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BRIAN A WHITTAKER MD
NPI 1548403835
Emergency Medicine in Charlottesville, VA

Active since April 16, 2009PECOS EnrolledAccepts Medicare Assignment
83/100
CMS Quality Rating
459 LOCUST AVE, CHARLOTTESVILLE, VA 22902(434) 982-7150 Get Directions Write a Review

NPPES record last updated: August 5, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brian A Whittaker Md NPPES

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

BRIAN A WHITTAKER MD (NPI 1548403835) is an individual emergency medicine provider in Charlottesville, Virginia, licensed in Virginia (0101245405) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with Sentara Martha Jefferson Hospital, and is a graduate of Duke University School Of Medicine (2005).

NPPES Registry Identity

NPI1548403835
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameBRIAN A WHITTAKERCredential: MD
Location Address459 LOCUST AVECharlottesville, VA 22902-4808
Mailing AddressPo Box 11647Daytona Beach, FL 32120-1647 · (386) 274-7800 · Fax (386) 274-7801
Phone(434) 982-7150
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 2005
Enumeration DateApril 16, 2009
Last NPPES UpdateAugust 5, 2009
✔ NPI 1548403835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in VA · 0101245405
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
459 LOCUST AVE, Charlottesville, VA 22902
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Other Identifiers 1

Medicare PIN020143P23VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.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

Brian A Whittaker 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 ID7719039692
PECOS Enrollment IDI20090723000810
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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
365 services345 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
235 services232 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
223 services213 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
87 services85 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
58 services58 patients

Hospital Affiliations CMS Care Compare

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

Sentara Martha Jefferson Hospital

Acute Care Hospitals · Charlottesville, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490077
Location500 Martha Jefferson DriveCharlottesville, VA 22911 · Albemarle County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22902 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

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.

83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities0
Cost93.34

Other Providers at the Same Location NPPES 16

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

DR. URSULA GAILLIOT KOEZE MD
Emergency Medicine
459 LOCUST AVE, MB 26
CHARLOTTESVILLE, VA 22902
Charlottesville City (434) 982-7150
HEMATOLOGY ONCOLOGY PATIENT ENTERPRISES P C
Internal Medicine (Hematology & Oncology)
459 LOCUST AVE
CHARLOTTESVILLE, VA 22902
Charlottesville City (434) 982-8410
JOHN S TIEDEMAN MD
Anesthesiology
459 LOCUST AVE
CHARLOTTESVILLE, VA 22902
Charlottesville City (434) 296-7733
DR. JULIA D WHITING MD
Emergency Medicine
459 LOCUST AVE, MB 26
CHARLOTTESVILLE, VA 22902
Charlottesville City (434) 982-7150
DR. MICHAEL RANDEL BAYLOR MD
Emergency Medicine
459 LOCUST AVE, MB #26
CHARLOTTESVILLE, VA 22902
Charlottesville City (434) 982-7150
DR. JEFFREY SCOTT ALBERTS MD
Internal Medicine
459 LOCUST AVE, MB #26
CHARLOTTESVILLE, VA 22902
Charlottesville City (434) 982-7150
DR. WILLIAM JOHN SNUFFIN JR. DO
Emergency Medicine
459 LOCUST AVE, MB 26
CHARLOTTESVILLE, VA 22902
Charlottesville City (434) 982-7150
DR. DANIEL RANDOLPH RICCIARDI MD
Emergency Medicine
459 LOCUST AVE, MB 26
CHARLOTTESVILLE, VA 22902
Charlottesville City (434) 982-7150

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 Brian Whittaker's NPI number?

The NPI number for Brian Whittaker is 1548403835. It was assigned to this individual provider in the NPPES registry on April 16, 2009.

Where is Brian Whittaker located?

Brian Whittaker practices at 459 Locust Ave, Charlottesville, VA 22902. The listed phone number is (434) 982-7150.

What is Brian Whittaker's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Brian Whittaker enrolled in Medicare?

Yes. Brian Whittaker 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 Brian Whittaker accept?

Health plans from Molina Healthcare list Brian Whittaker 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 Brian Whittaker affiliated with any hospitals?

According to CMS data, Brian Whittaker is affiliated with Sentara Martha Jefferson Hospital.

When was this NPI record last updated?

The NPPES record for Brian Whittaker was last updated on August 5, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.