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GARY WHARTON NP
NPI 1497366942
Nurse Practitioner - Psychiatric/Mental Health in Avon, IN

Active since August 10, 2020PECOS EnrolledAccepts Medicare Assignment
7114 GALEN DR W STE 108, AVON, IN 46123(317) 556-0309(317) 745-3306 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 4, 2026, Aug 10, 2020 (2 updates tracked since 2020).

About Gary Wharton Np NPPES

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

GARY WHARTON NP (NPI 1497366942) is an individual psychiatric/mental health provider in Avon, Indiana, licensed in Indiana (71010254A) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1497366942
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameGARY WHARTONCredential: NP
Location Address7114 GALEN DR W STE 108Avon, IN 46123-8659
Mailing Address4197 Victoria LnAvon, IN 46123-9400 · (317) 370-7804
Phone(317) 556-0309
Fax(317) 745-3306
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 10, 2020
Last NPPES UpdateJune 4, 20262 updates tracked since enumeration
NPPES CertifiedJune 4, 2026
✔ NPI 1497366942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IN · 71010254A
7114 GALEN DR W STE 108, Avon, IN 46123
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Cigna Healthcare.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

Gary Wharton Np 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 ID1850706086
PECOS Enrollment IDI20210219001428
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 Gary Wharton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Indiana Behavioral Innovations LLC
5.0 mi
Psychiatric Hospital
1051 SOUTHFIELD DR
Plainfield, IN 46168
  • Reassigned Medicare billing, Indiana enrollment
  • 15 clinicians in this Medicare group
NPI 1922614825 (844) 991-9900

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 2

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
112 services26 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
20 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46123 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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 Gary Wharton's NPI number?

The NPI number for Gary Wharton is 1497366942. It was assigned to this individual provider in the NPPES registry on August 10, 2020.

Where is Gary Wharton located?

Gary Wharton practices at 7114 Galen Dr W Ste 108, Avon, IN 46123. The listed phone number is (317) 556-0309.

What is Gary Wharton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Gary Wharton enrolled in Medicare?

Yes. Gary Wharton 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 organization bills Medicare for Gary Wharton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gary Wharton reassigns Medicare benefits to Indiana Behavioral Innovations LLC (Plainfield, IN). 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 Gary Wharton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gary Wharton accept?

Health plans from CareSource and Cigna Healthcare list Gary Wharton 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.

When was this NPI record last updated?

The NPPES record for Gary Wharton was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.