ANDREW WHERLEY M.D.
NPI 1316300593
Family Medicine in Pontiac, IL

Active since April 04, 2016PECOS EnrolledAccepts Medicare Assignment
2500 W REYNOLDS ST, PONTIAC, IL 61764(815) 844-2001(815) 842-6803 Get Directions Write a Review

NPPES record last updated: September 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andrew Wherley M.d. NPPES

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

ANDREW WHERLEY M.D. (NPI 1316300593) is an individual family medicine provider in Pontiac, Illinois, licensed in Illinois (036150122) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2016).

NPPES Registry Identity

NPI1316300593
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameANDREW WHERLEYCredential: M.D.
Location Address2500 W REYNOLDS STPontiac, IL 61764-9774
Mailing Address2500 W Reynolds StPontiac, IL 61764-9774 · (815) 844-2001 · Fax (815) 842-6803
Fax(815) 842-6803
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2016
Enumeration DateApril 4, 2016
Last NPPES UpdateSeptember 27, 2021
NPPES CertifiedSeptember 27, 2021
NPI 1316300593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 036150122
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.
2500 W REYNOLDS ST, Pontiac, IL 61764

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

Andrew Wherley 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 ID8527359140
PECOS Enrollment IDI20190802000090
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 4

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

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County
Emergency services Birthing friendly

Osf Saint Elizabeth Mdl Ctr

Acute Care Hospitals · Ottawa, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140110
Location1100 E Norris DriveOttawa, IL 61350 · La Salle County
Emergency services Birthing friendly

Saint James Hospital

Acute Care Hospitals · Pontiac, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140161
Location2500 West Reynolds StreetPontiac, IL 61764 · Livingston County
Birthing friendly

St Joseph Medical Center

Acute Care Hospitals · Bloomington, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140162
Location2200 E WashingtonBloomington, IL 61701 · Mc Lean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61764 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 6

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
6 suppliers42 claims93 services$5.47 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers14 claims16 services$0.86 avg. paid by Medicare
Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
2 suppliers13 claims220 services$2.46 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier12 claims12 services$45.10 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$110.04 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
5 suppliers51 claims51 services$181.27 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.

Occupational Therapist
2500 W REYNOLDS ST
PONTIAC, IL 61764
Medicare Defined Swing Bed Unit
2500 W REYNOLDS ST
PONTIAC, IL 61764
Physician Assistant
2500 W REYNOLDS ST
PONTIAC, IL 61764
Occupational Therapy Assistant
2500 W REYNOLDS ST
PONTIAC, IL 61764
Occupational Therapist
2500 W REYNOLDS ST
PONTIAC, IL 61764
Developmental Therapist
2500 W REYNOLDS ST
PONTIAC, IL 61764
Family Medicine
2500 W REYNOLDS ST
PONTIAC, IL 61764
Nurse Anesthetist, Certified Registered
2500 W REYNOLDS ST, ADMINISTRATION
PONTIAC, IL 61764

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 Andrew Wherley's NPI number?

The NPI number for Andrew Wherley is 1316300593. It was assigned to this individual provider in the NPPES registry on April 4, 2016.

Where is Andrew Wherley located?

Andrew Wherley practices at 2500 W Reynolds St, Pontiac, IL 61764. The listed phone number is (815) 844-2001.

What is Andrew Wherley's specialty?

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

Is Andrew Wherley enrolled in Medicare?

Yes. Andrew Wherley 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 Andrew Wherley affiliated with any hospitals?

According to CMS data, Andrew Wherley is affiliated with Saint Francis Medical Center, Osf Saint Elizabeth Mdl Ctr, Saint James Hospital and St Joseph Medical Center.

When was this NPI record last updated?

The NPPES record for Andrew Wherley was last updated on September 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.