KARL WHITLEY MD
NPI 1407843956
Otolaryngology in Phila, PA

Active since September 30, 2005PECOS EnrolledAccepts Medicare Assignment
76.7/100
CMS Quality Rating
3509 N BROAD ST, PHILA, PA 19140(215) 707-3663(215) 226-8286 Get Directions Write a Review

NPPES record last updated: October 9, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Karl Whitley Md NPPES

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

KARL WHITLEY MD (NPI 1407843956) is an individual otolaryngology provider in Phila, Pennsylvania, licensed in Pennsylvania (MD049534L) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Temple University Hospital, and is a graduate of George Washington University School Of Medicine (1990).

NPPES Registry Identity

NPI1407843956
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameKARL WHITLEYCredential: MD
Location Address3509 N BROAD STPhila, PA 19140-4105
Mailing Address2450 W Hunting Park Ave, 3/208nPhiladelphia, PA 19129-1302 · (215) 707-3663 · Fax (215) 707-7523
Fax(215) 226-8286
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 1990
Enumeration DateSeptember 30, 2005
Last NPPES UpdateOctober 9, 2017
NPI 1407843956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in PA · MD049534L
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.
3509 N BROAD ST, Phila, PA 19140

Other Identifiers 11

Medicaid001560548PA
OtherP00313454PA · Railroad Medicare
Other562290PA · Highmark Blue Shield
Other0745640000PA · Independence Blue Cross
Medicare UPING15754
Other17012PA · Bravo Health
Medicare PIN562290D9N
Medicare PIN562290PA
Other5558502PA · Aetna Ppo
Other519043PA · Coventry Health America
Other30011554PA · Keystone Mercy Health

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

Karl Whitley Md 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 ID8820990559
PECOS Enrollment IDI20040123000196
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 10

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.
162 services132 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.
102 services91 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.
84 services84 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
82 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.
43 services43 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
38 services31 patients

Hospital Affiliations CMS Care Compare

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

Temple University Hospital

Acute Care Hospitals · Philadelphia, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390027
Location3401 North Broad StreetPhiladelphia, PA 19140 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19140 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

76.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality55.19
Promoting Interoperability98
Improvement Activities40
Cost54.93

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.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
3509 N BROAD ST
PHILADELPHIA, PA 19140
Internal Medicine
3509 N BROAD ST, SUITE 226
PHILADELPHIA, PA 19140
Psychiatry & Neurology (Neurology)
3509 N BROAD ST, FL 6 EAST TUCMC
PHILADELPHIA, PA 19140
Physician Assistant
3509 N BROAD ST
PHILADELPHIA, PA 19140
Ophthalmology
3509 N BROAD ST
PHILADELPHIA, PA 19140
Psychiatry & Neurology (Neurology)
3509 N BROAD ST
PHILADELPHIA, PA 19140
Otolaryngology
3509 N BROAD ST
PHILADELPHIA, PA 19140
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3509 N BROAD ST
PHILADELPHIA, PA 19140

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 Karl Whitley's NPI number?

The NPI number for Karl Whitley is 1407843956. It was assigned to this individual provider in the NPPES registry on September 30, 2005.

Where is Karl Whitley located?

Karl Whitley practices at 3509 N Broad St, Phila, PA 19140. The listed phone number is (215) 707-3663.

What is Karl Whitley's specialty?

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

Is Karl Whitley enrolled in Medicare?

Yes. Karl Whitley 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.

Is Karl Whitley affiliated with any hospitals?

According to CMS data, Karl Whitley is affiliated with Temple University Hospital.

When was this NPI record last updated?

The NPPES record for Karl Whitley was last updated on October 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.