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JERRY DAVID WHATLEY MD
NPI 1780634816
Family Medicine - Adolescent Medicine in Ardmore, OK

Active since May 11, 2006PECOS EnrolledAccepts Medicare Assignment
509 GRAND AVE, ARDMORE, OK 73401(580) 223-3300(580) 223-3320 Get Directions Write a Review

NPPES record last updated: January 7, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jerry David Whatley Md NPPES

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

JERRY DAVID WHATLEY MD (NPI 1780634816) is an individual adolescent medicine provider in Ardmore, Oklahoma, licensed in Oklahoma (19096) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1780634816
Entity TypeIndividualMale
Primary Taxonomy207QA0000X
Provider Legal NameJERRY DAVID WHATLEYCredential: MD
Location Address509 GRAND AVEArdmore, OK 73401-4338
Mailing Address936 Deese RdArdmore, OK 73401-9315 · (580) 224-9035
Phone(580) 223-3300
Fax(580) 223-3320
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateMay 11, 2006
Last NPPES UpdateJanuary 7, 2011
✔ NPI 1780634816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0000X
License✔ Licensed in OK · 19096
Definition
A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.
509 GRAND AVE, Ardmore, OK 73401
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Other Identifiers 4

Medicaid100114070AOK
Other100114070GOK · Soonercare Mcd #
Other731612230OK · Tax Id #
Other19096OK · Oklahoma License #

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, CommunityCare, Medica 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

Jerry David Whatley 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.

PECOS PAC ID5294249892
PECOS Enrollment IDI20250707003212
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 73401 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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 Jerry Whatley's NPI number?

The NPI number for Jerry Whatley is 1780634816. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is Jerry Whatley located?

Jerry Whatley practices at 509 Grand Ave, Ardmore, OK 73401. The listed phone number is (580) 223-3300.

What is Jerry Whatley's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adolescent Medicine, with taxonomy code 207QA0000X.

Is Jerry Whatley enrolled in Medicare?

Yes. Jerry Whatley 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 Jerry Whatley accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare, Medica and Mending Health list Jerry Whatley 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 Jerry Whatley was last updated on January 7, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.