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

Active since May 11, 2006PECOS Enrolled
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: October 18, 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.

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
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
Open in Google Maps ↗

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 Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jerry David Whatley Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Jerry Whatley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northeastern Oklahoma Community Health Centers, Inc
149 mi
Federally Qualified Health Center (FQHC)
922 N YORK ST
Muskogee, OK 74403
  • Reassigned Medicare billing, Oklahoma enrollment
  • 65 clinicians in this Medicare group
NPI 1942553946 (918) 683-0470

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 enrollment system.

Which organization bills Medicare for Jerry Whatley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jerry Whatley reassigns Medicare benefits to Northeastern Oklahoma Community Health Centers, Inc (Muskogee, OK). 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 Jerry Whatley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jerry Whatley accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.