Active NPI 1164730289 Individual Practitioner Male Practitioner

Ian Wetherall , PA-C

Physician Assistant - Surgical • Clearwater, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Ian Wetherall, PA-C is a certified Physician Assistant - Surgical practicing in Clearwater, FL. With approximately 16 years of clinical experience since completing medical education in 2010, Ian Wetherall delivers high-quality medical care to the local community at 455 PINELLAS ST.

Ian Wetherall is affiliated with St Vincent Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of lymph nodes of chest cavity using an endoscope, harvest of veins for coronary artery bypass procedure using an endoscope, examination of lung with removal of lung lobe using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

455 Pinellas St
Suite 320

Clearwater, FL 337563354

Telephone 7274462273

Fax 7274414966

Associated Practice Facility / Clinic

🏢 Baycare Medical Group Inc Facility NPI 1700456266

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Clearwater, FL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs +0.1 yrs vs City Avg

City Avg: 15.9 Yrs

State Avg: 15.3 Yrs

Regional Practice Density

85 Specialists

Practicing in Clearwater, FL (1463 Statewide)

Telehealth Adoption Rate

1.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

94.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wetherall (16 Years) 16 Yrs

Clearwater Specialty Average (15.9 Years) 15.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
32674 Removal of lymph nodes of chest cavity using an endoscope	12	12	$550.00	$29.82
33508 Harvest of veins for coronary artery bypass procedure using an endoscope	11	11	$41.00	$2.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
32674 Removal of lymph nodes of chest cavity using an endoscope	18	18	$576.00	$30.12
33508 Harvest of veins for coronary artery bypass procedure using an endoscope	17	17	$44.00	$2.25
32663 Examination of lung with removal of lung lobe using an endoscope	13	13	$3719.00	$195.67
35600 Harvest of an arm artery segment	11	11	$500.00	$26.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
33508 Harvest of veins for coronary artery bypass procedure using an endoscope	13	13	$44.00	$2.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
33508 Harvest of veins for coronary artery bypass procedure using an endoscope	11	11	$45.64	$2.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
33508 Harvest of veins for coronary artery bypass procedure using an endoscope	13	13	$44.00	$2.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
33508 Harvest of veins for coronary artery bypass procedure using an endoscope	33	33	$32.19	$2.36
35600 Harvest of an arm artery segment	22	22	$510.95	$37.21
33534 Coronary artery bypass using artery graft, 2 grafts	18	18	$4390.02	$311.32
33518 Coronary artery bypass using vein or artery graft, 2 grafts	16	16	$855.42	$60.03
33517 Combined vein and artery heart artery bypass	15	15	$335.47	$27.33
33533 Coronary artery bypass using artery graft, 1 graft	12	12	$3021.00	$225.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
33508 Harvest of veins for coronary artery bypass procedure using an endoscope	31	31	$8.00	$2.35
99231 Follow-up hospital inpatient care per day, typically 15 minutes	24	15	$90.00	$33.54
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	18	$165.00	$61.41
35600 Harvest of an arm artery segment	21	21	$125.00	$37.16
33534 Coronary artery bypass using artery graft, 2 grafts	21	21	$1068.60	$279.98
33517 Combined vein and artery heart artery bypass	17	17	$91.60	$27.27
33518 Coronary artery bypass using vein or artery graft, 2 grafts	12	12	$201.40	$59.91

Medical Specialties & State Licenses

CMS Verified: 2025-01-14

Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License IN 10004676A

Definition to come...

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License FL PA9108763

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

015310600 (FL)

Commercial Insurance / Payer ID Blue Cross Blue Shield

Y0S8R (FL)

Hospital & Practice Group Affiliations

St Vincent Medical Group Inc

10580 N Meridian St, Carmel, IN 462901028

Phone: 3175835000

St Vincent Medical Group Inc

2001 W 86th St, Indianapolis, IN 462601902

Phone: 3173382345

St Vincent Medical Group Inc

10590 N Meridian St, Carmel, IN 462901028

St Vincent Medical Group Inc

8433 Harcourt Rd, Indianapolis, IN 462602193

Phone: 3175837600

Secondary Practice Locations

10580 N Meridian St

Carmel, IN 462901028

Phone: 3175835000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

26 Associated Practitioners

Angelica Rodriguez , PA

Physician Assistant - Surgical

NPI 1215319553

Physician Assistant

Destiny O'neill , PA-C

Physician Assistant - Surgical

NPI 1225393218

Physician Assistant (Certified)

Dr. Richard Murbach , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1255393203

Doctor of Medicine (M.D.)

Dr. Christian Cignoni , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1285167056

Doctor of Medicine (M.D.)

Mary Kerr , APRN

Nurse Practitioner - Acute Care

NPI 1396045258

Advanced Practice Registered Nurse

Sarah Feeney , PA

Physician Assistant - Surgical

NPI 1417468216

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events

📍

Updated Practice Location April 13, 2023

Registered at 455 PINELLAS ST, SUITE 320, CLEARWATER, FL 337563354 (Tel: 7274462273)

📍

Updated Business Mailing Address February 06, 2023

Registered at 455 PINELLAS ST STE 320, CLEARWATER, FL 337563369 (Tel: 7274462273)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 06, 2023

Physician Assistant (License #PA9108763 in FL)

📍

Updated Business Mailing Address October 05, 2021

Registered at 2995 DREW ST FL 3, CLEARWATER, FL 337593012

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2021

Physician Assistant (License #PA9108763 in FL)

📍

Updated Practice Location November 20, 2019

Registered at 2 TAMPA GENERAL CIR, TAMPA, FL 33606 (Tel: 8139742201)

📍

Updated Business Mailing Address November 20, 2019

Registered at PO BOX 917770, ORLANDO, FL 328910001 (Tel: 8139742201)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2019

Physician Assistant (License #PA9108763 in FL)

📍

Updated Business Mailing Address March 23, 2018

Registered at PO BOX 10744, CLEARWATER, FL 337578744 (Tel: 7275320002)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2018

Physician Assistant (License #MA054537 in PA)

✅

NPI Profile Active October 29, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location October 29, 2015

Registered at 455 PINELLAS ST, SUITE 320, CLEARWATER, FL 337563354 (Tel: 7274462273)

📍

Updated Business Mailing Address October 29, 2015

Registered at PO BOX 743409, ATLANTA, GA 303743409 (Tel: 7275320002)

👤

Provider Name / Credentials Updated October 29, 2015

Recorded as IAN WETHERALL, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 29, 2015

Physician Assistant (License #PA9108763 in FL)

🟢

Initial NPI Registration & Enumeration September 23, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164730289

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 23, 2010

Last Update: January 14, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

455 Pinellas St Ste 320

Clearwater, FL 337563369

Phone: 7274462273

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.