DR. BETHANY J WHITESELL (MD) – Optometrist, NPI 1861486946

DR. BETHANY J WHITESELL (MD) is a healthcare provider. based in Springfield, Missouri. specializing in OPTOMETRY. They hold the professional credentials MD. They hold a License No. 2004016781 (MO). The NPI Number for DR. BETHANY J WHITESELL (MD) is 1861486946

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. BETHANY J WHITESELL (MD)
NPI
1861486946
Phone
(417) 887-3900
Address
1531 EAST BRADFORD PARKWAY STE 100
Enumeration Date
6 September 2005
Last Update Date
15 December 2022

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Secondary Phone
4176268082
Graduation Year
2004 (22 years ago)
PAC ID
3678535358
Group Practice PAC ID
4688770829
Professional Enrollment ID
I20041104000007
Address ID
MO648044404JO4500XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

863 OPTOMETRY in MO

Provider Addresses for DR. BETHANY J WHITESELL (MD)

  • 1531 EAST BRADFORD PARKWAY STE 100

    SPRINGFIELD, MO 65804

    Phone: (417) 887-3900

    Fax: (417) 283-2894

    Type: Mailing

  • 301, West 32nd Street, Joplin, Jasper County, Missouri, 64804, United States

    JOPLIN, MO 648041512

    Phone: (417) 626-8082

    Fax: (417) 626-4393

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $461.

Total Amount is formed as General ($461) + Research ($0) + Ownership ($0) = $461.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Alcon Vision LLC ($174).

Total Amount

$461

General + Research + Ownership

Payments

8

Total payment records

General Amount

$461

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

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: 2004-11-04

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
I20041104000007IOptometryMOTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes694489$0
92134Imaging of retina266228$0
92083Exam of visual field with extended testing158133$0
92133Imaging of optic nerve154144$0
92250Photography of the retina138126$0
View full utilization report →

Insurance plans in this area (ZIP 65804)

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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: 4688770829View full group profile
NameSpecialtyState
O P H T H A L M O L O G YMO
O P T O M E T R YMO
O P H T H A L M O L O G YMO
O P H T H A L M O L O G YOK
O P T O M E T R YMO
O P H T H A L M O L O G YMO

Reviews

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Frequently asked questions

What identifier follows DR. BETHANY J WHITESELL (MD) across health systems?
The NPI 1861486946 uniquely identifies DR. BETHANY J WHITESELL (MD) in U.S. healthcare data.
Should I treat DR. BETHANY J WHITESELL (MD) as an active provider?
Patients and plans typically see DR. BETHANY J WHITESELL (MD) as active in the national extract.
What services align with DR. BETHANY J WHITESELL (MD)'s listing?
DR. BETHANY J WHITESELL (MD)'s public classification highlights Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. BETHANY J WHITESELL (MD) tied to Springfield, Missouri?
If you are local to Springfield, Missouri, DR. BETHANY J WHITESELL (MD) may be relevant to your search.
Who maintains DR. BETHANY J WHITESELL (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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