DR. DAVID LOUIS WEATHERLY M.D.
NPI 1558672998
Urology in Grand Rapids, MI

Q: What is David Weatherly's NPI number?

The NPI number for David Weatherly is 1558672998. It was assigned to this individual provider in the NPPES registry on June 30, 2010.

Q: What is David Weatherly's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for David Weatherly was last updated on January 30, 2024. 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.

Active since June 30, 2010PECOS EnrolledAccepts Medicare Assignment

25 MICHIGAN ST NE STE 3300, GRAND RAPIDS, MI 49503(616) 459-4171(616) 459-0044 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 20, 2023, Mar 16, 2023, Jul 21, 2022 and 2 more (5 updates tracked since 2017).

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About Dr. David Louis Weatherly M.d. NPPES

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

DR. DAVID LOUIS WEATHERLY M.D. (NPI 1558672998) is an individual urology provider in Grand Rapids, Michigan, licensed in Michigan (4301096915) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Wayne State University School Of Medicine (2010).

NPPES Registry Identity

NPI1558672998

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameDR. DAVID LOUIS WEATHERLYCredential: M.D.

Location Address25 MICHIGAN ST NE STE 3300Grand Rapids, MI 49503-2558

Mailing Address20952 E 12 Mile Rd Ste 200Saint Clair Shores, MI 48081-3203 · (586) 771-4820

Phone(616) 459-4171

Fax(616) 459-0044

Sole ProprietorNo

Medical School CMSWayne State University School Of MedicineGraduated 2010

Enumeration DateJune 30, 2010

Last NPPES UpdateJanuary 30, 20245 updates tracked since enumeration

NPPES CertifiedJanuary 30, 2024

✔ NPI 1558672998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in MI · 4301096915

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Also ListedSurgeryTaxonomy 208600000X · License 4301096915 (MI)

Also ListedUrology · Pediatric UrologyTaxonomy 2088P0231X · License 4301096915 (MI)

25 MICHIGAN ST NE STE 3300, Grand Rapids, MI 49503

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Dr. David Louis Weatherly 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 ID9931490927

PECOS Enrollment IDI20170713001185

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.

Hospital Affiliations CMS Care Compare

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

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230038

Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

3 suppliers16 claims3,620 services$1.74 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THEODORE DALE BARBER M.D.

Urology