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WILLIAM MARTIN COLLINS M.D.
NPI 1174525836
Internal Medicine in Whitesburg, KY

Active since August 12, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 18D0723214 · Waiver
109 E MAIN ST, WHITESBURG, KY 41858(606) 633-4488(606) 633-8383 Get Directions Write a Review

NPPES record last updated: March 29, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About William Martin Collins M.d. NPPES

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

WILLIAM MARTIN COLLINS M.D. (NPI 1174525836) is an individual internal medicine provider in Whitesburg, Kentucky, licensed in Kentucky (23375) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through August 31, 2028, and is affiliated with Whitesburg Arh Hospital.

NPPES Registry Identity

NPI1174525836
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameWILLIAM MARTIN COLLINSCredential: M.D.
Location Address109 E MAIN STWhitesburg, KY 41858-7351
Mailing Address109 E Main StWhitesburg, KY 41858-7351 · (606) 633-4488 · Fax (606) 633-8383
Phone(606) 633-4488
Fax(606) 633-8383
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1986
Enumeration DateAugust 12, 2005
Last NPPES UpdateMarch 29, 2012
✔ NPI 1174525836 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 · 23375
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.
109 E MAIN ST, Whitesburg, KY 41858
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Other Identifiers 6

Other611093770KY · Tax Id Number
Other4884KY · Blue Cross/blue Shield
Medicare UPINC75604KY
Medicaid35000983KY
Medicare ID-Type Unspecified1420601KY · Medicare Inpatients
Medicare ID-Type Unspecified183858KY · Rural Health Clinic

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

William Martin Collins 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 ID5496642563
PECOS Enrollment IDI20040305000117
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 William Collins reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

William M Collins
Same address
Clinic/Center
109 E MAIN ST
Whitesburg, KY 41858
  • Reassigned Medicare billing, Kentucky enrollment
  • 3 clinicians in this Medicare group
NPI 1477693380 (606) 633-4488

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D0723214

William M Collins Attention Carol Whitt · Whitesburg, KY
Active · expires Aug 31, 2028
CLIA Number18D0723214
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorDr. William M. Collins
Laboratory Phone(606) 633-4488
Laboratory LocationWilliam M Collins Attention Carol Whitt109 E Main Street, Whitesburg, KY 41858
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

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.
282 services75 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
38 services13 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
17 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Whitesburg Arh Hospital

Acute Care Hospitals · Whitesburg, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180002
Location240 Hospital RoadWhitesburg, KY 41858 · Letcher County
Emergency services Birthing friendly

Pikeville Medical Center

Acute Care Hospitals · Pikeville, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180044
Location911 Bypass RoadPikeville, KY 41501 · Pike County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41858 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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
97%231 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 9

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
5 suppliers51 claims95 services$5.16 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers42 claims43 services$0.93 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
2 suppliers19 claims23 services$21.27 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$7.10 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 suppliers36 claims36 services$107.85 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
1 supplier15 claims1,800 services$0.09 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 4

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

MS. BERNARDINE F MIRACLE RPH
Pharmacist
109 E MAIN ST
WHITESBURG, KY 41858
Letcher County (606) 633-4488
MISS KRISTIE MICHELLE ROARK RPH
Pharmacist
109 E MAIN ST
WHITESBURG, KY 41858
Letcher County (606) 633-4488
KYVA INVESTMENTS INC
Pharmacy (Community/Retail Pharmacy)
109 E MAIN ST
WHITESBURG, KY 41858
Letcher County (606) 633-4488
WILLIAM M COLLINS
Clinic/Center
109 E MAIN ST
WHITESBURG, KY 41858
Letcher County (606) 633-4488

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 William Collins's NPI number?

The NPI number for William Collins is 1174525836. It was assigned to this individual provider in the NPPES registry on August 12, 2005.

Where is William Collins located?

William Collins practices at 109 E Main St, Whitesburg, KY 41858. The listed phone number is (606) 633-4488.

What is William Collins's specialty?

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

Is William Collins enrolled in Medicare?

Yes. William Collins 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.

Which organization bills Medicare for William Collins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Collins reassigns Medicare benefits to William M Collins (Whitesburg, KY). 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 William Collins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does William Collins hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D0723214) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does William Collins accept?

Health plans from Anthem Blue Cross and Blue Shield list William Collins 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 William Collins affiliated with any hospitals?

According to CMS data, William Collins is affiliated with Whitesburg Arh Hospital and Pikeville Medical Center.

When was this NPI record last updated?

The NPPES record for William Collins was last updated on March 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.