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MR. MARK JEFFERY WHITTINGTON OD
NPI 1366925620
Optometrist in Charleston, WV

Active since September 12, 2018PECOS EnrolledAccepts Medicare Assignment
3840 PENNSYLVANIA AVE, CHARLESTON, WV 25302(304) 342-0660(304) 344-5483 Get Directions Write a Review

NPPES record last updated: September 12, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Mark Jeffery Whittington Od NPPES

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

MR. MARK JEFFERY WHITTINGTON OD (NPI 1366925620) is an individual optometrist in Charleston, West Virginia, licensed in West Virginia (2052-IOD) and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS and is a graduate of University Alabama Birmingham - School Of Optometry (2018).

NPPES Registry Identity

NPI1366925620
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMR. MARK JEFFERY WHITTINGTONCredential: OD
Location Address3840 PENNSYLVANIA AVECharleston, WV 25302-4650
Mailing Address3840 Pennsylvania AveCharleston, WV 25302-4650 · (304) 342-0660 · Fax (304) 344-5483
Phone(304) 342-0660
Fax(304) 344-5483
Sole ProprietorNo
Medical School CMSUniversity Alabama Birmingham - School Of OptometryGraduated 2018
Enumeration DateSeptember 12, 2018
✔ NPI 1366925620 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 WV · 2052-IOD
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.
3840 PENNSYLVANIA AVE, Charleston, WV 25302
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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 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

Mr. Mark Jeffery Whittington Od 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 ID1052656790
PECOS Enrollment IDI20181227000809
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 9

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 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.
266 services265 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
181 services179 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.
176 services147 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.
72 services56 patients
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.
70 services46 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
34 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25302 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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 4

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

MRS. SANDRA H WHITTINGTON OD
Optometrist
3840 PENNSYLVANIA AVE, WHITTINGTON & WHITTINGTON
CHARLESTON, WV 25302
Kanawha County (304) 342-0660
DRS WHITTINGTON & WHITTINGTON PTR
Optometrist
3840 PENNSYLVANIA AVE
CHARLESTON, WV 25302
Kanawha County (304) 342-0660
DR. JEFFERY LEE WHITTINGTON OD
Optometrist
3840 PENNSYLVANIA AVE
CHARLESTON, WV 25302
Kanawha County (304) 342-0660
MR. KENT K HALL OD
Optometrist
3840 PENNSYLVANIA AVE, WHITTINGTON & WHITTINGTON
CHARLESTON, WV 25302
Kanawha County (304) 342-0660

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 Mark Whittington's NPI number?

The NPI number for Mark Whittington is 1366925620. It was assigned to this individual provider in the NPPES registry on September 12, 2018.

Where is Mark Whittington located?

Mark Whittington practices at 3840 Pennsylvania Ave, Charleston, WV 25302. The listed phone number is (304) 342-0660.

What is Mark Whittington's specialty?

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

Is Mark Whittington enrolled in Medicare?

Yes. Mark Whittington 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 Mark Whittington 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, CareSource and Providence Health Plan list Mark Whittington 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 Mark Whittington was last updated on September 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.