DAVID ERNST WHITLOCK M.D. NPI 1831106061
Emergency Medicine in Monterey, CA

About DAVID ERNST WHITLOCK M.D.

David Whitlock is a provider established in Monterey, California and his medical specialization is Emergency Medicine with more than 46 years of experience. He graduated from University Of Colorado School Of Medicine, Denver in 1977. The NPI number of David Whitlock is 1831106061 and was assigned on August 2006. The practitioner's primary taxonomy code is 207P00000X with license number G37805 (CA). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1831106061
Provider Name DAVID ERNST WHITLOCK M.D.
Location Address23625 HOLMAN HWY MONTEREY, CA 93940
Location Phone(831) 624-5311
Mailing AddressPO BOX HH BUSINESS DEVELOPMENT & CONTRACTING MONTEREY, CA 93942
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Graduation Year1977
Is Sole Proprietor?Yes
Enumeration Date08-01-2006
Last Update Date07-08-2007

David Whitlock is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

David Whitlock is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Community Hospital Of The Monterey Peninsula.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 89.3, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The typical physician office visit costs for Medicare beneficiaries in this area are: $24.26 for a new patient copayment and $28.07 for an established patient copayment.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code207P00000X
ClassificationEmergency Medicine
TypeAllopathic & Osteopathic Physicians
License No.G37805
License StateCA
Taxonomy DescriptionAn emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Blue Cross Blue Shield
  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

DAVID ERNST WHITLOCK M.D.
23625 HOLMAN HWY
MONTEREY, CA
ZIP 93940
Phone: (831) 624-5311
Fax: (831) 625-4948

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Mailing Address

DAVID ERNST WHITLOCK M.D.
PO BOX HH
BUSINESS DEVELOPMENT & CONTRACTING
MONTEREY, CA
ZIP 93942
Phone: (831) 622-2716
Fax: (831) 625-4764


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID6002898392
PECOS Enrollment IDI20081013000300
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 93940 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$63.41 $190.59 $97.04
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$15.85 $47.64 $24.26
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$20.2 $156.35 $112.28
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$5.05 $39.08 $28.07

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 98.3
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% 68
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% 75.3
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 89.3
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. David Whitlock is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA23625 W R HOLMAN HIGHWAY
MONTEREY, CA 93940
(831) 624-5311Acute Care Hospitals50145

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesG37805CAN/A

Taxonomy Description: an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
00G378050OTHER (01)CABLUE SHIELD
00G378050MEDICARE ID-TYPE UNSPECIFIED (04)CA
A47235MEDICARE UPIN (02)CA

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1831106061
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28612012012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 6 + 1 + 2 + 0 + 1 + 2 + 0 + 1 + 2 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1831106061 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1144227380 GERALDINE C TAPLIN M.D
Individual
Internal Medicine (Infectious Disease)23625 HOLMAN HWY
MONTEREY, CA 93940
(831) 771-1444
1215985205DR. GERALD DIETER GRIFFIN MD, PHARMD
Individual
General Practice23625 HOLMAN HWY COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA
MONTEREY, CA 93940
(831) 625-4511
1053325308MONTEREY PENINSULA ANESTHESIA MEDICAL GROUP, INC.
Organization
Anesthesiology23625 HOLMAN HWY
MONTEREY, CA 93940
(831) 624-5311
1679580831 ANDRES MARTIN ALDRETE M.D.
Individual
Emergency Medicine23625 HOLMAN HWY
MONTEREY, CA 93940
(831) 624-5311
1255347753 DAVID DANSKY M.D.
Individual
Emergency Medicine23625 HOLMAN HWY
MONTEREY, CA 93940
(831) 625-4900
1548277999 JOHN HAGE M.D.
Individual
Emergency Medicine23625 HOLMAN HWY
MONTEREY, CA 93940
(831) 624-5311
1356358527 MARILYN UWATE R.D., M.ED., C.D.E.,
Individual
Dietitian, Registered23625 HOLMAN HWY
MONTEREY, CA 93940
(831) 624-5311
1124035084 GREGOR JAMES PUTZKA MFT
Individual
Marriage & Family Therapist23625 HOLMAN HWY
MONTEREY, CA 93940
(831) 624-5311
1033126990 BARBARA ANN QUINN M.S., R.D., C.D.E.
Individual
Dietitian, Registered23625 HOLMAN HWY
MONTEREY, CA 93940
(831) 624-5311
1477561876 MICHELLE ANN KRUEGER-KALINSKI M.D.
Individual
Emergency Medicine23625 HOLMAN HWY
MONTEREY, CA 93940
(831) 624-5311
1861402539 MARY L LOUNSBURY PH.D
Individual
Psychologist (Adult Development & Aging)23625 HOLMAN HWY
MONTEREY, CA 93940
(831) 624-5311
1750391421 SUZI I BRAUNER-TATUM LCSW
Individual
Social Worker (Clinical)23625 HOLMAN HWY
MONTEREY, CA 93940
(831) 624-5311
1639189335 MARTIN LOUIS SKERRITT LCSW
Individual
Social Worker23625 HOLMAN HWY
MONTEREY, CA 93940
(831) 624-5311
1104933647 JUDD KARL NICHOLAS M.D.
Individual
Emergency Medicine23625 HOLMAN HWY
MONTEREY, CA 93940
(831) 624-5311
1093822546 LISA HOLDEN M.S., R.D., C.D.E.
Individual
Dietitian, Registered23625 HOLMAN HWY
MONTEREY, CA 93940
(831) 624-5311
1720195266 PAUL FILE M.D.
Individual
Emergency Medicine23625 HOLMAN HWY
MONTEREY, CA 93940
(831) 624-5311
1467560367 SUSAN TITUS C.N.S.
Individual
Clinical Nurse Specialist (Psychiatric/Mental Health)23625 HOLMAN HWY
MONTEREY, CA 93940
(831) 624-5311
1861572422 JESSE KAHN M.D.
Individual
Radiology (Body Imaging)23625 HOLMAN HWY
MONTEREY, CA 93940
(831) 624-5311
1275612285 FRANK A TAKACS MD
Individual
Anesthesiology23625 HOLMAN HWY
MONTEREY, CA 93940
(831) 624-5311
1871615666 PATRICIA L VINCENT R.D.
Individual
Dietitian, Registered23625 HOLMAN HWY
MONTEREY, CA 93940
(831) 624-5311

Frequently Asked Questions

What is David Whitlock M.D. NPI number?

The NPI number assigned to David Whitlock M.D. is 1831106061, registered as an "individual" on August 01, 2006

Where is David Whitlock M.D. located?

The provider is located at 23625 Holman Hwy Monterey, Ca 93940 and the phone number is (831) 624-5311

Which is David Whitlock M.D. specialty?

The provider's speciality is Emergency Medicine

How many years of experience does David Whitlock M.D. have?

The provider has more than 46 years of experience. He graduated from University Of Colorado School Of Medicine, Denver in 1977.

What insurance does David Whitlock M.D. accept?

The provider might be accepting Blue Cross Blue Shield, Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is David Whitlock M.D. registered in PECOS?

Yes, as of November 14, 2022 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

How much is a visit to David Whitlock M.D.?

Medicare beneficiaries should expect a typical cost of $97.04 with an average copayment of $24.26 for new patient appointments. Established patients should expect a typical charge of $112.28 and an average copayment of 28.07. Please review your insurance plan or contact the provider directly to determine your specific costs.

Is David Whitlock M.D. affiliated to any hospitals?

The practitioner is affiliated to the following hospitals: COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

How do I update my NPI information?

The NPI record of David Whitlock M.D. was last updated on August 01, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]