DR. THOMAS M. WHITENECK D.O.
NPI 1598879116
Family Medicine in Lawrenceville, GA

Active since August 19, 2006PECOS EnrolledAccepts Medicare Assignment
1730 LAWRENCEVILLE SUWANEE RD, LAWRENCEVILLE, GA 30043(770) 338-0089(770) 338-0091 Get Directions Write a Review

NPPES record last updated: May 18, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Thomas M. Whiteneck D.o. NPPES

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

DR. THOMAS M. WHITENECK D.O. (NPI 1598879116) is an individual family medicine provider in Lawrenceville, Georgia, licensed in Georgia (034077) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Gwinnett, and is a graduate of Philadelphia College Of Osteopathic Medicine (1985).

NPPES Registry Identity

NPI1598879116
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. THOMAS M. WHITENECKCredential: D.O.
Location Address1730 LAWRENCEVILLE SUWANEE RDLawrenceville, GA 30043-3507
Mailing Address1730 Lawrenceville Suwanee RdLawrenceville, GA 30043-3507 · (770) 338-0089 · Fax (770) 338-0091
Fax(770) 338-0091
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1985
Enumeration DateAugust 19, 2006
Last NPPES UpdateMay 18, 2011
NPI 1598879116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in GA · 034077
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1730 LAWRENCEVILLE SUWANEE RD, Lawrenceville, GA 30043

Other Identifiers 2

Medicare PIN511I080663GA
Medicare UPINE99247GA

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

Dr. Thomas M. Whiteneck D.o. 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 ID9234293127
PECOS Enrollment IDI20090121000215
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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
653 services371 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.
536 services339 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
500 services332 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
490 services331 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
401 services293 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
349 services249 patients

Hospital Affiliations CMS Care Compare

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

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30043 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers25 claims56 services$6.19 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers13 claims13 services$33.54 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
6 suppliers15 claims90 services$14.71 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
6 suppliers19 claims19 services$48.61 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers15 claims90 services$1.64 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 9

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

Physician Assistant (Medical)
1730 LAWRENCEVILLE SUWANEE RD
LAWRENCEVILLE, GA 30043
Family Medicine
1730 LAWRENCEVILLE SUWANEE RD
LAWRENCEVILLE, GA 30043
Family Medicine
1730 LAWRENCEVILLE SUWANEE RD
LAWRENCEVILLE, GA 30043
Nurse Practitioner (Family)
1730 LAWRENCEVILLE SUWANEE RD
LAWRENCEVILLE, GA 30043
Physician Assistant
1730 LAWRENCEVILLE SUWANEE RD
LAWRENCEVILLE, GA 30043
Family Medicine
1730 LAWRENCEVILLE SUWANEE RD
LAWRENCEVILLE, GA 30043
Physician Assistant
1730 LAWRENCEVILLE SUWANEE RD
LAWRENCEVILLE, GA 30043
Family Medicine
1730 LAWRENCEVILLE SUWANEE RD
LAWRENCEVILLE, GA 30043

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 Thomas Whiteneck's NPI number?

The NPI number for Thomas Whiteneck is 1598879116. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Where is Thomas Whiteneck located?

Thomas Whiteneck practices at 1730 Lawrenceville Suwanee Rd, Lawrenceville, GA 30043. The listed phone number is (770) 338-0089.

What is Thomas Whiteneck's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Thomas Whiteneck enrolled in Medicare?

Yes. Thomas Whiteneck 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 Thomas Whiteneck accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Thomas Whiteneck 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 Thomas Whiteneck affiliated with any hospitals?

According to CMS data, Thomas Whiteneck is affiliated with Northside Hospital Gwinnett.

When was this NPI record last updated?

The NPPES record for Thomas Whiteneck was last updated on May 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.