THOMAS J WHITTAKER M.D.
NPI 1699831206
Ophthalmology in Prairie Village, KS

Active since December 28, 2006PECOS EnrolledAccepts Medicare Assignment
91.89/100
CMS Quality Rating
7400 STATE LINE RD, SUITE 100, PRAIRIE VILLAGE, KS 66208(913) 588-6600(913) 588-6655 Get Directions Write a Review

NPPES record last updated: July 15, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thomas J Whittaker M.d. NPPES

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

THOMAS J WHITTAKER M.D. (NPI 1699831206) is an individual ophthalmology provider in Prairie Village, Kansas, licensed in Kansas (04-26232) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Kansas Hospital, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (1990).

NPPES Registry Identity

NPI1699831206
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameTHOMAS J WHITTAKERCredential: M.D.
Location Address7400 STATE LINE RD, SUITE 100Prairie Village, KS 66208-3444
Mailing AddressPo Box 411851Kansas City, MO 64141-1851 · (913) 588-6605 · Fax (913) 588-0888
Fax(913) 588-6655
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 1990
Enumeration DateDecember 28, 2006
Last NPPES UpdateJuly 15, 2014
NPI 1699831206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in KS · 04-26232
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.
7400 STATE LINE RD, Prairie Village, KS 66208

Other Identifiers 6

Other180028802Rr Medicare
Medicare UPINF79468
Medicare ID-Type Unspecified3324781A
Medicaid100279310AKS
Other20872138MO · Bcbs Kansas City
Medicaid203229349MO

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

Thomas J Whittaker 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 ID1254306905
PECOS Enrollment IDI20090325000379
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 11

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 problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
237 services177 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
224 services205 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.
189 services189 patients
Exam to measure eye deviation and range of motion 92060
This is an eye exam that checks for any misalignment in your eyes, also known as deviation. It also assesses the movement range of your eyes. The procedure is painless and helps in detecting conditions like strabismus or other vision issues.
166 services166 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
122 services121 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).
87 services73 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Kansas Hospital

Acute Care Hospitals · Kansas City, KS
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number170040
Location4000 Cambridge StreetKansas City, KS 66160 · Wyandotte County
Emergency services Birthing friendly

Olathe Medical Center

Acute Care Hospitals · Olathe, KS
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170049
Location20333 West 151st StreetOlathe, KS 66061 · Johnson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66208 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.

91.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.17
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 15

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

Clinic/Center (Ophthalmologic Surgery)
7400 STATE LINE RD, SUITE 212
PRAIRIE VILLAGE, KS 66208
Ophthalmology (Cornea and External Diseases Specialist)
7400 STATE LINE RD
PRAIRIE VILLAGE, KS 66208
Ophthalmology (Glaucoma Specialist)
7400 STATE LINE RD
PRAIRIE VILLAGE, KS 66208
Ophthalmology
7400 STATE LINE RD
PRAIRIE VILLAGE, KS 66208
Ophthalmology
7400 STATE LINE RD
PRAIRIE VILLAGE, KS 66208
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
7400 STATE LINE RD, SUITE 100
PRAIRIE VILLAGE, KS 66208
Ophthalmology
7400 STATE LINE RD, SUITE 100
PRAIRIE VILLAGE, KS 66208
Ophthalmology
7400 STATE LINE RD
PRAIRIE VILLAGE, KS 66208

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 Whittaker's NPI number?

The NPI number for Thomas Whittaker is 1699831206. It was assigned to this individual provider in the NPPES registry on December 28, 2006.

Where is Thomas Whittaker located?

Thomas Whittaker practices at 7400 State Line Rd Suite 100, Prairie Village, KS 66208. The listed phone number is (913) 588-6600.

What is Thomas Whittaker's specialty?

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

Is Thomas Whittaker enrolled in Medicare?

Yes. Thomas 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 Thomas Whittaker accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 7 other insurers list Thomas 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 Thomas Whittaker affiliated with any hospitals?

According to CMS data, Thomas Whittaker is affiliated with University Of Kansas Hospital and Olathe Medical Center.

When was this NPI record last updated?

The NPPES record for Thomas Whittaker was last updated on July 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.