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MS. DORIONNE WHITAKER CNP
NPI 1578923124
Nurse Practitioner - Family in Oxford, OH

Active since February 24, 2016PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
110 N POPLAR ST, OXFORD, OH 45056(513) 524-5490(513) 524-5101 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Nov 18, 2024, Jun 23, 2017, Jan 25, 2017 and 1 more (4 updates tracked since 2016).

About Ms. Dorionne Whitaker Cnp NPPES

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

MS. DORIONNE WHITAKER CNP (NPI 1578923124) is an individual family provider in Oxford, Ohio, licensed in Ohio (COA.19033-NP) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS, is affiliated with Mccullough-hyde Memorial Hospital, and is a graduate of University Of Cincinnati College Of Medicine (2015).

NPPES Registry Identity

NPI1578923124
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. DORIONNE WHITAKERCredential: CNP
Location Address110 N POPLAR STOxford, OH 45056-1204
Mailing Address110 N Poplar StOxford, OH 45056-1204 · (513) 524-5490 · Fax (513) 524-5101
Phone(513) 524-5490
Fax(513) 524-5101
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2015
Enumeration DateFebruary 24, 2016
Last NPPES UpdateNovember 18, 20244 updates tracked since enumeration
NPPES CertifiedNovember 18, 2024
✔ NPI 1578923124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · COA.19033-NP
110 N POPLAR ST, Oxford, OH 45056
Open in Google Maps ↗

Other Identifiers 1

Medicaid20-2305158OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, 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

Ms. Dorionne Whitaker Cnp 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 ID8426347782
PECOS Enrollment IDI20160510002179
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 6

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.
424 services342 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.
47 services44 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.
24 services24 patients
Test to measure the level of nitric oxide gas 95012
A test to measure the level of nitric oxide gas helps assess inflammation in the lungs, often linked with asthma. You'll breathe into a device, and it'll provide a reading of nitric oxide levels. This helps monitor and manage respiratory conditions.
13 services11 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.
12 services12 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.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Mccullough-Hyde Memorial Hospital

Acute Care Hospitals · Oxford, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360046
Location110 North Poplar StreetOxford, OH 45056 · Butler County
Emergency services Birthing friendly

Good Samaritan Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360134
Location375 Dixmyth AvenueCincinnati, OH 45220 · Hamilton County
Emergency services Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360179
Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45056 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 27

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
15 suppliers439 claims439 services$30.60 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
9 suppliers165 claims165 services$73.59 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
8 suppliers156 claims432 services$28.03 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
7 suppliers142 claims832 services$15.28 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
7 suppliers184 claims1,066 services$12.60 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
12 suppliers364 claims364 services$46.19 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

TRI STATE UROLOGIC SERVICES PSC INC
Urology
110 N POPLAR ST
OXFORD, OH 45056
Butler County (513) 867-1100
MCCULLOUGH-HYDE MEMORIAL HOSPITAL, INC.
Internal Medicine (Hematology & Oncology)
110 N POPLAR ST, PATIENT ACCOUNTS - ONCOLOGY
OXFORD, OH 45056
Butler County (513) 523-2111
MARY MARGARET KNOEDLER MD
Radiology (Diagnostic Radiology)
110 N POPLAR ST
OXFORD, OH 45056
Butler County (513) 965-8041
WESTERN OHIO ANESTHESIA ASSOCIATES
Anesthesiology (Pain Medicine)
110 N POPLAR ST, MCCULLOUGH-HYDE MEMORIAL HOSPITAL ANESTHESIOLOGY DEPT
OXFORD, OH 45056
Butler County (513) 524-5574
OXFORD OB/GYN, INC
Obstetrics & Gynecology
110 N POPLAR ST, THIRD FLOOR
OXFORD, OH 45056
Butler County (513) 523-1177
MARY MOEBIUS MD
Radiology (Diagnostic Radiology)
110 N POPLAR ST
OXFORD, OH 45056
Butler County (513) 965-8041
AARON BENDER M.D.
Emergency Medicine
110 N POPLAR ST
OXFORD, OH 45056
Butler County (513) 524-5353
MCCULLOUGH-HYDE MEMORIAL HOSPITAL, INC.
General Acute Care Hospital
110 N POPLAR ST
OXFORD, OH 45056
Butler County (513) 523-2111

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 Dorionne Whitaker's NPI number?

The NPI number for Dorionne Whitaker is 1578923124. It was assigned to this individual provider in the NPPES registry on February 24, 2016.

Where is Dorionne Whitaker located?

Dorionne Whitaker practices at 110 N Poplar St, Oxford, OH 45056. The listed phone number is (513) 524-5490.

What is Dorionne Whitaker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Dorionne Whitaker enrolled in Medicare?

Yes. Dorionne 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 Dorionne Whitaker accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Dorionne 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 Dorionne Whitaker affiliated with any hospitals?

According to CMS data, Dorionne Whitaker is affiliated with Mccullough-Hyde Memorial Hospital, Good Samaritan Hospital and Bethesda North.

When was this NPI record last updated?

The NPPES record for Dorionne Whitaker was last updated on November 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.