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DR. ROBERT N WHITLOW II O.D.
NPI 1265438956
Optometrist in Edmonton, KY

Active since June 27, 2005PECOS EnrolledAccepts Medicare Assignment
1406 W STOCKTON ST, EDMONTON, KY 42129(270) 432-0123(270) 432-5899 Get Directions Write a Review

NPPES record last updated: February 20, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Robert N Whitlow Ii O.d. NPPES

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

DR. ROBERT N WHITLOW II O.D. (NPI 1265438956) is an individual optometrist in Edmonton, Kentucky, licensed in Kentucky (1226DT) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (1991).

NPPES Registry Identity

NPI1265438956
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. ROBERT N WHITLOW IICredential: O.D.
Location Address1406 W STOCKTON STEdmonton, KY 42129-8125
Mailing Address1406 W Stockton StEdmonton, KY 42129-8125 · (270) 432-0123 · Fax (270) 432-5899
Phone(270) 432-0123
Fax(270) 432-5899
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 1991
Enumeration DateJune 27, 2005
Last NPPES UpdateFebruary 20, 2017
✔ NPI 1265438956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in KY · 1226DT
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1406 W STOCKTON ST, Edmonton, KY 42129
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Other Identifiers 3

Medicare UPINU32039KY
Medicaid77012268KY
Medicare PIN0587702KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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. Robert N Whitlow Ii O.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 ID941275010
PECOS Enrollment IDI20100319000378
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 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
1,377 services11 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
50 services50 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
30 services30 patients
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.
30 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42129 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
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

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.

EDMONTON FAMILY VISION CENTER PSC
Optometrist
1406 W STOCKTON ST
EDMONTON, KY 42129
Metcalfe County (270) 432-0123
DR. CHERYL GILCHRIST WHITLOW O.D.
Optometrist
1406 W STOCKTON ST
EDMONTON, KY 42129
Metcalfe County (270) 432-0123

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 Robert Whitlow's NPI number?

The NPI number for Robert Whitlow is 1265438956. It was assigned to this individual provider in the NPPES registry on June 27, 2005.

Where is Robert Whitlow located?

Robert Whitlow practices at 1406 W Stockton St, Edmonton, KY 42129. The listed phone number is (270) 432-0123.

What is Robert Whitlow's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Robert Whitlow enrolled in Medicare?

Yes. Robert Whitlow 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 Robert Whitlow accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Robert Whitlow 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.

When was this NPI record last updated?

The NPPES record for Robert Whitlow was last updated on February 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.