THOMAS WHITTON M.D.
NPI 1407204233
Internal Medicine - Pulmonary Disease in Laurel, MS

Active since June 02, 2016PECOS EnrolledAccepts Medicare Assignment
1203 JEFFERSON ST, LAUREL, MS 39440(601) 399-6169(601) 399-6184 Get Directions Write a Review

NPPES record last updated: June 19, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 26, 2026, Nov 12, 2024, Jul 22, 2024 (3 updates tracked since 2024).

About Thomas Whitton M.d. NPPES

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

THOMAS WHITTON M.D. (NPI 1407204233) is an individual pulmonary disease provider in Laurel, Mississippi, licensed in Kansas (04-49260) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Lmh, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1407204233
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameTHOMAS WHITTONCredential: M.D.
Location Address1203 JEFFERSON STLaurel, MS 39440-4354
Mailing Address301 Seaport Ln Apt 2223Mt Pleasant, SC 29464-2937 · (248) 990-2191
Fax(601) 399-6184
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 2, 2016
Last NPPES UpdateJune 19, 20263 updates tracked since enumeration
NPPES CertifiedJune 19, 2026
NPI 1407204233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses Licensed in KS · 04-49260 Licensed in MS · 37095
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedSurgeryTaxonomy 208600000X · License LL39535 (SC)
1203 JEFFERSON ST, Laurel, MS 39440

Secondary Practice Locations 2

Location 11130 W 4th St Ste 3200Lawrence, KS 66044-1346 · Phone (785) 505-3205 · Fax (785) 505-5261
Location 296 Jonathan Lucas St, MSC 613/CSB 423ACharleston, SC 29425-8900 · Phone (843) 792-3072

Accepted 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

Thomas Whitton 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 ID6608154745
PECOS Enrollment IDI20240402000697, I20240607000767
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 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 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.
84 services70 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.
39 services39 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.
14 services14 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.
13 services13 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Lmh

Acute Care Hospitals · Lawrence, KS
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number170137
Location325 Maine StreetLawrence, KS 66044 · Douglas County
Emergency services Birthing friendly

St Cloud Hospital

Acute Care Hospitals · Saint Cloud, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240036
Location1406 6th Ave NorthSaint Cloud, MN 56303 · Stearns County
Emergency services Birthing friendly

St Lukes Hospital

Acute Care Hospitals · Duluth, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240047
Location915 East 1st StreetDuluth, MN 55805 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39440 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
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
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 20

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

Nurse Practitioner
1203 JEFFERSON ST
LAUREL, MS 39440
Internal Medicine
1203 JEFFERSON ST
LAUREL, MS 39440
Internal Medicine (Pulmonary Disease)
1203 JEFFERSON ST
LAUREL, MS 39440
Psychiatry & Neurology (Neurology)
1203 JEFFERSON ST
LAUREL, MS 39440
Internal Medicine
1203 JEFFERSON ST
LAUREL, MS 39440
Internal Medicine
1203 JEFFERSON ST
LAUREL, MS 39440
Internal Medicine (Gastroenterology)
1203 JEFFERSON ST
LAUREL, MS 39440
Nurse Practitioner (Family)
1203 JEFFERSON ST
LAUREL, MS 39440

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 Thomas Whitton's NPI number?

The NPI number for Thomas Whitton is 1407204233. It was assigned to this individual provider in the NPPES registry on June 2, 2016.

Where is Thomas Whitton located?

Thomas Whitton practices at 1203 Jefferson St, Laurel, MS 39440. The listed phone number is (601) 399-6169.

What is Thomas Whitton's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Thomas Whitton enrolled in Medicare?

Yes. Thomas Whitton 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 Thomas Whitton accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list Thomas Whitton 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 Thomas Whitton affiliated with any hospitals?

According to CMS data, Thomas Whitton is affiliated with Lmh, St Cloud Hospital and St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Whitton was last updated on June 19, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.