DR. WHITNEE AMARIS MAYCOCK (MD) – Family Medicine Physician, NPI 1104321603

DR. WHITNEE AMARIS MAYCOCK (MD) is a healthcare provider. based in Kansas city, Missouri. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 2021010682 (MO). The NPI Number for DR. WHITNEE AMARIS MAYCOCK (MD) is 1104321603

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. WHITNEE AMARIS MAYCOCK (MD)
NPI
1104321603
Phone
Not provided
Address
7900 LEES SUMMIT RD
Enumeration Date
27 March 2018
Last Update Date
6 July 2021

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Secondary Phone
9132229779
Graduation Year
2018 (8 years ago)
PAC ID
4082961966
Group Practice PAC ID
3779861109
Professional Enrollment ID
I20210719001013
Address ID
MO640572301IN19600SXXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

1,351 EMERGENCY MEDICINE in MO

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Provider Addresses for DR. WHITNEE AMARIS MAYCOCK (MD)

  • Truman Medical Center Lakewood, 7900, Lee's Summit Road, Kansas City, Jackson County, Missouri, 64139, United States

    KANSAS CITY, MO 641391246

    Phone:

    Type: Mailing

  • 902 WOLLARD BLVD

    RICHMOND, MO 640852229

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 88 Open Payments records for all available years, with a total value of $1,607.

Total Amount is formed as General ($1,607) + Research ($0) + Ownership ($0) = $1,607.

Last reported payment date: 2024-06-05 • Largest payer in this snapshot: ABBVIE INC. ($374).

Total Amount

$1,607

General + Research + Ownership

Payments

88

Total payment records

General Amount

$1,607

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2021-07-19

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210719001013IEmergency MedicineMOTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
81002Urinalysis, manual test1813$0
View full utilization report →

Insurance plans in this area (ZIP 64139)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779861109View full group profile
NameSpecialtyState
Family PracticeMO
Internal Medicine, HospitalistMO
Nurse PractitionerMO
Nurse PractitionerMO
Family PracticeMO
Family PracticeMO
Family PracticeMO
Internal MedicineMO
Internal MedicineMO
Nurse PractitionerMO

Reviews

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Frequently asked questions

Can I cross-check DR. WHITNEE AMARIS MAYCOCK (MD) using NPI 1104321603?
NPI 1104321603 belongs to DR. WHITNEE AMARIS MAYCOCK (MD); compare other details if you need extra assurance.
Is there an active status for DR. WHITNEE AMARIS MAYCOCK (MD)?
For scheduling context, DR. WHITNEE AMARIS MAYCOCK (MD) is shown as active in the registry.
What kind of doctor is DR. WHITNEE AMARIS MAYCOCK (MD)?
DR. WHITNEE AMARIS MAYCOCK (MD) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. WHITNEE AMARIS MAYCOCK (MD) located near Kansas City?
DR. WHITNEE AMARIS MAYCOCK (MD) currently maps to Kansas City, Missouri in this extract.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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