MR. RICHARD WARREN WHITTAKER III
NPI 1538055074
Physician Assistant in St Petersburg, FL

Q: What is Richard Whittaker's NPI number?

The NPI number for Richard Whittaker is 1538055074. It was assigned to this individual provider in the NPPES registry on June 12, 2025.

Q: What is Richard Whittaker's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Richard Whittaker was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 12, 2025PECOS EnrolledAccepts Medicare Assignment

10051 5TH ST N, ST PETERSBURG, FL 33702(727) 527-5272(727) 522-7412 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 9, 2026, Jun 12, 2025 (2 updates tracked since 2025).

On this page

About Mr. Richard Warren Whittaker Iii NPPES

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

MR. RICHARD WARREN WHITTAKER III (NPI 1538055074) is an individual physician assistant in St Petersburg, Florida, licensed in Florida (PA9121247) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1538055074

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. RICHARD WARREN WHITTAKER III

Location Address10051 5TH ST NSt Petersburg, FL 33702-2289

Mailing Address10051 5th St NSt Petersburg, FL 33702-2289 · (727) 527-5272 · Fax (727) 522-7412

Phone(727) 527-5272

Fax(727) 522-7412

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJune 12, 2025

Last NPPES UpdateMarch 9, 20262 updates tracked since enumeration

NPPES CertifiedMarch 9, 2026

✔ NPI 1538055074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in FL · PA9121247

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

10051 5TH ST N, St Petersburg, FL 33702

Open in Google Maps ↗

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

Mr. Richard Warren Whittaker Iii 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 ID7911481080

PECOS Enrollment IDI20260318000214

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33702 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

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.

PINELLAS SURGERY CENTER, LLC

Clinic/Center (Ambulatory Surgical)