CLAIBORNE GOOCH WHITWORTH IV MD
NPI 1073592796
Urology in Lexington, VA

Q: What is Claiborne Whitworth's NPI number?

The NPI number for Claiborne Whitworth is 1073592796. It was assigned to this individual provider in the NPPES registry on January 11, 2006.

Q: What is Claiborne Whitworth's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Active since January 11, 2006PECOS EnrolledAccepts Medicare Assignment

100 SPOTSWOOD DR, LEXINGTON, VA 24450(540) 463-7108(540) 462-2923 Get Directions Write a Review

NPPES record last updated: August 9, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 9, 2022, Oct 5, 2020 (2 updates tracked since 2020).

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About Claiborne Gooch Whitworth Iv Md NPPES

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

CLAIBORNE GOOCH WHITWORTH IV MD (NPI 1073592796) is an individual urology provider in Lexington, Virginia, licensed in Virginia (0101049835) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Carilion Medical Center, and maintains a secondary practice location in Charlottesville.

NPPES Registry Identity

NPI1073592796

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameCLAIBORNE GOOCH WHITWORTH IVCredential: MD

Location Address100 SPOTSWOOD DRLexington, VA 24450-2454

Mailing Address213 S Jefferson St Ste 1006Roanoke, VA 24011-1713 · (540) 224-5715

Phone(540) 463-7108

Fax(540) 462-2923

Sole ProprietorNo

Medical School CMSUniversity Of Virginia School Of MedicineGraduated 1991

Enumeration DateJanuary 11, 2006

Last NPPES UpdateAugust 9, 20222 updates tracked since enumeration

NPPES CertifiedAugust 9, 2022

✔ NPI 1073592796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in VA · 0101049835

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

100 SPOTSWOOD DR, Lexington, VA 24450

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Secondary Practice Location 1

Location 1155 Riverbend DrCharlottesville, VA 22911-8607 · Phone (434) 295-0184 · Fax (434) 295-2463

Other Identifiers 3

Medicaid010080576VA

Other137919Anthem/blue Cross

Other54-0892025Tax Id

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

Claiborne Gooch Whitworth Iv 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 ID749193753

PECOS Enrollment IDI20040603000139

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 13

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

133 services114 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

109 services89 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

68 services68 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

62 services62 patients

Limited ultrasound scan of pelvis 76857

A limited ultrasound scan of the pelvis is a non-invasive imaging test. It uses high-frequency sound waves to create pictures of the lower abdomen area. This helps doctors view and assess the health of certain internal structures. It's painless and usually takes about 30 minutes.

57 services56 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

56 services48 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

51 services40 patients

Telephone medical discussion with physician, 5-10 minutes 99441

A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.

37 services31 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.

22 services22 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

15 services15 patients

Crushing of stone of ureter with insertion of stent using an endoscope 52356

This procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.

14 services12 patients

Manual urinalysis test with examination using microscope, automated 81001

A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.

14 services13 patients

Insertion of temporary bladder tube 51701

This procedure involves placing a small tube into your lower abdomen to help drain urine from your bladder. It's a temporary measure, often used when normal urination is not possible. The tube remains in place until you can urinate on your own again.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Carilion Medical Center

Acute Care Hospitals · Roanoke, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490024

Location1906 Belleview Avenue, SERoanoke, VA 24014 · Roanoke City County

Emergency services Birthing friendly

Carilion Stonewall Jackson Hospital

Critical Access Hospitals · Lexington, VA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number491304

Location1 Health CircleLexington, VA 24450 · Lexington City County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24450 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

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

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.

Referred Medical Equipment & Supplies CMS DME claims

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

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

DME-Orthotic Devices · category DF008N

3 suppliers13 claims1,736 services$1.46 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 2

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

DR. AYESHA JONE' KELLY MD

Surgery

100 SPOTSWOOD DR
LEXINGTON, VA 24450

Lexington City (540) 463-7108

DR. ASHLEY RAPP PARKER M.D.

Surgery

100 SPOTSWOOD DR
LEXINGTON, VA 24450

Lexington City (540) 463-7108

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 Claiborne Whitworth's NPI number?

The NPI number for Claiborne Whitworth is 1073592796. It was assigned to this individual provider in the NPPES registry on January 11, 2006.

Where is Claiborne Whitworth located?

Claiborne Whitworth practices at 100 Spotswood Dr, Lexington, VA 24450. The listed phone number is (540) 463-7108.

What is Claiborne Whitworth's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Claiborne Whitworth enrolled in Medicare?

Yes. Claiborne Whitworth 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.

Is Claiborne Whitworth affiliated with any hospitals?

According to CMS data, Claiborne Whitworth is affiliated with Carilion Medical Center and Carilion Stonewall Jackson Hospital.

When was this NPI record last updated?

The NPPES record for Claiborne Whitworth was last updated on August 9, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.