MILES WARREN WHITAKER MD
NPI 1538195243
Ophthalmology in Sanford, NC

Active since June 24, 2006PECOS EnrolledAccepts Medicare Assignment
87.95/100
CMS Quality Rating
1816 DOCTORS DR, SANFORD, NC 27330(910) 484-2284(910) 484-1673 Get Directions Write a Review

NPPES record last updated: October 28, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Miles Warren Whitaker Md NPPES

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

MILES WARREN WHITAKER MD (NPI 1538195243) is an individual ophthalmology provider in Sanford, North Carolina, licensed in North Carolina (36452) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Central Carolina Hospital, and is a graduate of Loma Linda University School Of Medicine (1985).

NPPES Registry Identity

NPI1538195243
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMILES WARREN WHITAKERCredential: MD
Location Address1816 DOCTORS DRSanford, NC 27330-5057
Mailing Address1816 Doctors DrSanford, NC 27330-5057 · (919) 774-8631 · Fax (919) 718-0784
Fax(910) 484-1673
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 1985
Enumeration DateJune 24, 2006
Last NPPES UpdateOctober 28, 2014
NPI 1538195243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NC · 36452
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.

1816 DOCTORS DR, Sanford, NC 27330

Other Identifiers 3

Medicaid8989069NC
Medicare ID-Type Unspecified2182548ANC
Medicare UPINF49075

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

Miles Warren Whitaker 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 ID9436235694
PECOS Enrollment IDI20100814000014
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 25

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, 20-29 minutes 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.
582 services417 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.
338 services280 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).
299 services209 patients
Imaging of front third of eye using a special microscope 92286
This procedure involves capturing detailed images of the front part of your eye using a specialized microscope. It helps in identifying any eye abnormalities or issues, improving the accuracy of diagnosis and treatment planning.
272 services189 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
257 services152 patients
Established patient office or other outpatient visit, 10-19 minutes 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.
188 services139 patients

Hospital Affiliations CMS Care Compare

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

Central Carolina Hospital

Acute Care Hospitals · Sanford, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340020
Location1135 Carthage StSanford, NC 27330 · Lee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27330 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

87.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.57
Promoting Interoperability100
Improvement Activities40
Cost83.28

Other Providers at the Same Location NPPES 5

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

Urology
1816 DOCTORS DR
SANFORD, NC 27330
Orthopaedic Surgery
1816 DOCTORS DR
SANFORD, NC 27330
Urology
1816 DOCTORS DR
SANFORD, NC 27330
Dermatology
1816 DOCTORS DR
SANFORD, NC 27330
Nurse Practitioner (Family)
1816 DOCTORS DR
SANFORD, NC 27330

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 Miles Whitaker's NPI number?

The NPI number for Miles Whitaker is 1538195243. It was assigned to this individual provider in the NPPES registry on June 24, 2006.

Where is Miles Whitaker located?

Miles Whitaker practices at 1816 Doctors Dr, Sanford, NC 27330. The listed phone number is (910) 484-2284.

What is Miles Whitaker's specialty?

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

Is Miles Whitaker enrolled in Medicare?

Yes. Miles Whitaker 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 Miles Whitaker accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC and UnitedHealthcare list Miles Whitaker 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 Miles Whitaker affiliated with any hospitals?

According to CMS data, Miles Whitaker is affiliated with Central Carolina Hospital.

When was this NPI record last updated?

The NPPES record for Miles Whitaker was last updated on October 28, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.