DR. DANIEL W WHITLEY M.D.
NPI 1043215874
Internal Medicine in Corbin, KY

Active since June 17, 2005PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
1419 CUMBERLAND FALLS HWY, CORBIN, KY 40701(606) 528-4481(606) 528-2857 Get Directions Write a Review

NPPES record last updated: April 11, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Daniel W Whitley M.d. NPPES

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

DR. DANIEL W WHITLEY M.D. (NPI 1043215874) is an individual internal medicine provider in Corbin, Kentucky, licensed in Kentucky (23298) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Corbin, and is a graduate of University Of Louisville School Of Medicine (1983).

NPPES Registry Identity

NPI1043215874
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. DANIEL W WHITLEYCredential: M.D.
Location Address1419 CUMBERLAND FALLS HWYCorbin, KY 40701-2722
Mailing Address1419 Cumberland Falls HwyCorbin, KY 40701-2722 · (606) 528-4481 · Fax (606) 528-2857
Fax(606) 528-2857
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1983
Enumeration DateJune 17, 2005
Last NPPES UpdateApril 11, 2013
NPI 1043215874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in KY · 23298
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1419 CUMBERLAND FALLS HWY, Corbin, KY 40701

Other Identifiers 3

Medicaid65936817KY
Medicare UPINC75759KY
Medicare PIN1430401KY

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. Daniel W Whitley M.d. 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 ID8921100140
PECOS Enrollment IDI20100216000317
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 4

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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
41 services34 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
30 services23 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
23 services21 patients
Urine microalbumin (protein) analysis 82044
Urine microalbumin analysis is a test that measures the amount of a protein called albumin in your urine. This protein is usually present in very small amounts, but higher levels can indicate kidney issues. The test is non-invasive and involves a simple urine sample.
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.

Baptist Health Corbin

Acute Care Hospitals · Corbin, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180080
LocationOne Trillium WayCorbin, KY 40701 · Whitley County
Emergency services Birthing friendly

Knox County Hospital

Critical Access Hospitals · Barbourville, KY
OwnershipGovernment - Local
CMS Certification Number181328
Location80 Hospital DriveBarbourville, KY 40906 · Knox County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40701 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Quality89.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 21

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
19 suppliers50 claims121 services$5.38 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers17 claims18 services$0.88 avg. paid by Medicare
Irrigation syringe, bulb or piston, each A4322
DME-Medical/Surgical Supplies · category DA000N
1 supplier52 claims364 services$2.77 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers16 claims16 services$43.91 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers13 claims13 services$110.57 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers17 claims37 services$40.11 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 8

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

Internal Medicine
1419 CUMBERLAND FALLS HWY
CORBIN, KY 40701
Internal Medicine
1419 CUMBERLAND FALLS HWY
CORBIN, KY 40701
Nurse Practitioner
1419 CUMBERLAND FALLS HWY
CORBIN, KY 40701
Internal Medicine
1419 CUMBERLAND FALLS HWY
CORBIN, KY 40701
Nurse Practitioner (Family)
1419 CUMBERLAND FALLS HWY
CORBIN, KY 40701
Physician Assistant
1419 CUMBERLAND FALLS HWY
CORBIN, KY 40701
Nurse Practitioner
1419 CUMBERLAND FALLS HWY
CORBIN, KY 40701
Physician Assistant
1419 CUMBERLAND FALLS HWY
CORBIN, KY 40701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043215874, enumerated as an "individual" on June 17, 2005.

The provider is located at 1419 CUMBERLAND FALLS HWY CORBIN, KY 40701 and the phone number is (606) 528-4481.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.

Daniel Whitley is affiliated with: BAPTIST HEALTH CORBIN and KNOX COUNTY HOSPITAL.