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MR. CHARLES ROY WHITFILL M. D.
NPI 1528061587
Ophthalmology in Wichita, KS

Active since May 24, 2005PECOS EnrolledAccepts Medicare Assignment
90.67/100
CMS Quality Rating
655 N WOODLAWN ST, WICHITA, KS 67208(316) 684-5158(316) 681-1005 Get Directions Write a Review

NPPES record last updated: July 9, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Charles Roy Whitfill M. D. NPPES

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

MR. CHARLES ROY WHITFILL M. D. (NPI 1528061587) is an individual ophthalmology provider in Wichita, Kansas, licensed in Kansas (04-31260) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Oklahoma College Of Medicine (1995).

NPPES Registry Identity

NPI1528061587
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMR. CHARLES ROY WHITFILLCredential: M. D.
Location Address655 N WOODLAWN STWichita, KS 67208
Mailing Address1851 N Webb RdWichita, KS 67206-3413 · (316) 691-4449 · Fax (316) 691-4408
Phone(316) 684-5158
Fax(316) 681-1005
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1995
Enumeration DateMay 24, 2005
Last NPPES UpdateJuly 9, 2018
✔ NPI 1528061587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in KS · 04-31260
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.
655 N WOODLAWN ST, Wichita, KS 67208
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Other Identifiers 3

Medicaid200316860AKS
Other87403KTX · Bcbstx
Medicaid045575001TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health 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. Charles Roy Whitfill 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 ID4385687409
PECOS Enrollment IDI20050608001138
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67208 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
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
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.

90.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost68.9

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.

STEVEN J. FOGARTY M.D.
Ophthalmology
655 N WOODLAWN ST
WICHITA, KS 67208
Sedgwick County (316) 684-5158
KATHERINE M KUHL OD
Optometrist
655 N WOODLAWN ST
WICHITA, KS 67208
Sedgwick County (316) 684-5158

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 Charles Whitfill's NPI number?

The NPI number for Charles Whitfill is 1528061587. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Where is Charles Whitfill located?

Charles Whitfill practices at 655 N Woodlawn St, Wichita, KS 67208. The listed phone number is (316) 684-5158.

What is Charles Whitfill's specialty?

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

Is Charles Whitfill enrolled in Medicare?

Yes. Charles Whitfill 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 Charles Whitfill 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 6 other insurers list Charles Whitfill 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 Charles Whitfill was last updated on July 9, 2018. 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.