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DR. DONALD ROBERT WHITLEY DDS
NPI 1023031804
Dentist - General Practice in New Bern, NC

Active since July 25, 2006PECOS Enrolled
2306 DR M L KING JR BLVD, NEW BERN, NC 28562(252) 636-3366 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Donald Robert Whitley Dds NPPES

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

DR. DONALD ROBERT WHITLEY DDS (NPI 1023031804) is an individual general practice provider in New Bern, North Carolina, licensed in North Carolina (4967) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023031804
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DONALD ROBERT WHITLEYCredential: DDS
Location Address2306 DR M L KING JR BLVDNew Bern, NC 28562-4449
Mailing Address2306 Dr M L King Jr BlvdNew Bern, NC 28562-4449 · (252) 636-3366
Phone(252) 636-3366
Sole ProprietorYes
Enumeration DateJuly 25, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1023031804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NC · 4967
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2306 DR M L KING JR BLVD, New Bern, NC 28562
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Accepted Insurance

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

Dr. Donald Robert Whitley Dds 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 Donald Whitley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

East Carolina University
32 mi
Internal Medicine
BRODY OUTPATIENT CENTER, 600 MOYE BLVD
Greenville, NC 27858
  • Reassigned Medicare billing, North Carolina enrollment
  • 930 clinicians in this Medicare group
NPI 1043260474 (252) 744-2207

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 28562 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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 Donald Whitley's NPI number?

The NPI number for Donald Whitley is 1023031804. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Donald Whitley located?

Donald Whitley practices at 2306 Dr M L King Jr Blvd, New Bern, NC 28562. The listed phone number is (252) 636-3366.

What is Donald Whitley's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Donald Whitley enrolled in Medicare?

Yes. Donald Whitley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Donald Whitley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donald Whitley reassigns Medicare benefits to East Carolina University (Greenville, NC). 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 Donald Whitley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donald Whitley accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 2 other insurers list Donald Whitley 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 Donald Whitley was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.