DR. PAUL ALAN WHITTEN (O.D.) – Optometrist, NPI 1467440008

DR. PAUL ALAN WHITTEN (O.D.) is a healthcare provider. based in Ballwin, Missouri. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 2000160792 (MO). The NPI Number for DR. PAUL ALAN WHITTEN (O.D.) is 1467440008

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. PAUL ALAN WHITTEN (O.D.)
NPI
1467440008
Phone
(314) 766-7047
Address
823 DUTCH MILL
Enumeration Date
7 October 2005
Last Update Date
10 February 2014

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Secondary Phone
3148392400
Graduation Year
2000 (26 years ago)
PAC ID
5294865697
Group Practice PAC ID
0941330344
Professional Enrollment ID
I20100610001157
Address ID
MO630314923FL875XXSTXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

863 OPTOMETRY in MO

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Provider Addresses for DR. PAUL ALAN WHITTEN (O.D.)

  • 823, Dutch Mill Drive, Woodsmill, Ballwin, Saint Louis County, Missouri, 63011, United States

    BALLWIN, MO 630113545

    Phone: (314) 766-7047

    Fax: (314) 839-2403

    Type: Mailing

  • Saint Francois Street, Florissant, Saint Louis County, Missouri, 63033, United States

    FLORISSANT, MO 630314923

    Phone: (314) 839-2400

    Fax: (314) 839-2403

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $538.

Total Amount is formed as General ($538) + Research ($0) + Ownership ($0) = $538.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($320).

Total Amount

$538

General + Research + Ownership

Payments

22

Total payment records

General Amount

$538

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

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: 2010-06-10

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
I20100610001157IOptometryMOTBD

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
92202Extended exam of the back part of the eye with optic nerve drawing7270$0
92014Established patient complete exam of visual system6968$0
99213Established patient office or other outpatient visit, 20-29 minutes2723$0
92004New patient complete exam of visual system2222$0
View full utilization report →

Insurance plans in this area (ZIP 63011)

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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: 0941330344View full group profile
NameSpecialtyState
O P T O M E T R YMO
O P T O M E T R YMO

Reviews

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Frequently asked questions

What is the registry number for DR. PAUL ALAN WHITTEN (O.D.)?
The registry entry for DR. PAUL ALAN WHITTEN (O.D.) shows NPI 1467440008.
Quick check: is DR. PAUL ALAN WHITTEN (O.D.) active?
Public NPPES data shows DR. PAUL ALAN WHITTEN (O.D.) with an active NPI status right now.
How should patients interpret DR. PAUL ALAN WHITTEN (O.D.)'s specialty?
The extract shows Optometrist for DR. PAUL ALAN WHITTEN (O.D.). Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. PAUL ALAN WHITTEN (O.D.)?
DR. PAUL ALAN WHITTEN (O.D.) is associated with Ballwin, Missouri in the same public data insurers reference.
Why is information missing for DR. PAUL ALAN WHITTEN (O.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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