RICHARD E. WHISNANT M.D.
NPI 1386635688
Pathology - Anatomic Pathology & Clinical Pathology in Vero Beach, FL

Active since November 04, 2005PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
1000 36TH ST, VERO BEACH, FL 32960(772) 567-4311 Get Directions Write a Review

NPPES record last updated: December 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Richard E. Whisnant M.d. NPPES

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

RICHARD E. WHISNANT M.D. (NPI 1386635688) is an individual anatomic pathology & clinical pathology provider in Vero Beach, Florida, licensed in Florida (ME87377) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Naples Community Hospital, and is a graduate of University Of Texas Southwestern Medical School At Dallas (1998).

NPPES Registry Identity

NPI1386635688
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameRICHARD E. WHISNANTCredential: M.D.
Location Address1000 36TH STVero Beach, FL 32960-4862
Mailing Address1000 36th St., Cleveland Clinic Indian River Hosp Dept Of PathologyVero Beach, FL 32960 · (941) 374-0170
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1998
Enumeration DateNovember 4, 2005
Last NPPES UpdateDecember 5, 2023
NPPES CertifiedDecember 5, 2023
NPI 1386635688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in FL · ME87377
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedPathology · CytopathologyTaxonomy 207ZC0500X · License ME87377 (FL)
Also ListedPathology · Clinical Pathology/Laboratory MedicineTaxonomy 207ZP0105X · License ME87377 (FL)
1000 36TH ST, Vero Beach, FL 32960

Other Identifiers 1

Medicaid266888200FL

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

Richard E. Whisnant 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 ID2163563776
PECOS Enrollment IDI20100824001130
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 18

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
1,308 services652 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
653 services161 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
292 services219 patients
Preparation of tissue for examination by removing any calcium present 88311
This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.
224 services208 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
188 services118 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
157 services145 patients

Hospital Affiliations CMS Care Compare 2

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

Naples Community Hospital

Acute Care Hospitals · Naples, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100018
Location350 7th St NNaples, FL 34102 · Collier County
Emergency services Birthing friendly

Physicians Regional Medical Center - Pine Ridge

Acute Care Hospitals · Naples, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100286
Location6101 Pine Ridge RoadNaples, FL 34119 · Collier County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32960 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

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.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.75
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Quantitative Immunohistochemical (IHC) Evaluation of Human Epidermal Growth Factor Receptor 2 Testing (HER2) for Breast Cancer Patients
This is a measure based on whether quantitative evaluation of Human Epidermal Growth Factor Receptor 2 Testing (HER2) by immunohistochemistry (IHC) uses the system recommended in the current ASCO/CAP Guidelines for Human Epidermal Growth Factor Receptor 2…
100%29 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Physician Assistant
1000 36TH ST
VERO BEACH, FL 32960
Psychiatry & Neurology (Vascular Neurology)
1000 36TH ST
VERO BEACH, FL 32960
Physician Assistant (Medical)
1000 36TH ST
VERO BEACH, FL 32960
Radiology (Vascular & Interventional Radiology)
1000 36TH ST
VERO BEACH, FL 32960
Nurse Practitioner (Family)
1000 36TH ST
VERO BEACH, FL 32960
Dietitian, Registered
1000 36TH ST
VERO BEACH, FL 32960
Physician Assistant
1000 36TH ST
VERO BEACH, FL 32960
Physician Assistant (Surgical)
1000 36TH ST
VERO BEACH, FL 32960

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 Richard Whisnant's NPI number?

The NPI number for Richard Whisnant is 1386635688. It was assigned to this individual provider in the NPPES registry on November 4, 2005.

Where is Richard Whisnant located?

Richard Whisnant practices at 1000 36th St, Vero Beach, FL 32960. The listed phone number is (772) 567-4311.

What is Richard Whisnant's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Richard Whisnant enrolled in Medicare?

Yes. Richard Whisnant 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 Richard Whisnant affiliated with any hospitals?

According to CMS data, Richard Whisnant is affiliated with Naples Community Hospital and Physicians Regional Medical Center - Pine Ridge.

When was this NPI record last updated?

The NPPES record for Richard Whisnant was last updated on December 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.