ADDISON G WHETSTONE MD
NPI 1427478452
Emergency Medicine in Tyler, TX
About Addison G Whetstone Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADDISON G WHETSTONE MD (NPI 1427478452) is an individual emergency medicine provider in Tyler, Texas, licensed in Texas (R0674) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with South Texas Health System, and is a graduate of Texas A & M University System, Hsc, College Of Medicine (2014).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 13
Accepted 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
Addison G Whetstone 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.
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
South Texas Health System
Acute Care Hospitals · Edinburg, TXRio Grande Regional Hospital
Acute Care Hospitals · Mcallen, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
TYLER, TX 75701
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 Addison Whetstone's NPI number?
The NPI number for Addison Whetstone is 1427478452. It was assigned to this individual provider in the NPPES registry on April 17, 2014.
Where is Addison Whetstone located?
Addison Whetstone practices at 800 E Dawson St, Tyler, TX 75701. The listed phone number is (903) 606-4262.
What is Addison Whetstone's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Addison Whetstone enrolled in Medicare?
Yes. Addison Whetstone 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 Addison Whetstone accept?
Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Imperial Insurance Companies, Inc. and Oscar Insurance Company and 2 other insurers list Addison Whetstone 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 Addison Whetstone affiliated with any hospitals?
According to CMS data, Addison Whetstone is affiliated with South Texas Health System and Rio Grande Regional Hospital.
When was this NPI record last updated?
The NPPES record for Addison Whetstone was last updated on July 21, 2022. 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.
# Addison G Whetstone, MD · NPI 1427478452
Emergency Medicine physician in Tyler, Texas. Individual provider, active in the CMS NPPES registry since April 17, 2014.
## Identity
- **NPI:** 1427478452 (Entity type: Individual)
- **Enumerated:** April 17, 2014
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** R0674 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 800 E DAWSON ST, Tyler, TX 75701-2036
- **Phone:** (903) 606-4262 · **Fax:** (903) 606-0597
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Texas A & M University System, Hsc, College Of Medicine, class of 2014
## Record status
- **NPPES last updated:** July 21, 2022
- **Other identifiers:** Medicaid 374213202 (TX); Other 581281YS6V (TX); Other P01876971 (TX); and 10 more
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Source: [NPI Profile](https://npiprofile.com/npi/1427478452) · Data from the CMS NPPES public registry.