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

Q: What is Daniel Whitley's NPI number?

The NPI number for Daniel Whitley is 1043215874. It was assigned to this individual provider in the NPPES registry on June 17, 2005.

Q: What is Daniel Whitley's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Daniel Whitley was last updated on April 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

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: August 09, 2026.

On this page

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 Saint Joseph London, 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

Phone(606) 528-4481

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

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Other Identifiers 3

Medicaid65936817KY

Medicare UPINC75759KY

Medicare PIN1430401KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

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.

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.

26 services24 patients

Hospital Affiliations CMS Care Compare 3

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

Saint Joseph London

Acute Care Hospitals · London, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180011

Location1001 Saint Joseph LaneLondon, KY 40741 · Laurel County

Emergency services Birthing friendly

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

Scored through an Alternative Payment Model

Quality

89.59

Promoting Interoperability

100

Improvement Activities

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

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

3 suppliers11 claims11 services$74.48 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

6 suppliers15 claims15 services$23.62 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

6 suppliers37 claims123 services$3.02 avg. paid by Medicare

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

1 supplier52 claims364 services$7.17 avg. paid by Medicare

Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4153

Other-Enteral and Parenteral · category OB006N

1 supplier25 claims4,440 services$1.34 avg. paid by Medicare

Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154

Other-Enteral and Parenteral · category OB006N

1 supplier27 claims2,640 services$0.75 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier20 claims20 services$67.98 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers19 claims19 services$21.35 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

2 suppliers12 claims13 services$13.88 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier17 claims17 services$7.47 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

4 suppliers36 claims37 services$49.86 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

5 suppliers72 claims72 services$107.65 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier25 claims25 services$35.11 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

6 suppliers16 claims1,745 services$0.09 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

9 suppliers23 claims23 services$24.95 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.

EDITH L ROBERTS APRN

Nurse Practitioner

1419 CUMBERLAND FALLS HWY
CORBIN, KY 40701

Whitley County (606) 526-9005

GLORIA JEAN TAYLOR APRN

Nurse Practitioner

1419 CUMBERLAND FALLS HWY
CORBIN, KY 40701

Whitley County (606) 528-4481

DR. BOBBY R TURNER M.D.

Internal Medicine

1419 CUMBERLAND FALLS HWY
CORBIN, KY 40701

Whitley County (606) 528-4481

DALICE BALLOU ROBERSON

Physician Assistant

1419 CUMBERLAND FALLS HWY
CORBIN, KY 40701

Whitley County (606) 528-4481

TURNER WHITLEY & MORTON INTERNAL MEDICINE PSC

Internal Medicine

1419 CUMBERLAND FALLS HWY
CORBIN, KY 40701

Whitley County (606) 528-4481

DR. STEVEN E MORTON M.D.

Internal Medicine

1419 CUMBERLAND FALLS HWY
CORBIN, KY 40701

Whitley County (606) 528-4481

SHERRY ELAINE HOPPER

Nurse Practitioner (Family)

1419 CUMBERLAND FALLS HWY
CORBIN, KY 40701

Whitley County (606) 528-4481

CALLIE ANN ELIZABETH TRENT PA-C

Physician Assistant

1419 CUMBERLAND FALLS HWY
CORBIN, KY 40701

Whitley County (606) 523-3021

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 Daniel Whitley's NPI number?

The NPI number for Daniel Whitley is 1043215874. It was assigned to this individual provider in the NPPES registry on June 17, 2005.

Where is Daniel Whitley located?

Daniel Whitley practices at 1419 Cumberland Falls Hwy, Corbin, KY 40701. The listed phone number is (606) 528-4481.

What is Daniel Whitley's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Daniel Whitley enrolled in Medicare?

Yes. Daniel Whitley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Daniel Whitley accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Daniel 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.

Is Daniel Whitley affiliated with any hospitals?

According to CMS data, Daniel Whitley is affiliated with Saint Joseph London, Baptist Health Corbin and Knox County Hospital.

When was this NPI record last updated?

The NPPES record for Daniel Whitley was last updated on April 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.