DR. MARC WHITACRE M.D.
NPI 1861424087
Ophthalmology in Havre, MT
About Dr. Marc Whitacre M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARC WHITACRE M.D. (NPI 1861424087) is an individual ophthalmology provider in Havre, Montana, licensed in Montana (12669) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Benefis Hospitals Inc, and is a graduate of Perelman School Of Med At The University Of Pennsylvania (1979).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Dr. Marc Whitacre 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.
Medicare Billing Reassignments
2Medicare enrollment records show Marc Whitacre reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Havre, MT 59501
- Reassigned Medicare billing, Montana enrollment
- Also billed through NPI 1427059070 (Montana)
- 81 clinicians in this Medicare group
Great Falls, MT 59405
- Reassigned Medicare billing, Montana enrollment
- 637 clinicians in this Medicare group
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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Benefis Hospitals Inc
Acute Care Hospitals · Great Falls, MTNorthern Montana Hospital
Critical Access Hospitals · Havre, MTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 59501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Marc Whitacre's NPI number?
The NPI number for Marc Whitacre is 1861424087. It was assigned to this individual provider in the NPPES registry on July 7, 2006.
Where is Marc Whitacre located?
Marc Whitacre practices at 20 13th St W Box 1231, Havre, MT 59501. The listed phone number is (406) 262-2020.
What is Marc Whitacre's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Marc Whitacre enrolled in Medicare?
Yes. Marc Whitacre 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.
Which organizations bill Medicare for Marc Whitacre's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marc Whitacre reassigns Medicare benefits to 2 organizations: Northern Montana Hospital (Havre, MT) and Benefis Hospitals, Inc. (Great Falls, MT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marc Whitacre's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Marc Whitacre accept?
Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan list Marc Whitacre 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 Marc Whitacre affiliated with any hospitals?
According to CMS data, Marc Whitacre is affiliated with Benefis Hospitals Inc and Northern Montana Hospital.
When was this NPI record last updated?
The NPPES record for Marc Whitacre was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Dr. Marc Whitacre, M.D. · NPI 1861424087
Ophthalmology physician in Havre, Montana. Individual provider, active in the CMS NPPES registry since July 7, 2006.
## Identity
- **NPI:** 1861424087 (Entity type: Individual)
- **Enumerated:** July 7, 2006
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** 12669 (Montana)
- **Sole proprietor:** No
## Practice location
- **Address:** 20 13TH ST W, BOX 1231, Havre, MT 59501-5215
- **Phone:** (406) 262-2020
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Northern Montana Hospital (NPI 1023169190, Havre, MT); Benefis Hospitals, Inc. (NPI 1881650737, Great Falls, MT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Perelman School Of Med At The University Of Pennsylvania, class of 1979
## Record status
- **NPPES last updated:** October 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1861424087) · Data from the CMS NPPES public registry.