DR. COURTNEY WHITLOCK (OD) – Optometrist, NPI 1609552041
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
863 OPTOMETRY in MO
Provider Addresses for DR. COURTNEY WHITLOCK (OD)
915 State Hwy 248 Ste A
Branson, MO 656167307
Phone: (417) 334-0044
Type: Location
213 W Olive St Ste 101
Springfield, MO 658067307
Phone: (417) 886-2393
Fax: (417) 725-0502
Type: Location
6005 N 21st St
Ozark, MO 657217307
Phone: (417) 582-2020
Fax: (417) 725-0502
Type: Location
413 N McCroskey St STe 1
Nixa, MO 657147307
Phone: (417) 725-0500
Type: Location
2242 S FARM ROAD 199
SPRINGFIELD, MO 658093172
Phone: (417) 880-2771
Type: Mailing
3440 S NATIONAL AVE
SPRINGFIELD, MO 658077307
Phone: (417) 221-8913
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $863.
Total Amount is formed as General ($863) + Research ($0) + Ownership ($0) = $863.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: CooperVision Inc. ($372).
Total Amount
$863
General + Research + Ownership
Payments
17
Total payment records
General Amount
$863
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CooperVision Inc. | $372 |
| Bausch & Lomb Americas Inc. | $246 |
| LKC Technologies, Inc. | $114 |
| Alcon Vision LLC | $78 |
| ABB Con-Cise Optical Group LLC | $54 |
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: 2023-06-28
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 |
|---|---|---|---|---|
| I20230628002245 | I | Optometry | MO | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 30 | 27 | $0 |
| 92250 | Photography of the retina | 28 | 28 | $0 |
| 92014 | Established patient complete exam of visual system | 24 | 24 | $0 |
| 92004 | New patient complete exam of visual system | 21 | 21 | $0 |
Insurance plans in this area (ZIP 65616)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | MO | |
| O P T O M E T R Y | MO | |
| O P T O M E T R Y | MO | |
| O P T O M E T R Y | MO | |
| O P T O M E T R Y | MO | |
| O P T O M E T R Y | MO | |
| O P T O M E T R Y | MO | |
| O P T O M E T R Y | MO | |
| - | MO | |
| O P T O M E T R Y | MO |
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