DR. RICHARD G. III WHITEHURST (D.O.) – Emergency Medicine Physician, NPI 1972540508
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,190 FAMILY PRACTICE in CA
Provider Addresses for DR. RICHARD G. III WHITEHURST (D.O.)
81 HIGHLAND SPRINGS AVE STE 101
BEAUMONT, CA 922233170
Phone: (951) 845-0313
Type: Location
7000 Boulder Ave
Highland, CA 923463348
Phone: (909) 862-1191
Type: Location
15248 11th St
emergency department
Victorville, CA 923953704
Phone: (760) 843-6105
Type: Location
PO BOX 10069
SAN BERNARDINO, CA 924230069
Phone: (093) 354-1889
Type: Mailing
7000 BOULDER AVE
HIGHLAND, CA 923463348
Phone: (909) 862-1191
Type: Location
PO BOX 35380
LAS VEGAS, NV 891335380
Phone: (702) 579-3203
Type: Mailing
7231, Boulder Avenue, Molino, Highland, San Bernardino County, California, 92346, United States
SUITE 517
HIGHLAND, CA 923463313
Phone: (909) 519-0619
Fax: (909) 748-7532
Type: Mailing
Victor Valley Global Medical Center, 15248, 11th Street, Victorville, San Bernardino County, California, 92393, United States
EMERGENCY DEPARTMENT
VICTORVILLE, CA 923953704
Phone: (760) 843-6105
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-09-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040927001005 | I | Emergency Medicine | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 88 | 87 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 88 | 87 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 64 | 13 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 64 | 15 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 47 | 36 | $0 |
Insurance plans in this area (ZIP 92223)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| - | CA | |
| U R O L O G Y | CA | |
| O P T O M E T R Y | CA | |
| - | CA | |
| - | CA | |
| - | CA | |
| Nurse Practitioner | CA | |
| - | CA | |
| - | CA |
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