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DR. PHILLIP BLAINE WHITING M.D.
NPI 1326337296
Otolaryngology in Lone Tree, CO

Active since March 31, 2011PECOS EnrolledAccepts Medicare Assignment
66.09/100
CMS Quality Rating
10099 RIDGEGATE PKWY, CONIFER BUILDING, SUITE 230, LONE TREE, CO 80124(303) 706-1616(303) 706-0151 Get Directions Write a Review

NPPES record last updated: June 20, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2016, Jun 15, 2016 (2 updates tracked since 2016).

About Dr. Phillip Blaine Whiting M.d. NPPES

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

DR. PHILLIP BLAINE WHITING M.D. (NPI 1326337296) is an individual otolaryngology provider in Lone Tree, Colorado, licensed in Colorado (DR.0056537) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS, is affiliated with Uintah Basin Medical Center, and is a graduate of University Of Texas Medical School At San Antonio (2011).

NPPES Registry Identity

NPI1326337296
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. PHILLIP BLAINE WHITINGCredential: M.D.
Location Address10099 RIDGEGATE PKWY, CONIFER BUILDING, SUITE 230Lone Tree, CO 80124-5531
Mailing Address10099 Ridgegate Pkwy, Conifer Building, Suite 230Lone Tree, CO 80124-5531 · (303) 706-1616 · Fax (303) 706-0151
Phone(303) 706-1616
Fax(303) 706-0151
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2011
Enumeration DateMarch 31, 2011
Last NPPES UpdateJune 20, 20162 updates tracked since enumeration
✔ NPI 1326337296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in CO · DR.0056537
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
10099 RIDGEGATE PKWY, Lone Tree, CO 80124
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health.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. Phillip Blaine Whiting 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 ID2860702388
PECOS Enrollment IDI20190731001106
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 7

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.
49 services43 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.
29 services26 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
19 services14 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.
17 services17 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.
17 services17 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
14 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Uintah Basin Medical Center

Acute Care Hospitals · Roosevelt, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number460019
Location250 West 300 NorthRoosevelt, UT 84066 · Duchesne County
Emergency services Birthing friendly

Ashley Regional Medical Center

Acute Care Hospitals · Vernal, UT
OwnershipProprietary
CMS Certification Number460030
Location150 West 100 NorthVernal, UT 84078 · Uintah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80124 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

66.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality39.7
Promoting Interoperability100
Improvement Activities40
Cost47.28

Other Providers at the Same Location NPPES 20

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

COLORADO ENDOCRINOLOGY, THYROID AND DIABETES CONSULTANTS, P.C.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
10099 RIDGEGATE PKWY, SUITE 480
LONE TREE, CO 80124
Douglas County (303) 790-2400
PHOENIX NEUROMONITORING
Specialist/Technologist, Other
10099 RIDGEGATE PKWY, SUITE 480
LONE TREE, CO 80124
Douglas County (303) 801-8136
JOSEPH LAWRENCE DAVIS
Student in an Organized Health Care Education/Training Program
10099 RIDGEGATE PKWY
LONE TREE, CO 80124
Douglas County (720) 875-2880
TAMMI H. SCHAEFFER, DO PC
Emergency Medicine (Medical Toxicology)
10099 RIDGEGATE PKWY, SUITE 220
LONE TREE, CO 80124
Douglas County (303) 815-1960
SANFORD ELDON AVNER M.D.
Allergy & Immunology
10099 RIDGEGATE PKWY, STE. #400
LONE TREE, CO 80124
Douglas County (303) 706-9923
SOUTHEAST FAMILY PHYSICIANS
Family Medicine
10099 RIDGEGATE PKWY, SUITE 340
LONE TREE, CO 80124
Douglas County (303) 706-0400
DR. CYNTHIA G KRISTENSEN MD
Internal Medicine (Nephrology)
10099 RIDGEGATE PKWY, STE 310
LONE TREE, CO 80124
Douglas County (303) 327-4700
SKY RIDGE SURGERY CENTER LP
Clinic/Center (Ambulatory Surgical)
10099 RIDGEGATE PKWY, SUITE 100
LONE TREE, CO 80124
Douglas County (720) 225-5000

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 Phillip Whiting's NPI number?

The NPI number for Phillip Whiting is 1326337296. It was assigned to this individual provider in the NPPES registry on March 31, 2011.

Where is Phillip Whiting located?

Phillip Whiting practices at 10099 Ridgegate Pkwy Conifer Building, Suite 230, Lone Tree, CO 80124. The listed phone number is (303) 706-1616.

What is Phillip Whiting's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Phillip Whiting enrolled in Medicare?

Yes. Phillip Whiting 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 Phillip Whiting accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and Select Health list Phillip Whiting 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 Phillip Whiting affiliated with any hospitals?

According to CMS data, Phillip Whiting is affiliated with Uintah Basin Medical Center and Ashley Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Phillip Whiting was last updated on June 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.