127 services$6.53 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers32 claims40 services$1.17 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
3 suppliers13 claims270 services$4.76 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each A4414
DME-Orthotic Devices · category DF010N
2 suppliers21 claims410 services$4.45 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063
DME-Orthotic Devices · category DF010N
2 suppliers23 claims460 services$2.39 avg. paid by Medicare
Skin barrier; solid, 6 x 6 or equivalent, each A5121
DME-Orthotic Devices · category DF010N
1 supplier11 claims220 services$0.07 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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TYLER CHEW
Physician Assistant
302 VINE ST
CLINTON, IN 47842
Vermillion County (765) 592-3381
FIELD & FOREST MEDICAL, LLC
General Practice
302 VINE ST
CLINTON, IN 47842
Vermillion County (765) 592-3381
JULIA ELROD MSN, FNP-C
Nurse Practitioner (Family)
302 VINE ST
CLINTON, IN 47842
Vermillion County (765) 592-3381

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 John Wheat's NPI number?

The NPI number for John Wheat is 1265876213. It was assigned to this individual provider in the NPPES registry on April 22, 2013.

Where is John Wheat located?

John Wheat practices at 302 Vine St, Clinton, IN 47842. The listed phone number is (765) 592-3381.

What is John Wheat's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is John Wheat enrolled in Medicare?

Yes. John Wheat 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 John Wheat accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list John Wheat 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 John Wheat affiliated with any hospitals?

According to CMS data, John Wheat is affiliated with Union Hospital Inc and Union Hospital Clinton.

When was this NPI record last updated?

The NPPES record for John Wheat was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.