COURTNEY WHITELOCK
NPI 1730743170
Surgery in Stony Brook, NY

Q: What is Courtney Whitelock's NPI number?

The NPI number for Courtney Whitelock is 1730743170. It was assigned to this individual provider in the NPPES registry on April 30, 2019.

Q: What is Courtney Whitelock's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since April 30, 2019PECOS EnrolledAccepts Medicare Assignment

101 NICOLLS RD, STONY BROOK, NY 11794(631) 689-8333 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 6, 2021, Apr 30, 2019 (2 updates tracked since 2019).

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About Courtney Whitelock NPPES

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

COURTNEY WHITELOCK (NPI 1730743170) is an individual surgery provider in Stony Brook, New York, licensed in New York (345116) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1730743170

Entity TypeIndividualFemale

Primary Taxonomy208600000X

Provider Legal NameCOURTNEY WHITELOCK

Location Address101 NICOLLS RDStony Brook, NY 11794-0001

Mailing Address101 Nicolls RdStony Brook, NY 11794-0001

Phone(631) 689-8333

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateApril 30, 2019

Last NPPES UpdateJune 23, 20262 updates tracked since enumeration

NPPES CertifiedJune 23, 2026

✔ NPI 1730743170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in NY · 345116

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

101 NICOLLS RD, Stony Brook, NY 11794

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Secondary Practice Locations 2

Location 1600 S Paulina StChicago, IL 60612-3806 · Phone (312) 942-7199

Location 21200 E Michigan Ave Ste 655Lansing, MI 48912-1837 · Phone (517) 364-1000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Courtney Whitelock 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 ID6305301284

PECOS Enrollment IDI20260721004165

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.

Medicare Billing Reassignment

Medicare enrollment records show Courtney Whitelock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Stony Brook Surgical Associates, University Faculty Practice Corporati

0.5 mi

Surgery

SUNY @ STONY BROOK, HSC, L19, RM 020
Stony Brook, NY 11794

Reassigned Medicare billing, New York enrollment
114 clinicians in this Medicare group

NPI 1063468536 (631) 444-8278

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY

4/5 CMS rating

OwnershipGovernment - State

CMS Certification Number330393

LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11794 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

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.

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.

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Internal Medicine