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DR. WHITNEY MCCONKEY O.D.
NPI 1275990145
Optometrist in Baltimore, MD

Active since January 24, 2016PECOS Enrolled
51.3/100
CMS Quality Rating
4425 FITCH AVE STE 120, BALTIMORE, MD 21236(410) 459-5320 Get Directions Write a Review

NPPES record last updated: April 25, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Whitney Mcconkey O.d. NPPES

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

DR. WHITNEY MCCONKEY O.D. (NPI 1275990145) is an individual optometrist in Baltimore, Maryland, licensed in Maryland (TA2492) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1275990145
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. WHITNEY MCCONKEYCredential: O.D.
Location Address4425 FITCH AVE STE 120Baltimore, MD 21236-3927
Mailing Address1420 Saratoga DrBel Air, MD 21014-5516 · (410) 459-5320
Phone(410) 459-5320
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 24, 2016
Last NPPES UpdateApril 25, 2023
NPPES CertifiedApril 25, 2023
✔ NPI 1275990145 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 MD · TA2492
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.
4425 FITCH AVE STE 120, Baltimore, MD 21236
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Whitney Mcconkey O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628360245
PECOS Enrollment IDI20160630000020
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 Whitney Mcconkey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mcconkey Eye Care LLC
Same address
Optometrist
4425 FITCH AVE STE 120
Baltimore, MD 21236
  • Reassigned Medicare billing, Maryland enrollment
NPI 1902596224 (410) 459-5320

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

Areas of Expertise CMS Part B claims 5

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 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.
73 services41 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.
47 services35 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
41 services40 patients
Placement of amniotic membrane on eye surface for wound healing 65778
The placement of an amniotic membrane on the eye surface is a treatment to promote healing of eye wounds. It involves placing a thin, protective layer over the eye. This layer, derived from the amniotic membrane, helps reduce inflammation and scarring, while encouraging healing.
39 services20 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.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21236 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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.

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.

51.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability0
Improvement Activities40
Cost21.02

Other Providers at the Same Location NPPES

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

MCCONKEY EYE CARE LLC
Optometrist
4425 FITCH AVE STE 120
BALTIMORE, MD 21236
Baltimore County (410) 459-5320

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 Whitney Mcconkey's NPI number?

The NPI number for Whitney Mcconkey is 1275990145. It was assigned to this individual provider in the NPPES registry on January 24, 2016.

Where is Whitney Mcconkey located?

Whitney Mcconkey practices at 4425 Fitch Ave Ste 120, Baltimore, MD 21236. The listed phone number is (410) 459-5320.

What is Whitney Mcconkey's specialty?

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

Is Whitney Mcconkey enrolled in Medicare?

Yes. Whitney Mcconkey is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Whitney Mcconkey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Whitney Mcconkey reassigns Medicare benefits to Mcconkey Eye Care LLC (Baltimore, MD). 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 Whitney Mcconkey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Whitney Mcconkey accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Providence Health Plan list Whitney Mcconkey 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 Whitney Mcconkey was last updated on April 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.