Active NPI 1255437588 Individual Practitioner Male Practitioner

Dr. Timothy Sean Whitaker , MD

Surgery • Oneonta, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Timothy Whitaker, MD is a certified Surgery practicing in Oneonta, NY. With approximately 29 years of clinical experience since graduating from University Of South Florida College Of Medicine in 1997, Dr. Whitaker delivers high-quality medical care to the local community at 449 MAIN ST.

Dr. Whitaker is affiliated with Baptist Health Medical Group Upper Keys Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include biopsy of large bowel using an endoscope, new patient outpatient office visit, established 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

449 Main St

Oneonta, NY 138202028

Telephone 6074325680

Fax 6074325575

Associated Practice Facility / Clinic

🏢 Baptist Health Medical Group Upper Keys, Llc Facility NPI 1033880562

Medicare Profile & Education

Medical School

University Of South Florida College Of Medicine

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Oneonta, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs +4.7 yrs vs City Avg

City Avg: 24.3 Yrs

State Avg: 27.8 Yrs

Regional Practice Density

7 Specialists

Practicing in Oneonta, NY (2269 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Whitaker (29 Years) 29 Yrs

Oneonta Specialty Average (24.3 Years) 24.3 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
45380 Biopsy of large bowel using an endoscope	39	39	$651.00	$174.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$354.51	$119.63
99213 Established patient office or other outpatient visit, typically 15 minutes	31	22	$286.00	$96.25
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	26	$418.00	$140.24
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	12	$159.00	$53.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$534.00	$179.90
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	15	15	$825.00	$276.95
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	15	15	$451.00	$90.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45380 Biopsy of large bowel using an endoscope	51	51	$857.98	$172.56
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	33	18	$122.00	$84.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	15	$87.00	$38.20
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	23	23	$829.00	$182.90
99213 Established patient office or other outpatient visit, typically 15 minutes	21	21	$146.86	$65.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	16	$86.00	$34.41
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$259.50	$137.12
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	16	16	$1100.00	$259.49
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	14	$654.86	$118.82
99213 Established patient office or other outpatient visit, typically 15 minutes	14	13	$160.00	$70.51
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	13	13	$829.00	$183.52
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$484.50	$100.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	55	47	$111.00	$74.91
45380 Biopsy of large bowel using an endoscope	51	51	$885.36	$191.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	31	$86.00	$40.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	20	$86.00	$35.63
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	21	21	$829.00	$198.77
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	20	20	$407.55	$84.79
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	20	20	$829.00	$200.51
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	17	17	$1100.00	$274.58
99213 Established patient office or other outpatient visit, typically 15 minutes	17	15	$140.00	$65.60
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	12	$122.00	$75.50
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	15	15	$611.20	$116.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	77	68	$111.00	$75.61
45380 Biopsy of large bowel using an endoscope	57	57	$841.17	$178.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	41	$83.13	$35.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	35	$83.38	$39.51
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	28	28	$613.93	$118.15
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	24	24	$1100.00	$271.25
99213 Established patient office or other outpatient visit, typically 15 minutes	20	20	$130.25	$66.84
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	18	18	$829.00	$203.15
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	16	16	$411.47	$83.94
49505 Repair of groin hernia (5 years or older)	15	15	$1216.00	$525.12
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	15	15	$829.00	$201.25
45378 Diagnostic exam of large bowel using a flexible endoscope	14	14	$829.00	$194.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45380 Biopsy of large bowel using an endoscope	79	79	$883.86	$191.04
99213 Established patient office or other outpatient visit, typically 15 minutes	64	57	$120.00	$51.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	57	45	$72.89	$25.57
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	32	32	$632.69	$122.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	17	$73.44	$28.52
99213 Established patient office or other outpatient visit, typically 15 minutes	24	21	$122.33	$56.28
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	24	24	$418.00	$84.11
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	22	22	$829.00	$196.71
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	22	22	$1100.00	$274.14
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	22	22	$829.00	$190.78
45378 Diagnostic exam of large bowel using a flexible endoscope	19	19	$829.00	$197.93
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	19	18	$111.00	$75.92
99231 Follow-up hospital inpatient care per day, typically 15 minutes	17	17	$70.00	$40.60
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$218.00	$141.19
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$122.50	$50.02
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$2530.00	$339.32
49505 Repair of groin hernia (5 years or older)	11	11	$1309.09	$566.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45380 Biopsy of large bowel using an endoscope	118	117	$848.16	$167.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	117	87	$72.00	$24.94
99213 Established patient office or other outpatient visit, typically 15 minutes	103	92	$117.00	$50.03
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	55	54	$495.90	$97.73
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	39	38	$1100.00	$255.56
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	36	36	$668.50	$123.59
99231 Follow-up hospital inpatient care per day, typically 15 minutes	27	22	$70.00	$38.87
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	27	27	$829.00	$186.95
45378 Diagnostic exam of large bowel using a flexible endoscope	24	24	$829.00	$181.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	21	$72.00	$26.92
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	19	19	$829.00	$188.77
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$120.00	$49.51
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	15	15	$11.00	$6.13
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$117.00	$53.05
49505 Repair of groin hernia (5 years or older)	13	13	$1246.15	$524.49
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$218.00	$134.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	140	103	$72.00	$27.86
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	85	85	$11.00	$5.39
99231 Follow-up hospital inpatient care per day, typically 15 minutes	69	55	$70.00	$38.36
99213 Established patient office or other outpatient visit, typically 15 minutes	54	47	$117.00	$52.22
45380 Biopsy of large bowel using an endoscope	49	49	$874.00	$178.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	37	$72.00	$26.55
99213 Established patient office or other outpatient visit, typically 15 minutes	36	33	$117.00	$52.64
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	34	34	$497.91	$96.47
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	32	32	$620.75	$110.09
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	30	30	$829.00	$183.78
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	23	$120.00	$72.79
99202 New patient office or other outpatient visit, typically 20 minutes	26	26	$120.00	$62.92
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	23	$218.00	$132.22
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	22	22	$829.00	$185.05
45378 Diagnostic exam of large bowel using a flexible endoscope	21	21	$829.00	$183.08
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$120.00	$52.93
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	15	15	$1100.00	$257.73
49505 Repair of groin hernia (5 years or older)	14	14	$1114.29	$461.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	86	72	$117.00	$49.80
45380 Biopsy of large bowel using an endoscope	62	62	$870.94	$170.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	61	48	$72.00	$25.18
99213 Established patient office or other outpatient visit, typically 15 minutes	60	53	$117.00	$52.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	35	$72.00	$26.55
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	43	43	$481.19	$96.77
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	34	34	$829.00	$186.92
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	32	32	$829.00	$189.40
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	29	28	$619.10	$112.07
99202 New patient office or other outpatient visit, typically 20 minutes	27	27	$120.00	$51.78
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	24	24	$1100.00	$264.54
99231 Follow-up hospital inpatient care per day, typically 15 minutes	23	19	$70.00	$38.25
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	17	$120.00	$69.99
45378 Diagnostic exam of large bowel using a flexible endoscope	20	20	$829.00	$185.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$171.00	$80.19
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	16	16	$25.00	$12.27
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$218.00	$132.35
46600 Diagnostic examination of the anus using an endoscope	13	11	$135.00	$40.09
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	11	11	$105.00	$18.49
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$321.00	$196.15
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$2415.00	$315.91

Medical Specialties & State Licenses

CMS Verified: 2024-04-08

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License FL ME161759

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License NY 218885

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

03157782 (NY)

Hospital & Practice Group Affiliations

Baptist Health Medical Group Upper Keys Llc

91550 Overseas Hwy, Tavernier, FL 330702513

Phone: 3052719777

Secondary Practice Locations

91550 Overseas Hwy Ste 214

Tavernier, FL 330702513

Phone: 3052719777

Practice Associates & Co-Workers

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

8 Associated Practitioners

Dr. Rachel Zehr , MD

Surgery

NPI 1316207723

Doctor of Medicine (M.D.)

Dr. Jonathan Sastic , MD

Surgery

NPI 1346215118

Doctor of Medicine (M.D.)

Dr. Rita Figueroa , MD

Surgery

NPI 1346301983

Doctor of Medicine (M.D.)

Kristine Knapp , FNP-BC

Nurse Practitioner

NPI 1366297228

Family Nurse Practitioner (Board Certified)

Dr. Ronald Zerbe , MD

Surgery

NPI 1609841477

Doctor of Medicine (M.D.)

Dr. Lois Sastic , MD

Surgery

NPI 1699740845

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2024

Surgery (License #ME161759 in FL)

📍

Updated Business Mailing Address September 08, 2023

Registered at PO BOX 100707, ATLANTA, GA 303840707 (Tel: 7865946880)

✅

NPI Profile Active March 26, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location March 26, 2013

Registered at 449 MAIN ST, ONEONTA, NY 138202028 (Tel: 6074325680)

📍

Updated Business Mailing Address March 26, 2013

Registered at 449 MAIN ST, ONEONTA, NY 138202028 (Tel: 6074325680)

👤

Provider Name / Credentials Updated March 26, 2013

Recorded as TIMOTHY WHITAKER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 26, 2013

Surgery (License #218885 in NY)

🟢

Initial NPI Registration & Enumeration September 15, 2006

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: 1255437588

Entity Type:

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

Enumeration Date: September 15, 2006

Last Update: April 08, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 100707

Atlanta, GA 303840707

Phone: 7865946880

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.