Active NPI 1730162140 Individual Practitioner Male Practitioner

Dr. Albert Sidney Whiting , MD

Ophthalmology • Caribou, ME

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Albert Whiting, MD is a certified Ophthalmology practicing in Caribou, ME. With approximately 39 years of clinical experience since graduating from Loma Linda University School Of Medicine in 1987, Dr. Whiting delivers high-quality medical care to the local community at 647 MAIN ST.

Dr. Whiting is affiliated with Pines Health Services and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient outpatient office visit, imaging of optic nerve. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

647 Main St

Caribou, ME 047364464

Telephone 2074966851

Fax 2074925791

Medicare Profile & Education

Medical School

Loma Linda University School Of Medicine

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Caribou, ME

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs Matches City Avg

City Avg: 39.0 Yrs

State Avg: 31.3 Yrs

Regional Practice Density

2 Specialists

Practicing in Caribou, ME (101 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

49.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Whiting (39 Years) 39 Yrs

Caribou Specialty Average (39.0 Years) 39.0 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
92014 Established patient complete exam of visual system	202	192	$254.34	$127.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	145	111	$103.32	$56.05
92133 Imaging of optic nerve	101	100	$78.54	$35.74
J7351 Injection, bimatoprost, intracameral implant, 1 microgram	97	11	$471.92	$204.63
92134 Imaging of retina	78	74	$80.89	$39.68
99213 Established patient office or other outpatient visit, typically 15 minutes	78	74	$221.09	$94.14
92136 Measurement of corneal curvature and depth of eye	64	56	$117.14	$40.34
92083 Exam of visual field with extended testing	63	62	$135.22	$63.20
66984 Removal of cataract with insertion of lens	60	41	$1032.04	$526.24
92025 Ct scan of cornea	52	51	$60.64	$32.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$279.70	$162.67
92020 Examination of cornea and iris using lens device and slit lamp	50	48	$55.57	$27.67
92012 Established patient problem focused exam of visual system	48	45	$194.57	$91.42
66982 Complex removal of cataract with insertion of prosthetic lens	39	29	$1250.00	$714.77
66821 Removal of recurring cataract in lens capsule using a laser	31	23	$572.74	$319.63
76514 Ultrasound scan of cornea to determine thickness	28	27	$27.37	$11.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	24	$312.86	$120.14
92004 New patient complete exam of visual system	26	26	$335.23	$153.43
92082 Exam of visual field with intermediate testing	25	25	$92.49	$45.08
65855 Laser repair to improve eye fluid flow	25	16	$445.66	$241.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$234.28	$113.14
66030 Injection of medication into eye	17	11	$279.11	$170.29
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$147.10	$71.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
83861 Microfluid analysis of tears	140	70	$36.00	$21.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	124	85	$85.00	$53.37
92014 Established patient complete exam of visual system	95	91	$192.00	$119.45
66984 Removal of cataract with insertion of lens	93	62	$1000.00	$499.18
92025 Ct scan of cornea	92	80	$60.00	$31.51
92136 Measurement of corneal curvature and depth of eye	78	77	$136.00	$44.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	78	78	$256.00	$156.59
92133 Imaging of optic nerve	59	58	$65.00	$33.08
92082 Exam of visual field with intermediate testing	54	53	$90.00	$43.82
66982 Complex removal of cataract with insertion of prosthetic lens	34	26	$1250.00	$699.30
92134 Imaging of retina	32	31	$65.00	$37.18
99202 New patient office or other outpatient visit, typically 20 minutes	27	27	$130.00	$68.37
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	26	24	$60.00	$21.69
66821 Removal of recurring cataract in lens capsule using a laser	23	21	$505.00	$312.83
92020 Examination of cornea and iris using lens device and slit lamp	20	20	$43.00	$26.30
76514 Ultrasound scan of cornea to determine thickness	19	17	$25.00	$10.56
92083 Exam of visual field with extended testing	17	16	$120.00	$58.60
92012 Established patient problem focused exam of visual system	15	14	$136.00	$84.66
92014 Established patient complete exam of visual system	12	12	$199.00	$78.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$154.50	$135.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	141	99	$1198.01	$525.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	120	89	$83.71	$53.54
92014 Established patient complete exam of visual system	109	101	$191.09	$120.27
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	95	89	$60.00	$21.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	85	85	$254.40	$160.01
92025 Ct scan of cornea	81	73	$60.00	$31.70
83861 Microfluid analysis of tears	70	55	$34.29	$22.24
92136 Measurement of corneal curvature and depth of eye	67	67	$136.00	$47.32
92133 Imaging of optic nerve	60	59	$65.00	$33.31
66982 Complex removal of cataract with insertion of prosthetic lens	56	40	$1444.38	$716.67
92082 Exam of visual field with intermediate testing	55	52	$90.00	$43.58
92134 Imaging of retina	49	43	$65.00	$37.57
92134 Imaging of retina	34	32	$44.29	$26.20
92136 Measurement of corneal curvature and depth of eye	32	32	$92.70	$31.64
92014 Established patient complete exam of visual system	31	31	$126.02	$79.36
99202 New patient office or other outpatient visit, typically 20 minutes	30	30	$130.00	$69.25
76514 Ultrasound scan of cornea to determine thickness	26	24	$25.00	$10.61
92020 Examination of cornea and iris using lens device and slit lamp	24	23	$42.71	$26.75
66821 Removal of recurring cataract in lens capsule using a laser	21	19	$529.05	$322.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	21	$60.56	$36.11
92012 Established patient problem focused exam of visual system	17	15	$133.76	$84.68
92012 Established patient problem focused exam of visual system	12	11	$84.46	$52.84
92004 New patient complete exam of visual system	11	11	$158.43	$98.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	131	119	$190.00	$121.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	119	75	$80.00	$53.60
83861 Microfluid analysis of tears	103	99	$33.00	$22.48
92025 Ct scan of cornea	99	96	$60.00	$31.73
92136 Measurement of corneal curvature and depth of eye	97	97	$136.00	$52.14
92133 Imaging of optic nerve	92	87	$65.00	$33.28
92082 Exam of visual field with intermediate testing	88	86	$90.00	$44.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	74	74	$252.00	$161.49
66984 Removal of cataract with insertion of lens	68	45	$1030.88	$516.66
92134 Imaging of retina	54	44	$65.00	$38.22
66982 Complex removal of cataract with insertion of prosthetic lens	53	34	$1250.00	$713.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	29	$80.00	$34.95
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	40	40	$60.00	$21.48
76514 Ultrasound scan of cornea to determine thickness	38	38	$25.00	$10.53
66821 Removal of recurring cataract in lens capsule using a laser	35	27	$505.00	$318.64
92020 Examination of cornea and iris using lens device and slit lamp	35	32	$42.00	$26.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$252.00	$131.94
92012 Established patient problem focused exam of visual system	20	19	$131.00	$85.49
92014 Established patient complete exam of visual system	18	16	$190.00	$75.11
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$130.00	$69.54
92083 Exam of visual field with extended testing	14	13	$120.00	$59.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	191	169	$190.00	$121.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	167	108	$80.00	$43.51
66984 Removal of cataract with insertion of lens	102	65	$1000.00	$530.90
92082 Exam of visual field with intermediate testing	98	97	$90.00	$45.39
92133 Imaging of optic nerve	98	96	$65.00	$33.47
92025 Ct scan of cornea	96	90	$60.00	$32.54
92136 Measurement of corneal curvature and depth of eye	87	87	$136.00	$59.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	83	83	$252.00	$159.03
83861 Microfluid analysis of tears	75	71	$33.00	$22.35
92134 Imaging of retina	73	63	$65.00	$38.37
66982 Complex removal of cataract with insertion of prosthetic lens	70	46	$1250.00	$729.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	58	40	$80.00	$25.31
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	49	44	$60.00	$22.03
76514 Ultrasound scan of cornea to determine thickness	38	36	$25.00	$11.02
66821 Removal of recurring cataract in lens capsule using a laser	35	28	$505.00	$316.38
92020 Examination of cornea and iris using lens device and slit lamp	33	29	$42.00	$26.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$252.00	$127.19
99202 New patient office or other outpatient visit, typically 20 minutes	30	30	$130.00	$72.89
92014 Established patient complete exam of visual system	29	27	$190.00	$77.81
92012 Established patient problem focused exam of visual system	23	22	$131.00	$84.97
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	22	22	$60.00	$9.08
92083 Exam of visual field with extended testing	21	20	$120.00	$57.56
17000 Destruction of skin growth	12	12	$120.00	$59.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
83861 Microfluid analysis of tears	218	102	$33.00	$22.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	203	141	$80.00	$43.01
92014 Established patient complete exam of visual system	185	168	$190.00	$120.99
66984 Removal of cataract with insertion of lens	126	84	$1010.32	$616.57
92082 Exam of visual field with intermediate testing	118	112	$90.00	$45.59
92133 Imaging of optic nerve	115	113	$65.00	$33.90
92025 Ct scan of cornea	104	99	$60.00	$33.13
92136 Measurement of corneal curvature and depth of eye	95	95	$136.00	$66.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	79	79	$252.00	$158.01
92134 Imaging of retina	70	61	$65.00	$38.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	68	48	$80.00	$24.79
66982 Complex removal of cataract with insertion of prosthetic lens	56	38	$1250.00	$768.91
66821 Removal of recurring cataract in lens capsule using a laser	40	34	$505.00	$318.60
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	40	39	$60.00	$21.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$252.00	$125.30
92014 Established patient complete exam of visual system	37	35	$190.00	$77.85
92020 Examination of cornea and iris using lens device and slit lamp	29	28	$42.00	$26.77
99202 New patient office or other outpatient visit, typically 20 minutes	24	24	$130.00	$73.01
76514 Ultrasound scan of cornea to determine thickness	23	23	$25.00	$11.38
92012 Established patient problem focused exam of visual system	15	13	$131.00	$84.63
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	15	11	$60.00	$9.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
83861 Microfluid analysis of tears	306	151	$33.00	$21.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	258	169	$80.00	$41.56
92014 Established patient complete exam of visual system	253	229	$190.00	$120.11
92025 Ct scan of cornea	157	152	$60.00	$32.85
92133 Imaging of optic nerve	146	142	$65.00	$34.14
66984 Removal of cataract with insertion of lens	146	96	$1000.00	$613.44
92136 Measurement of corneal curvature and depth of eye	144	144	$136.00	$74.11
92082 Exam of visual field with intermediate testing	140	132	$90.00	$45.73
92134 Imaging of retina	120	104	$65.00	$38.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	119	119	$252.00	$157.18
66982 Complex removal of cataract with insertion of prosthetic lens	77	57	$1250.00	$763.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	72	51	$80.00	$24.52
92014 Established patient complete exam of visual system	60	57	$190.00	$77.39
92020 Examination of cornea and iris using lens device and slit lamp	49	46	$42.00	$25.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$252.00	$124.48
76514 Ultrasound scan of cornea to determine thickness	44	44	$25.00	$13.88
99202 New patient office or other outpatient visit, typically 20 minutes	41	41	$130.00	$71.34
66821 Removal of recurring cataract in lens capsule using a laser	34	27	$505.00	$314.26
92012 Established patient problem focused exam of visual system	32	29	$131.00	$83.36
92083 Exam of visual field with extended testing	23	23	$120.00	$60.42
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$130.00	$48.57
92020 Examination of cornea and iris using lens device and slit lamp	13	11	$42.00	$20.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
83861 Microfluid analysis of tears	385	190	$33.00	$22.21
92014 Established patient complete exam of visual system	250	223	$150.00	$117.30
66984 Removal of cataract with insertion of lens	223	134	$1000.00	$606.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	212	149	$80.00	$40.94
92025 Ct scan of cornea	174	162	$60.00	$32.80
92133 Imaging of optic nerve	156	146	$65.00	$33.76
92136 Measurement of corneal curvature and depth of eye	148	148	$120.00	$83.93
92082 Exam of visual field with intermediate testing	135	126	$90.00	$45.51
92134 Imaging of retina	123	104	$65.00	$38.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	110	110	$220.00	$155.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	92	59	$80.00	$24.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	76	76	$220.00	$124.29
66982 Complex removal of cataract with insertion of prosthetic lens	71	52	$1250.00	$756.26
92014 Established patient complete exam of visual system	50	47	$150.00	$77.50
76514 Ultrasound scan of cornea to determine thickness	49	43	$25.00	$13.53
99202 New patient office or other outpatient visit, typically 20 minutes	44	44	$130.00	$70.77
92083 Exam of visual field with extended testing	39	34	$120.00	$60.09
92020 Examination of cornea and iris using lens device and slit lamp	28	26	$35.00	$25.68
66821 Removal of recurring cataract in lens capsule using a laser	27	23	$466.67	$316.33
92012 Established patient problem focused exam of visual system	24	22	$105.00	$80.68
66821 Removal of recurring cataract in lens capsule using a laser	18	14	$450.00	$293.99
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$130.00	$48.48
92020 Examination of cornea and iris using lens device and slit lamp	15	15	$35.00	$20.47

Medical Specialties & State Licenses

CMS Verified: 2023-01-10

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License ME MD17756

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 NC 200100197

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

8912880 (NC)

Commercial Insurance / Payer ID Palmetto Gba

180042535 (NY)

Commercial Insurance / Payer ID Bcbs Of Nc

12880 (NC)

Commercial Insurance / Payer ID United Healthcare

0800138 (NC)

Hospital & Practice Group Affiliations

Pines Health Services

163 Van Buren Rd, Caribou, ME 047363567

Phone: 2074986921

Pines Health Services

74 Access Hwy, Caribou, ME 047363807

Phone: 2074982350

Pines Health Services

647 Main St, Caribou, ME 047364464

Phone: 2074966851

Secondary Practice Locations

197 E Main St

Fort Kent, ME 047431409

Phone: 2078341573

5 Miles Center Way

Damariscotta, ME 045434067

Phone: 2075631234

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Natania Piper , DO

Urology

NPI 1518927383

Doctor of Osteopathic Medicine (D.O.)

Dr. Jayatillake Pathiraja , MD

Ophthalmology

NPI 1538245956

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location January 10, 2023

Registered at 647 MAIN ST, CARIBOU, ME 047364464 (Tel: 2074966851)

📍

Updated Business Mailing Address January 10, 2023

Registered at PO BOX 576, CARIBOU, ME 047360576 (Tel: 2074966851)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1100 TUNNEL ROAD, ASHEVILLE, NC 28805 (Tel: 8282987911)

📍

Updated Business Mailing Address July 08, 2007

Registered at PO BOX 607, NAPLES, NC 287600607 (Tel: 8286063960)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as ALBERT WHITING, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Ophthalmology (License #200100197 in NC)

🟢

Initial NPI Registration & Enumeration November 21, 2005

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: 1730162140

Entity Type:

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

Enumeration Date: November 21, 2005

Last Update: January 10, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 576

Caribou, ME 047360576

Phone: 2074966851

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.