DUSTIN LEE WHITAKER (MD) – Urology Physician, NPI 1447710710
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
313 UROLOGY in TN
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Provider Addresses for DUSTIN LEE WHITAKER (MD)
Alcoa Highway, Fort Sanders, Knoxville, Knox County, Tennessee, 37920, United States
KNOXVILLE, TN 379201511
Phone: (865) 305-9230
Fax: (865) 305-6958
Type: Mailing
4704 WHITESBURG DR SW STE 100
HUNTSVILLE, AL 358024302
Phone: (256) 882-3605
Fax: (256) 880-1272
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 64 Open Payments records for all available years, with a total value of $4,134.
Total Amount is formed as General ($4,134) + Research ($0) + Ownership ($0) = $4,134.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Boston Scientific Corporation ($2,042).
Total Amount
$4,134
General + Research + Ownership
Payments
64
Total payment records
General Amount
$4,134
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $2,042 |
| Axonics, Inc. | $1,087 |
| PROCEPT BioRobotics Corporation | $200 |
| COLOPLAST CORP | $189 |
| PFIZER INC. | $116 |
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: 2025-02-04
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250204000676 | I | Urology | AL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 37920)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | AL | |
| U R O L O G Y | MS | |
| Nurse Practitioner | AL | |
| U R O L O G Y | AL | |
| U R O L O G Y | AL | |
| - | AL | |
| - | AL | |
| Nurse Practitioner | NC |
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