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CRYSTAL G. WHITTINGTON O.D.
NPI 1992927891
Optometrist in Summerville, SC

Active since May 02, 2007PECOS EnrolledAccepts Medicare Assignment
97.95/100
CMS Quality Rating
296 MIDLAND PARKWAY, SUMMERVILLE, SC 29485(843) 873-5577(843) 873-5583 Get Directions Write a Review

NPPES record last updated: March 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2022, May 20, 2020, Feb 27, 2020 and 1 more (4 updates tracked since 2016).

About Crystal G. Whittington O.d. NPPES

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

CRYSTAL G. WHITTINGTON O.D. (NPI 1992927891) is an individual optometrist in Summerville, South Carolina, licensed in South Carolina (1275) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2003).

NPPES Registry Identity

NPI1992927891
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameCRYSTAL G. WHITTINGTONCredential: O.D.
Location Address296 MIDLAND PARKWAYSummerville, SC 29485
Mailing Address2861 Tricom StNorth Charleston, SC 29406-9172 · (843) 725-0064 · Fax (843) 569-7885
Phone(843) 873-5577
Fax(843) 873-5583
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 2003
Enumeration DateMay 2, 2007
Last NPPES UpdateMarch 7, 20224 updates tracked since enumeration
NPPES CertifiedMarch 7, 2022
✔ NPI 1992927891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in SC · 1275
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
296 MIDLAND PARKWAY, Summerville, SC 29485
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Other Identifiers 1

MedicaidD12751SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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

Crystal G. Whittington O.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 ID3870546989
PECOS Enrollment IDI20050301000783
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 8

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.

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.
851 services663 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
747 services565 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.
737 services428 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
163 services160 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
124 services120 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.
61 services61 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29485 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

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.

97.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality97.9
Promoting Interoperability97
Improvement Activities40

Reported Quality Measures

Falls: Screening for Future Fall Risk
98%1,295 patients4/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
96%335 patients
Overuse of Imaging for the Evaluation of Primary Headache
Lower rates are better for this measure.
0%45 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 99% · 1,604 patients
Patients screened: 100% · 1,604 patients
92%100 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%219 patients
Provide Patients Electronic Access to Their Health Information
93%1,069 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,347 patients
Patients totalRate: 0% · 1,347 patients
0%1,347 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Crystal Whittington's NPI number?

The NPI number for Crystal Whittington is 1992927891. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Where is Crystal Whittington located?

Crystal Whittington practices at 296 Midland Parkway, Summerville, SC 29485. The listed phone number is (843) 873-5577.

What is Crystal Whittington's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Crystal Whittington enrolled in Medicare?

Yes. Crystal Whittington 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 Crystal Whittington accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, BlueCross BlueShield of South Carolina and UnitedHealthcare list Crystal Whittington 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.

When was this NPI record last updated?

The NPPES record for Crystal Whittington was last updated on March 7, 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.