DR. KEVIN RICHARD WHITNEY MD
NPI 1003928912
Emergency Medicine in Stevens Point, WI

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
78.85/100
CMS Quality Rating
4100 STATE HIGHWAY 66, STEVENS POINT, WI 54482(715) 343-7700 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Kevin Richard Whitney Md NPPES

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

DR. KEVIN RICHARD WHITNEY MD (NPI 1003928912) is an individual emergency medicine provider in Stevens Point, Wisconsin, licensed in Wisconsin (39752) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Socorro General Hospital, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1003928912
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. KEVIN RICHARD WHITNEYCredential: MD
Location Address4100 STATE HIGHWAY 66Stevens Point, WI 54482-8410
Mailing Address1000 N Oak AveMarshfield, WI 54449-5703 · (715) 387-5511
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateAugust 31, 2006
Last NPPES UpdateFebruary 19, 2026
NPPES CertifiedFebruary 19, 2026
NPI 1003928912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in WI · 39752
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 39752 (WI)
4100 STATE HIGHWAY 66, Stevens Point, WI 54482

Other Identifiers 2

Medicaid34774100WI
Other0852480001WI · Dmerc

Accepted 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

Dr. Kevin Richard Whitney 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 ID1759488786
PECOS Enrollment IDI20241015004104
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 6

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit for problem of high severity 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
185 services169 patients
Emergency department visit for problem of mild to moderate severity 99282
An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.
60 services58 patients
Emergency department visit for life threatening or functioning severity 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
53 services49 patients
Emergency department visit for problem of moderate severity 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
45 services44 patients
Emergency department visit for problem of mild severity 99281
An Emergency Department visit for a mild problem involves seeking immediate medical attention for non-life-threatening conditions. These can include minor injuries, fevers, or persistent discomfort. Medical professionals will assess your condition, provide treatment, and may suggest follow-up care.
14 services13 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Socorro General Hospital

Critical Access Hospitals · Socorro, NM
OwnershipVoluntary non-profit - Private
CMS Certification Number321301
Location1202 Highway 60 WestSocorro, NM 87801 · Socorro County
Emergency services Birthing friendly

Marshfield Medical Center

Acute Care Hospitals · Marshfield, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520037
Location611 St Joseph AveMarshfield, WI 54449 · Wood County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54482 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

78.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.68
Promoting Interoperability99
Improvement Activities40
Cost54.87

Other Providers at the Same Location NPPES 20

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

Family Medicine (Sports Medicine)
4100 STATE HIGHWAY 66
STEVENS POINT, WI 54482
Physical Medicine & Rehabilitation (Sports Medicine)
4100 STATE HIGHWAY 66
STEVENS POINT, WI 54482
Specialist/Technologist (Athletic Trainer)
4100 STATE HIGHWAY 66
STEVENS POINT, WI 54482
Non-Pharmacy Dispensing Site
4100 STATE HIGHWAY 66
STEVENS POINT, WI 54482
Physician Assistant
4100 STATE HIGHWAY 66
STEVENS POINT, WI 54482
Emergency Medicine
4100 STATE HIGHWAY 66
STEVENS POINT, WI 54482
Radiology (Radiation Oncology)
4100 STATE HIGHWAY 66
STEVENS POINT, WI 54482
Family Medicine
4100 STATE HIGHWAY 66
STEVENS POINT, WI 54482

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003928912, enumerated as an "individual" on August 31, 2006.

The provider is located at 4100 STATE HIGHWAY 66 STEVENS POINT, WI 54482 and the phone number is (715) 343-7700.

Emergency Medicine with taxonomy code 207P00000X.

The provider might be accepting Accepts: Sanford Health Plan, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Kevin Whitney is affiliated with: SOCORRO GENERAL HOSPITAL and MARSHFIELD MEDICAL CENTER.