DR. EDWARD W WHITESIDES M.D.
NPI 1033104344
Specialist in Wilmington, NC

Q: What is Edward Whitesides's NPI number?

The NPI number for Edward Whitesides is 1033104344. It was assigned to this individual provider in the NPPES registry on September 13, 2005.

Q: What is Edward Whitesides's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Edward Whitesides was last updated on December 5, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 13, 2005PECOS Enrolled

75/100

CMS Quality Rating

1905 GLEN MEADE RD, WILMINGTON, NC 28403(910) 763-6251(910) 763-7408 Get Directions Write a Review

NPPES record last updated: December 5, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Edward W Whitesides M.d. NPPES

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

DR. EDWARD W WHITESIDES M.D. (NPI 1033104344) is an individual specialist in Wilmington, North Carolina, licensed in North Carolina (36671) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Hagerstown.

NPPES Registry Identity

NPI1033104344

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. EDWARD W WHITESIDESCredential: M.D.

Location Address1905 GLEN MEADE RDWilmington, NC 28403-6024

Mailing Address1905 Glen Meade RdWilmington, NC 28403-6024 · (910) 763-6251 · Fax (910) 763-7408

Phone(910) 763-6251

Fax(910) 763-7408

Sole ProprietorNo

Enumeration DateSeptember 13, 2005

Last NPPES UpdateDecember 5, 2023

NPPES CertifiedDecember 5, 2023

✔ NPI 1033104344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NC · 36671

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Also ListedUrologyTaxonomy 208800000X · License D98830 (MD)

1905 GLEN MEADE RD, Wilmington, NC 28403

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Secondary Practice Location 1

Location 111110 Medical Campus Rd Ste 228Hagerstown, MD 21742-6727 · Phone (301) 733-0022

Other Identifiers 1

Medicaid79-87180NC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Edward W Whitesides 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.

Areas of Expertise CMS Part B claims 2

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

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

15 services11 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

11 services11 patients

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

Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 4

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

Lubricant, individual sterile packet, each A4332

DME-Medical/Surgical Supplies · category DA000N

3 suppliers17 claims2,790 services$0.10 avg. paid by Medicare

Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each A4340

DME-Orthotic Devices · category DF000N

2 suppliers13 claims25 services$21.85 avg. paid by Medicare

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

7 suppliers75 claims17,040 services$1.37 avg. paid by Medicare

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352

DME-Orthotic Devices · category DF008N

3 suppliers13 claims1,980 services$5.66 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 13

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

DR. ROBERT V NICHOLS M.D.

Specialist