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JOHN W. WHEATLEY M.D.
NPI 1962458737
Family Medicine in Louisville, KY

Active since May 25, 2006PECOS Enrolled
75/100
CMS Quality Rating
6801 DIXIE HWY, SUITE 133, LOUISVILLE, KY 40258(502) 937-3864(502) 937-1237 Get Directions Write a Review

NPPES record last updated: March 22, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About John W. Wheatley M.d. NPPES

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

JOHN W. WHEATLEY M.D. (NPI 1962458737) is an individual family medicine provider in Louisville, Kentucky, licensed in Kentucky (20176) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962458737
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHN W. WHEATLEYCredential: M.D.
Location Address6801 DIXIE HWY, SUITE 133Louisville, KY 40258-3913
Mailing Address100 E Liberty St Ste 800Louisville, KY 40202-1428 · (502) 937-3864 · Fax (502) 937-1237
Phone(502) 937-3864
Fax(502) 937-1237
Sole ProprietorNo
Enumeration DateMay 25, 2006
Last NPPES UpdateMarch 22, 2018
✔ NPI 1962458737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KY · 20176
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.
6801 DIXIE HWY, Louisville, KY 40258
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Other Identifiers 1

Medicaid64201767KY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John W. Wheatley M.d. 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 John Wheatley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Louisville Phyisicians, Inc.
1.1 mi
Interventional Pain Medicine
5129 DIXIE HWY
Louisville, KY 40216
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: University Of Louisville Physicians Inc
  • 2,337 clinicians in this Medicare group
NPI 1265127567 (502) 588-6000

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 40258 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
17 suppliers50 claims98 services$6.04 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers23 claims28 services$1.01 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers13 claims13 services$88.16 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$14.89 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$185.29 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 19

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

IVAN ALEJANDRO CALDERON M.D.
Family Medicine
6801 DIXIE HWY, SUITE 133
LOUISVILLE, KY 40258
Jefferson County (502) 937-3864
KAMARA EVETTE GARNER MD
Family Medicine
6801 DIXIE HWY, STE 133
LOUISVILLE, KY 40258
Jefferson County (502) 937-3864
CARITAS PHYSICIAN GROUP, INC.
Clinic/Center (Radiology, Mammography)
6801 DIXIE HWY, SUITE 134
LOUISVILLE, KY 40258
Jefferson County (502) 937-5888
DWIGHT MIELKE
Specialist
6801 DIXIE HWY, SUITE 136
LOUISVILLE, KY 40258
Jefferson County (502) 933-4327
THOMAS C HUBBS M.D.
Pediatrics
6801 DIXIE HWY, SUITE 127
LOUISVILLE, KY 40258
Jefferson County (502) 935-5633
JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC.
Rehabilitation Unit
6801 DIXIE HWY, SUITE 129
LOUISVILLE, KY 40258
Jefferson County (502) 937-2288
TIPTON & UNROE, PSC
Podiatrist (Foot & Ankle Surgery)
6801 DIXIE HWY, SUITE 134
LOUISVILLE, KY 40258
Jefferson County (502) 447-4500
LOUISVILLE PEDIATRIC SPECIALISTS,PSC
Clinic/Center (Medical Specialty)
6801 DIXIE HWY, SUITE127
LOUISVILLE, KY 40258
Jefferson County (502) 935-5633

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 John Wheatley's NPI number?

The NPI number for John Wheatley is 1962458737. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is John Wheatley located?

John Wheatley practices at 6801 Dixie Hwy Suite 133, Louisville, KY 40258. The listed phone number is (502) 937-3864.

What is John Wheatley's specialty?

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

Is John Wheatley enrolled in Medicare?

Yes. John Wheatley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for John Wheatley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Wheatley reassigns Medicare benefits to University Of Louisville Phyisicians, Inc. (Louisville, KY). 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 John Wheatley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for John Wheatley was last updated on March 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.