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 maintains a secondary practice location in Tulsa.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 13
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
11Medicare enrollment records show Addison Whetstone reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tyler, TX 75701
- Reassigned Medicare billing, Texas enrollment
- 547 clinicians in this Medicare group
Jacksonville, TX 75766
- Reassigned Medicare billing, Texas enrollment
- 409 clinicians in this Medicare group
Austin, TX 78705
- Reassigned Medicare billing, Texas enrollment
- 1,511 clinicians in this Medicare group
San Antonio, TX 78229
- Reassigned Medicare billing, Texas enrollment
- 1,452 clinicians in this Medicare group
Edinburg, TX 78541
- Reassigned Medicare billing, Texas enrollment
- 154 clinicians in this Medicare group
Edinburg, TX 78539
- Reassigned Medicare billing, Texas enrollment
- 257 clinicians in this Medicare group
Edinburg, TX 78539
- Reassigned Medicare billing, Texas enrollment
- 59 clinicians in this Medicare group
Edinburg, TX 78539
- Reassigned Medicare billing, Texas enrollment
- 136 clinicians in this Medicare group
Alamo, TX 78516
- Reassigned Medicare billing, Texas enrollment
- 145 clinicians in this Medicare group
Mcallen, TX 78504
- Reassigned Medicare billing, Texas enrollment
- 150 clinicians in this Medicare group
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 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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
South Texas Health System
Acute Care Hospitals · Edinburg, 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.
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.
Which organizations bill Medicare for Addison Whetstone's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Addison Whetstone reassigns Medicare benefits to 11 organizations: Mother Frances Hospital Regional Health Care Center (Tyler, TX), Mother Frances Hospital Jacksonville (Jacksonville, TX), Travis County Emergency Physicians PA (Austin, TX), Emergency Medicine Services Of Tx, PLLC (San Antonio, TX), Municipal Emergency Medicine Associates, PA (Edinburg, TX) and 6 more organizations, listed in the Medicare section above. Each 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 Addison Whetstone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 Health and 3 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.
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
- **Bills Medicare through:** 11 organizations under Medicare reassignment (form CMS-855R): Mother Frances Hospital Regional Health Care Center (NPI 1679578439, Tyler, TX); Mother Frances Hospital Jacksonville (NPI 1952306672, Jacksonville, TX); Travis County Emergency Physicians PA (NPI 1962440933, Austin, TX); Emergency Medicine Services Of Tx, PLLC (NPI 1245938729, San Antonio, TX); Municipal Emergency Medicine Associates, PA (NPI 1396250650, Edinburg, TX); and 6 more · CMS Revalidation Reassignment List, October 2026 release
- **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.