1. Home
  2. Directory
  3. Illinois
  4. O Fallon
  5. Ophthalmology
  6. NPI Profile

WHITNEY MARLOW M.D.
NPI 1952783235
Ophthalmology in O Fallon, IL

Active since June 23, 2015PECOS EnrolledAccepts Medicare Assignment
705 INSIGHT AVE, O FALLON, IL 62269(618) 391-1660(618) 861-6003 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 11, 2025, Sep 19, 2025, Aug 20, 2020 and 2 more (5 updates tracked since 2019).

About Whitney Marlow M.d. NPPES

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

WHITNEY MARLOW M.D. (NPI 1952783235) is an individual ophthalmology provider in O Fallon, Illinois, licensed in Illinois (036149275) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Hshs Holy Family Hospital Inc, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1952783235
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameWHITNEY MARLOWCredential: M.D.
Location Address705 INSIGHT AVEO Fallon, IL 62269-2146
Mailing Address705 Insight AveO Fallon, IL 62269-2146 · (618) 391-1660 · Fax (618) 861-6003
Phone(618) 391-1660
Fax(618) 861-6003
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 2015
Enumeration DateJune 23, 2015
Last NPPES UpdateDecember 11, 20255 updates tracked since enumeration
NPPES CertifiedDecember 11, 2025
✔ NPI 1952783235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in IL · 036149275✔ Licensed in MO · 2019014150
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.
705 INSIGHT AVE, O Fallon, IL 62269
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1201 E Pleasant StTaylorville, IL 62568-1562 · Phone (618) 391-1660 · Fax (618) 861-6003
Location 21215 Franciscan Dr Fl 2Litchfield, IL 62056-1778 · Phone (618) 391-1660 · Fax (618) 861-6003
Location 3200 Health Care DrGreenville, IL 62246-1154 · Phone (618) 391-1660 · Fax (618) 861-6003
Location 4289 N Main StBreese, IL 62230-1522 · Phone (618) 391-1660 · Fax (618) 861-6003

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Whitney Marlow 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 ID42507618
PECOS Enrollment IDI20190904000443
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.

Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
809 services520 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
652 services411 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.
504 services504 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.
452 services422 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
133 services105 patients
Complex removal of cataract with insertion of prosthetic lens 66982
This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.
122 services93 patients

Hospital Affiliations CMS Care Compare 4

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

Hshs Holy Family Hospital Inc

Acute Care Hospitals · Greenville, IL
OwnershipVoluntary non-profit - Church
CMS Certification Number140137
Location200 Health Care DrGreenville, IL 62246 · Bond County
Emergency services

St Josephs Hospital

Acute Care Hospitals · Breese, IL
OwnershipVoluntary non-profit - Church
CMS Certification Number140145
Location9515 Holy Cross LnBreese, IL 62230 · Clinton County
Emergency services Birthing friendly

Taylorville Memorial Hospital

Critical Access Hospitals · Taylorville, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number141339
Location201 East Pleasant StreetTaylorville, IL 62568 · Christian County
Emergency services

St Francis Hospital

Critical Access Hospitals · Litchfield, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number141350
Location1215 Franciscan DrLitchfield, IL 62056 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62269 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
$131.14 typical visit price
range $56.28 – $173.35
Typical copayment $32.78 (range $14.07 – $43.33)
Most-billed visit code 99204
Established Patient
$70.42 typical visit price
range $17.51 – $139.99
Typical copayment $17.60 (range $4.37 – $34.99)
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 6

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

NICOLE LOWREY MD, PHD
Ophthalmology
705 INSIGHT AVE
O FALLON, IL 62269
St. Clair County (618) 391-1660
IDEAL EYE SURGERY LLC
Ophthalmology
705 INSIGHT AVE
O FALLON, IL 62269
St. Clair County (618) 391-1660
CAMERON JOSEPH EVANS D.O.
Ophthalmology
705 INSIGHT AVE
O FALLON, IL 62269
St. Clair County (618) 391-1660
DR. MICHAEL VINCENT STOCK MD
Ophthalmology
705 INSIGHT AVE
O FALLON, IL 62269
St. Clair County (618) 391-1660
TAYLOR WOLKART OD
Optometrist
705 INSIGHT AVE
O FALLON, IL 62269
St. Clair County (618) 391-1660
DR. WESLEY C GREEN MD
Ophthalmology
705 INSIGHT AVE
O FALLON, IL 62269
St. Clair County (618) 738-0337

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 Whitney Marlow's NPI number?

The NPI number for Whitney Marlow is 1952783235. It was assigned to this individual provider in the NPPES registry on June 23, 2015.

Where is Whitney Marlow located?

Whitney Marlow practices at 705 Insight Ave, O Fallon, IL 62269. The listed phone number is (618) 391-1660.

What is Whitney Marlow's specialty?

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

Is Whitney Marlow enrolled in Medicare?

Yes. Whitney Marlow 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 Whitney Marlow accept?

Health plans from UnitedHealthcare list Whitney Marlow 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 Whitney Marlow affiliated with any hospitals?

According to CMS data, Whitney Marlow is affiliated with Hshs Holy Family Hospital Inc, St Josephs Hospital, Taylorville Memorial Hospital and St Francis Hospital.

When was this NPI record last updated?

The NPPES record for Whitney Marlow was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.