Active NPI 1952783235 Individual Practitioner Female Practitioner

Dr. Whitney Marlow , MD

Ophthalmology • O Fallon, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Whitney Marlow, MD is a certified Ophthalmology practicing in O Fallon, IL. With approximately 11 years of clinical experience since graduating from Southern Illinois University School Of Medicine in 2015, Dr. Marlow delivers high-quality medical care to the local community at 705 INSIGHT AVE.

Dr. Marlow is affiliated with Ideal Eye Surgery Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include measurement of corneal curvature and depth of eye, removal of cataract with insertion of lens, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

705 Insight Ave

O Fallon, IL 622692146

Telephone 6183911660

Fax 6188616003

Associated Practice Facility / Clinic

🏢 Ideal Eye Surgery Llc Facility NPI 1366966186

Medicare Profile & Education

Medical School

Southern Illinois University School Of Medicine

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in O Fallon, IL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

11 Yrs -0.2 yrs vs City Avg

City Avg: 11.2 Yrs

State Avg: 31.1 Yrs

Regional Practice Density

5 Specialists

Practicing in O Fallon, IL (954 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Marlow (11 Years) 11 Yrs

O Fallon Specialty Average (11.2 Years) 11.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92136 Measurement of corneal curvature and depth of eye	809	520	$149.89	$36.85
66984 Removal of cataract with insertion of lens	652	411	$2000.00	$426.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	504	504	$340.00	$163.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	452	422	$215.00	$123.66
66821 Removal of recurring cataract in lens capsule using a laser	133	105	$1007.52	$256.62
66982 Complex removal of cataract with insertion of prosthetic lens	122	93	$2500.00	$589.48
92133 Imaging of optic nerve	54	53	$100.37	$32.53
92134 Imaging of retina	47	44	$120.00	$36.02
66821 Removal of recurring cataract in lens capsule using a laser	33	26	$1000.00	$238.56
99213 Established patient office or other outpatient visit, typically 15 minutes	31	24	$150.00	$87.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$220.00	$108.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92136 Measurement of corneal curvature and depth of eye	796	514	$149.89	$38.18
66984 Removal of cataract with insertion of lens	638	408	$2000.00	$429.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	509	509	$340.00	$164.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	392	367	$215.00	$124.72
66982 Complex removal of cataract with insertion of prosthetic lens	87	71	$2500.00	$583.58
66821 Removal of recurring cataract in lens capsule using a laser	51	45	$1000.00	$265.56
92134 Imaging of retina	45	41	$120.00	$37.03
92133 Imaging of optic nerve	38	34	$100.00	$33.70
99213 Established patient office or other outpatient visit, typically 15 minutes	34	25	$150.00	$89.06
66821 Removal of recurring cataract in lens capsule using a laser	34	28	$1000.00	$242.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$220.00	$112.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92136 Measurement of corneal curvature and depth of eye	526	347	$149.84	$40.78
66984 Removal of cataract with insertion of lens	428	268	$2000.00	$439.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	339	339	$340.00	$169.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	264	247	$215.47	$128.07
66982 Complex removal of cataract with insertion of prosthetic lens	45	39	$2500.00	$605.95
66821 Removal of recurring cataract in lens capsule using a laser	32	29	$1000.00	$272.64
92134 Imaging of retina	23	22	$120.00	$38.19
99213 Established patient office or other outpatient visit, typically 15 minutes	20	17	$150.00	$91.54
66821 Removal of recurring cataract in lens capsule using a laser	19	17	$1000.00	$242.99
92133 Imaging of optic nerve	11	11	$100.00	$34.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92136 Measurement of corneal curvature and depth of eye	505	325	$145.79	$43.71
66984 Removal of cataract with insertion of lens	402	249	$2000.00	$451.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	321	321	$340.00	$169.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	245	230	$215.51	$130.43
66982 Complex removal of cataract with insertion of prosthetic lens	52	38	$2500.00	$618.42
66821 Removal of recurring cataract in lens capsule using a laser	28	24	$1000.00	$289.47
92134 Imaging of retina	24	24	$120.00	$39.04
66821 Removal of recurring cataract in lens capsule using a laser	22	20	$1000.00	$242.64
99213 Established patient office or other outpatient visit, typically 15 minutes	18	15	$150.00	$93.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$220.00	$115.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92136 Measurement of corneal curvature and depth of eye	135	101	$128.22	$51.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	121	121	$335.04	$164.49
66984 Removal of cataract with insertion of lens	93	67	$2000.00	$454.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	44	$214.20	$107.42
66982 Complex removal of cataract with insertion of prosthetic lens	22	17	$2500.00	$619.28
66821 Removal of recurring cataract in lens capsule using a laser	17	16	$1015.06	$320.48
92134 Imaging of retina	16	16	$120.00	$38.30
92133 Imaging of optic nerve	12	12	$85.42	$35.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	29	16	$2000.00	$542.77
92136 Measurement of corneal curvature and depth of eye	29	19	$100.00	$50.31
92012 Established patient problem focused exam of visual system	20	12	$90.00	$84.20
92014 Established patient complete exam of visual system	16	16	$140.00	$121.08
92004 New patient complete exam of visual system	12	12	$155.00	$145.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$190.00	$160.30

Medical Specialties & State Licenses

CMS Verified: 2025-12-11

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License IL 036149275

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Ophthalmology

NUCC Taxonomy Code: 207W00000X

State License MO 2019014150

Hospital & Practice Group Affiliations

Ideal Eye Surgery Llc

900 W Temple Ave, Effingham, IL 624012121

Phone: 6183911660

Secondary Practice Locations

201 E Pleasant St

Taylorville, IL 625681562

Phone: 6183911660

1215 Franciscan Dr Fl 2

Litchfield, IL 620561778

Phone: 6183911660

200 Health Care Dr

Greenville, IL 622461154

Phone: 6183911660

289 N Main St

Breese, IL 622301522

Phone: 6183911660

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners

Dr. Grace Paley , MD

Ophthalmology

NPI 1184038986

Doctor of Medicine (M.D.)

Dr. Nicole Lowrey , MD, PhD

Ophthalmology

NPI 1356902381

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Dr. Cameron Evans , DO

Ophthalmology

NPI 1528447174

Doctor of Osteopathic Medicine (D.O.)

Dr. Michael Stock , MD

Ophthalmology

NPI 1730442500

Doctor of Medicine (M.D.)

Dr. Taylor Wolkart , OD

Optometrist

NPI 1831761360

Doctor of Optometry

Dr. Rocio Bentivegna , MD

Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery

NPI 1871170183

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events

📍

Updated Practice Location September 19, 2025

Registered at 705 INSIGHT AVE, O FALLON, IL 622692146 (Tel: 6183911660)

📍

Updated Business Mailing Address September 19, 2025

Registered at 705 INSIGHT AVE, O FALLON, IL 622692146 (Tel: 6183911660)

📍

Updated Business Mailing Address August 20, 2020

Registered at 1660 ESSEX WAY, STE A, O FALLON, IL 622693076 (Tel: 6182771130)

📍

Updated Practice Location May 13, 2020

Registered at 1660 ESSEX WAY STE A, O FALLON, IL 622693076 (Tel: 6182771130)

📍

Updated Business Mailing Address May 13, 2020

Registered at 1660 ESSEX WAY STE A, O FALLON, IL 622693076 (Tel: 6182771130)

📍

Updated Practice Location August 27, 2019

Registered at 408 W 2ND ST, CENTRALIA, IL 628013402 (Tel: 6185325531)

📍

Updated Business Mailing Address August 27, 2019

Registered at 3990 N ILLINOIS ST, SWANSEA, IL 622261919 (Tel: 6182771130)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2019

Ophthalmology (License #036149275 in IL)

✅

NPI Profile Active July 06, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location July 06, 2016

Registered at 751 N RUTLEDGE ST, SPRINGFIELD, IL 627024968 (Tel: 2175450193)

📍

Updated Business Mailing Address July 06, 2016

Registered at 1755 S GRAND BLVD, SAINT LOUIS, MO 631041540 (Tel: 3142563220)

👤

Provider Name / Credentials Updated July 06, 2016

Recorded as WHITNEY MARLOW, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2016

Ophthalmology (License #2016015534 in MO)

🟢

Initial NPI Registration & Enumeration June 23, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1952783235

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 23, 2015

Last Update: December 11, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

705 Insight Ave

O Fallon, IL 622692146

Phone: 6183911660

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.