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ERIC WHELCHEL-HALL DO
NPI 1609364959
Family Medicine in Indianapolis, IN

Active since April 23, 2018PECOS EnrolledAccepts Medicare Assignment
91.23/100
CMS Quality Rating
9650 E WASHINGTON ST STE 100, INDIANAPOLIS, IN 46229(317) 890-5500(317) 890-5566 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 15, 2025, Feb 16, 2023, Jan 13, 2023 and 1 more (4 updates tracked since 2018).

About Eric Whelchel-hall Do NPPES

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

ERIC WHELCHEL-HALL DO (NPI 1609364959) is an individual family medicine provider in Indianapolis, Indiana, licensed in Indiana (02006448A) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health, and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1609364959
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameERIC WHELCHEL-HALLCredential: DO
Location Address9650 E WASHINGTON ST STE 100Indianapolis, IN 46229-3032
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Phone(317) 890-5500
Fax(317) 890-5566
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 23, 2018
Last NPPES UpdateOctober 2, 20254 updates tracked since enumeration
NPPES CertifiedOctober 2, 2025
✔ NPI 1609364959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 02006448A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
9650 E WASHINGTON ST STE 100, Indianapolis, IN 46229
Open in Google Maps ↗

Secondary Practice Location 1

Location 1720 Eskenazi AveIndianapolis, IN 46202-5187 · Phone (317) 880-7666 · Fax (317) 880-0448

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

Eric Whelchel-hall Do 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 ID1658626460
PECOS Enrollment IDI20211004001297
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.

Areas of Expertise CMS Part B claims 8

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
147 services97 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
53 services41 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
31 services31 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
22 services22 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
20 services17 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
19 services14 patients

Hospital Affiliations CMS Care Compare

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

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46229 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.99
Promoting Interoperability99
Improvement Activities40
Cost54.28

Referred Medical Equipment & Supplies CMS DME claims 6

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

Intermittent urinary catheter, with insertion supplies A4353
DME-Orthotic Devices · category DF008N
2 suppliers11 claims1,980 services$6.78 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
2 suppliers11 claims22 services$9.39 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
2 suppliers11 claims220 services$6.01 avg. paid by Medicare
Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each A4432
DME-Orthotic Devices · category DF010N
2 suppliers11 claims220 services$3.47 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
1 supplier12 claims2,250 services$0.02 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
1 supplier12 claims12 services$15.55 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 4

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

GINA ANNE CORSARO NP
Nurse Practitioner (Family)
9650 E WASHINGTON ST STE 100
INDIANAPOLIS, IN 46229
Marion County (317) 890-5500
KATHRYN FISCHER
Physician Assistant
9650 E WASHINGTON ST STE 100
INDIANAPOLIS, IN 46229
Marion County (317) 890-5500
GABRIELLE C STROUD PA-C
Physician Assistant
9650 E WASHINGTON ST STE 100
INDIANAPOLIS, IN 46229
Marion County (317) 890-5500
MURTAZA ALI MD
Internal Medicine
9650 E WASHINGTON ST STE 100
INDIANAPOLIS, IN 46229
Marion County (317) 890-5500

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 Eric Whelchel-hall's NPI number?

The NPI number for Eric Whelchel-hall is 1609364959. It was assigned to this individual provider in the NPPES registry on April 23, 2018.

Where is Eric Whelchel-hall located?

Eric Whelchel-hall practices at 9650 E Washington St Ste 100, Indianapolis, IN 46229. The listed phone number is (317) 890-5500.

What is Eric Whelchel-hall's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Eric Whelchel-hall enrolled in Medicare?

Yes. Eric Whelchel-hall 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 Eric Whelchel-hall accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list Eric Whelchel-hall 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 Eric Whelchel-hall affiliated with any hospitals?

According to CMS data, Eric Whelchel-hall is affiliated with Indiana University Health.

When was this NPI record last updated?

The NPPES record for Eric Whelchel-hall was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.