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STEWART WHITNEY
NPI 1497142491
Colon & Rectal Surgery in Dallas, TX

Active since April 17, 2015PECOS EnrolledAccepts Medicare Assignment
89.44/100
CMS Quality Rating
8315 WALNUT HILL LN STE 220, DALLAS, TX 75231(214) 343-8565 Get Directions Write a Review

NPPES record last updated: October 4, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 4, 2021, Sep 30, 2021 (2 updates tracked since 2021).

About Stewart Whitney NPPES

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

STEWART WHITNEY (NPI 1497142491) is an individual colon & rectal surgery provider in Dallas, Texas, licensed in Texas (T0976) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Texas Health Presbyterian Hospital Dallas, and is a graduate of Baylor College Of Medicine (2015).

NPPES Registry Identity

NPI1497142491
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameSTEWART WHITNEY
Location Address8315 WALNUT HILL LN STE 220Dallas, TX 75231-4254
Mailing Address16980 Dallas Pkwy Ste 200Dallas, TX 75248-1974 · (214) 343-8565
Phone(214) 343-8565
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 2015
Enumeration DateApril 17, 2015
Last NPPES UpdateOctober 4, 20212 updates tracked since enumeration
NPPES CertifiedOctober 4, 2021
✔ NPI 1497142491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in TX · T0976
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
8315 WALNUT HILL LN STE 220, Dallas, TX 75231
Open in Google Maps ↗

Other Identifiers 1

Medicaid427851701TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Stewart Whitney 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 ID8628496692
PECOS Enrollment IDI20210719001943
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 12

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.
101 services64 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.
47 services47 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.
33 services13 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
32 services21 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
29 services29 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
27 services27 patients

Hospital Affiliations CMS Care Compare 3

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

Texas Health Presbyterian Hospital Dallas

Acute Care Hospitals · Dallas, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450462
Location8200 Walnut Hill LaneDallas, TX 75231 · Dallas County
Emergency services Birthing friendly

Texas Health Presbyterian Hospital Rockwall

Acute Care Hospitals · Rockwall, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number670044
Location3150 Horizon RoadRockwall, TX 75032 · Rockwall County
Emergency services

North Central Surgical Center LLP

Acute Care Hospitals · Dallas, TX
OwnershipVoluntary non-profit - Other
CMS Certification Number670049
Location9301 North Central Expressway Suite 100Dallas, TX 75231 · Dallas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75231 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
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.

89.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.85
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
4 suppliers12 claims430 services$4.89 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
5 suppliers18 claims353 services$2.50 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
3 suppliers18 claims490 services$5.98 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
4 suppliers13 claims1,175 services$0.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Stewart Whitney's NPI number?

The NPI number for Stewart Whitney is 1497142491. It was assigned to this individual provider in the NPPES registry on April 17, 2015.

Where is Stewart Whitney located?

Stewart Whitney practices at 8315 Walnut Hill Ln Ste 220, Dallas, TX 75231. The listed phone number is (214) 343-8565.

What is Stewart Whitney's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Stewart Whitney enrolled in Medicare?

Yes. Stewart 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.

What insurance does Stewart Whitney accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 10 other insurers list Stewart 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.

Is Stewart Whitney affiliated with any hospitals?

According to CMS data, Stewart Whitney is affiliated with Texas Health Presbyterian Hospital Dallas, Texas Health Presbyterian Hospital Rockwall and North Central Surgical Center LLP.

When was this NPI record last updated?

The NPPES record for Stewart Whitney was last updated on October 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.