WILLIAM D WHITTON MD
NPI 1790754307
Family Medicine in Madison, MS

Q: What is William Whitton's NPI number?

The NPI number for William Whitton is 1790754307. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Q: What is William Whitton's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for William Whitton was last updated on March 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 16, 2006PECOS EnrolledAccepts Medicare Assignment

89.76/100

CMS Quality Rating

1040 GLUCKSTADT RD STE B, MADISON, MS 39110(601) 605-0452(601) 605-0453 Get Directions Write a Review

NPPES record last updated: March 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About William D Whitton Md NPPES

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

WILLIAM D WHITTON MD (NPI 1790754307) is an individual family medicine provider in Madison, Mississippi, licensed in Mississippi (15902) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Merit Health Madison, and is a graduate of University Of Mississippi School Of Medicine (1997).

NPPES Registry Identity

NPI1790754307

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameWILLIAM D WHITTONCredential: MD

Location Address1040 GLUCKSTADT RD STE BMadison, MS 39110-7228

Mailing Address140 Colony PlMadison, MS 39110-6638 · (601) 918-2368 · Fax (601) 605-0453

Phone(601) 605-0452

Fax(601) 605-0453

Sole ProprietorNo

Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 1997

Enumeration DateMarch 16, 2006

Last NPPES UpdateMarch 8, 2022

NPPES CertifiedMarch 8, 2022

✔ NPI 1790754307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MS · 15902

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.

1040 GLUCKSTADT RD STE B, Madison, MS 39110

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Other Identifiers 8

Other168390707MS · Us Dept Of Labor

Other753068151MS · Ms Health Partners

OtherP00169813MS · Rr Medicare

Other753068151001MS · Tricare

Other7610132MS · Aetna

Other753068151MS · Ms Physcians Care Network

Medicaid00122387MS

Other753068151MS · First Choice

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia 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

William D Whitton 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 ID8325027063

PECOS Enrollment IDI20041110000268

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 21

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.

Measurement of brain wave activity (eeg), digital analysis 95957

The measurement of brain wave activity, or EEG, involves recording and analyzing electrical signals from your brain. Small sensors are placed on the scalp to capture these signals. This digital analysis helps in diagnosing conditions like epilepsy or sleep disorders.

857 services54 patients

Therapy procedure for a range of mental processes, each additional 15 minutes 97130

This therapy procedure focuses on improving mental processes. Each additional 15-minute segment allows for a deeper understanding of your thoughts, feelings, and behaviors. The goal is to enhance your mental well-being and overall quality of life.

786 services30 patients

Therapy procedure for a range of mental processes, initial 15 minutes 97129

This therapy session, lasting 15 minutes, focuses on improving your mental processes. It's an initial step towards understanding your mental health needs. The therapist will engage in conversation, listen to your concerns, and help identify areas for improvement.

752 services30 patients

Evaluation of neuropsychological test, first hour 96132

An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.

446 services32 patients

Administration of psychological or neuropsychological test, first 30 minutes 96136

This procedure involves a health professional conducting a psychological or neuropsychological test. The first 30 minutes typically involve understanding your mental health or brain function through various assessments. This helps in diagnosing and treating mental health disorders effectively.

400 services25 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.

249 services138 patients

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.

187 services120 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

138 services12 patients

Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454

This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.

89 services13 patients

Measurement of brain wave activity (eeg), 41-60 minutes 95812

This procedure involves placing small sensors on your head to record your brain's electrical activity for 41-60 minutes. Known as an EEG, it helps doctors understand how your brain works, assisting in diagnosing conditions like epilepsy or sleep disorders.

64 services37 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

63 services63 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

44 services20 patients

Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457

This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.

39 services14 patients

Measurement of brain wave activity (eeg), awake and drowsy 95816

Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.

37 services22 patients

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.

37 services32 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

34 services31 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

24 services18 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.

22 services22 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.

20 services20 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.

18 services18 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

15 services15 patients

Hospital Affiliations CMS Care Compare 4

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

Merit Health Madison

Acute Care Hospitals · Canton, MS

OwnershipProprietary

CMS Certification Number250038

Location161 River Oaks DriveCanton, MS 39046 · Madison County

Emergency services

Mississippi Baptist Medical Center

Acute Care Hospitals · Jackson, MS

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number250102

Location1225 N State StJackson, MS 39202 · Hinds County

Emergency services Birthing friendly

Merit Health Women's Hospital

Acute Care Hospitals · Flowood, MS

OwnershipProprietary

CMS Certification Number250136

Location1026 River Oaks DriveFlowood, MS 39232 · Rankin County

Birthing friendly

Merit Health River Oaks

Acute Care Hospitals · Flowood, MS

1/5 CMS rating

OwnershipProprietary

CMS Certification Number250138

Location1030 River Oaks DriveFlowood, MS 39232 · Rankin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39110 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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.

89.76/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

75.59

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES

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

LAURA K TANKSLEY NP

Nurse Practitioner (Acute Care)

1040 GLUCKSTADT RD STE B
GLUCKSTADT, MS 39110

Madison County (601) 605-0452

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 William Whitton's NPI number?

The NPI number for William Whitton is 1790754307. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Where is William Whitton located?

William Whitton practices at 1040 Gluckstadt Rd Ste B, Madison, MS 39110. The listed phone number is (601) 605-0452.

What is William Whitton's specialty?

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

Is William Whitton enrolled in Medicare?

Yes. William Whitton 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 William Whitton accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list William Whitton 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 William Whitton affiliated with any hospitals?

According to CMS data, William Whitton is affiliated with Merit Health Madison, Mississippi Baptist Medical Center, Merit Health Women's Hospital and Merit Health River Oaks.

When was this NPI record last updated?

The NPPES record for William Whitton was last updated on March 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.