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JOHN C WHITTINGTON D.O.
NPI 1386629632
Family Medicine in Nelsonville, OH

Active since December 09, 2005PECOS Enrolled
1950 MOUNT SAINT MARYS DR, NELSONVILLE, OH 45764(740) 797-2352(740) 775-9159 Get Directions Write a Review

NPPES record last updated: August 25, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About John C Whittington D.o. NPPES

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

JOHN C WHITTINGTON D.O. (NPI 1386629632) is an individual family medicine provider in Nelsonville, Ohio, licensed in Ohio (34004541) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386629632
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHN C WHITTINGTONCredential: D.O.
Location Address1950 MOUNT SAINT MARYS DRNelsonville, OH 45764-1280
Mailing AddressPo Box 188Chillicothe, OH 45601-0188 · (740) 773-4366 · Fax (740) 775-7855
Phone(740) 797-2352
Fax(740) 775-9159
Sole ProprietorNo
Enumeration DateDecember 9, 2005
Last NPPES UpdateAugust 25, 2019
✔ NPI 1386629632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 34004541
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.
1950 MOUNT SAINT MARYS DR, Nelsonville, OH 45764
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Other Identifiers 1

Medicaid0714481OH

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John C Whittington D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show John Whittington reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Diley Medical Group LLC
59 mi
Internal Medicine
7901 DILEY RD STE 260
Canal Winchester, OH 43110
  • Reassigned Medicare billing, Ohio enrollment
  • 10 clinicians in this Medicare group
NPI 1073787537 (614) 920-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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.
102 services50 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
85 services25 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
45 services18 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.
42 services28 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
18 services18 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45764 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $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.

MARIANNE ELIZABETH DUNN
Registered Nurse
1950 MOUNT SAINT MARYS DR
NELSONVILLE, OH 45764
Athens County (800) 321-8293
TIFFIANY L HARVEY
Counselor (Addiction (Substance Use Disorder))
1950 MOUNT SAINT MARYS DR
NELSONVILLE, OH 45764
Athens County (800) 321-8293
PATRICIA SNYDER DENTAL ASST
Dental Assistant
1950 MOUNT SAINT MARYS DR
NELSONVILLE, OH 45764
Athens County (740) 797-2352
MADILYN SMITH DENTAL HYGIENIST
Dental Hygienist
1950 MOUNT SAINT MARYS DR
NELSONVILLE, OH 45764
Athens County (740) 797-2352
TOMMY EDWIN WARREN
Community Health Worker
1950 MOUNT SAINT MARYS DR
NELSONVILLE, OH 45764
Athens County (800) 321-8293
LILLIAN R SIZEMORE
Community Health Worker
1950 MOUNT SAINT MARYS DR
NELSONVILLE, OH 45764
Athens County (800) 321-8293
MATTHEW PATRICK MONTGOMERY
Community Health Worker
1950 MOUNT SAINT MARYS DR
NELSONVILLE, OH 45764
Athens County (800) 321-8293
HALEY MARIE CHARLES
Community Health Worker
1950 MOUNT SAINT MARYS DR
NELSONVILLE, OH 45764
Athens County (800) 321-8293

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 Whittington's NPI number?

The NPI number for John Whittington is 1386629632. It was assigned to this individual provider in the NPPES registry on December 9, 2005.

Where is John Whittington located?

John Whittington practices at 1950 Mount Saint Marys Dr, Nelsonville, OH 45764. The listed phone number is (740) 797-2352.

What is John Whittington's specialty?

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

Is John Whittington enrolled in Medicare?

Yes. John Whittington is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for John Whittington's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Whittington reassigns Medicare benefits to Diley Medical Group LLC (Canal Winchester, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Whittington's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for John Whittington was last updated on August 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.