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MARIA TERESA TREVINO WHITNEY M.D.
NPI 1376720730
Ophthalmology in San Antonio, TX

Active since January 29, 2008PECOS EnrolledAccepts Medicare Assignment
92.33/100
CMS Quality Rating
4114 POND HILL RD, STE 202, SAN ANTONIO, TX 78231(210) 200-8805(210) 200-8543 Get Directions Write a Review

NPPES record last updated: April 11, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 11, 2023, Jan 21, 2021 (2 updates tracked since 2021).

About Maria Teresa Trevino Whitney M.d. NPPES

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

MARIA TERESA TREVINO WHITNEY M.D. (NPI 1376720730) is an individual ophthalmology provider in San Antonio, Texas, licensed in Texas (N1493) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS and is a graduate of Baylor College Of Medicine (2005).

NPPES Registry Identity

NPI1376720730
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameMARIA TERESA TREVINO WHITNEYCredential: M.D.
Location Address4114 POND HILL RD, STE 202San Antonio, TX 78231-1273
Mailing Address4114 Pond Hill Rd, Ste 202San Antonio, TX 78231-1273 · (210) 200-8805 · Fax (210) 200-8543
Phone(210) 200-8805
Fax(210) 200-8543
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 2005
Enumeration DateJanuary 29, 2008
Last NPPES UpdateApril 11, 20232 updates tracked since enumeration
NPPES CertifiedApril 11, 2023
✔ NPI 1376720730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in TX · N1493
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
4114 POND HILL RD, San Antonio, TX 78231
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Other Identifiers 1

Medicaid204402603TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.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

Maria Teresa Trevino Whitney 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 ID3779637038
PECOS Enrollment IDI20090820000611
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 Maria Whitney reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Shavano Eye Center PLLC
Same address
Ophthalmology
4114 POND HILL RD STE 202
San Antonio, TX 78231
  • Reassigned Medicare billing, Texas enrollment
NPI 1992393474 (210) 200-8805

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 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.
359 services324 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
154 services140 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
135 services96 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
90 services84 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.
85 services85 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.
79 services69 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78231 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

92.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40
Cost74.46

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Dilated Macular Examination
97%97 patients4/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
88%41 patients5/55-star benchmark: 87%
Diabetes: Eye Exam
100%147 patients5/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
97%34 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%1,566 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
100%653 patients5/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
95%106 patients
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
98%85 patients
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
99%77 patients
Tobacco Use and Help with Quitting Among Adolescents
100%37 patients5/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 681 patients
Patients totalRate: 0% · 681 patients
0%681 patients5/55-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.

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.

DR. CARTER MALONE RICHARDS MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
4114 POND HILL RD, SUITE 101
SAN ANTONIO, TX 78231
Bexar County (210) 249-5020
SARAH CAMPANA GNP
Nurse Practitioner (Gerontology)
4114 POND HILL RD, SUITE 101
SAN ANTONIO, TX 78231
Bexar County (210) 249-5020

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 Maria Whitney's NPI number?

The NPI number for Maria Whitney is 1376720730. It was assigned to this individual provider in the NPPES registry on January 29, 2008.

Where is Maria Whitney located?

Maria Whitney practices at 4114 Pond Hill Rd Ste 202, San Antonio, TX 78231. The listed phone number is (210) 200-8805.

What is Maria Whitney's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Maria Whitney enrolled in Medicare?

Yes. Maria Whitney 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 Maria Whitney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maria Whitney reassigns Medicare benefits to Shavano Eye Center PLLC (San Antonio, TX). 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 Maria Whitney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maria Whitney accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Maria Whitney 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 Maria Whitney was last updated on April 11, 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.