Active NPI 1225096480 Individual Practitioner Female Practitioner

Dr. Colette R Whitby , MD

Surgery • Woonsocket, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Colette Whitby, MD is a certified Surgery practicing in Woonsocket, RI. With approximately 30 years of clinical experience since completing medical education in 1996, Dr. Whitby delivers high-quality medical care to the local community at 115 CASS AVE.

Dr. Whitby is affiliated with Prime Healthcare Services Landmark Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with straightforward or low-level medical decision making, if using time, at least, 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

115 Cass Ave

Woonsocket, RI 028954705

Telephone 4017662970

Associated Practice Facility / Clinic

🏢 Prime Healthcare Services Landmark Llc Facility NPI 1699752923

Medicare Profile & Education

Medical School

Other

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Woonsocket, RI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +6.7 yrs vs City Avg

City Avg: 23.3 Yrs

State Avg: 29.0 Yrs

Regional Practice Density

6 Specialists

Practicing in Woonsocket, RI (160 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Whitby (30 Years) 30 Yrs

Woonsocket Specialty Average (23.3 Years) 23.3 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
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	18	$400.18	$129.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	32	32	$654.31	$223.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$484.05	$169.91
99213 Established patient office or other outpatient visit, typically 15 minutes	21	18	$258.05	$90.63
19301 Partial removal of breast	20	19	$2043.30	$683.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	16	$387.70	$130.71
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	11	11	$1297.00	$223.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	96	75	$319.92	$131.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$474.49	$170.47
99213 Established patient office or other outpatient visit, typically 15 minutes	42	39	$223.57	$94.10
99231 Follow-up hospital inpatient care per day, typically 15 minutes	31	16	$100.00	$39.07
99221 Initial hospital inpatient care per day, typically 30 minutes	22	22	$221.00	$101.78
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	15	$421.76	$178.64
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	11	$181.88	$72.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	119	85	$299.46	$137.41
99213 Established patient office or other outpatient visit, typically 15 minutes	62	53	$201.87	$92.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$437.69	$177.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$258.29	$118.90
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	21	$180.00	$74.67
99221 Initial hospital inpatient care per day, typically 30 minutes	18	18	$221.00	$104.63
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	17	16	$988.00	$260.97
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$299.00	$141.29
38900 Lymph node imaging during surgery	16	16	$307.00	$148.61
99231 Follow-up hospital inpatient care per day, typically 15 minutes	15	13	$100.00	$39.88
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	14	14	$2615.00	$321.60
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	14	14	$335.00	$19.45
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$404.54	$191.64
19125 Removal of breast growth, open procedure	12	12	$1244.00	$469.16
19301 Partial removal of breast	11	11	$1463.00	$699.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	78	68	$177.46	$79.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	54	$266.95	$114.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$242.00	$114.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$366.00	$175.10
38900 Lymph node imaging during surgery	16	16	$307.00	$149.86
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$299.00	$146.07
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	12	$180.00	$76.75
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	13	13	$988.00	$255.81
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$2615.00	$334.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	54	50	$151.30	$78.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	47	$238.11	$114.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$222.22	$114.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$355.82	$173.18
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	13	13	$2654.62	$343.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	74	63	$278.00	$112.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$423.00	$171.76
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	30	$348.00	$142.03
99231 Follow-up hospital inpatient care per day, typically 15 minutes	27	17	$100.00	$40.68
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	22	18	$36.00	$15.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$278.00	$112.88
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	12	$184.00	$75.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	60	$279.91	$109.06
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	21	$348.00	$139.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$423.00	$168.57
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$530.00	$211.97

Medical Specialties & State Licenses

CMS Verified: 2024-05-02

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MA 220095

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2038790 (MA)

Commercial Insurance / Payer ID Tufts

468774

Commercial Insurance / Payer ID Harvard Pilgrim

AH14988

Hospital & Practice Group Affiliations

Prime Healthcare Services Landmark Llc

20 Cumberland Hill Rd, Woonsocket, RI 028954854

Phone: 4017694100

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Philip Philips , MD

Surgery

NPI 1346221686

Doctor of Medicine (M.D.)

Dr. Alexander Philips , MD

Surgery

NPI 1528059193

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

15 Historical Events

📍

Updated Business Mailing Address February 23, 2024

Registered at 20 CUMBERLAND HILL RD UNIT 202, WOONSOCKET, RI 028954854 (Tel: 4017662970)

📍

Updated Practice Location December 05, 2023

Registered at 115 CASS AVE, WOONSOCKET, RI 028954705 (Tel: 4017676052)

📍

Updated Business Mailing Address December 05, 2023

Registered at 115 CASS AVE, WOONSOCKET, RI 028954731

📍

Updated Practice Location February 07, 2023

Registered at 14 PROSPECT ST, MILFORD, MA 017573003 (Tel: 5084825439)

📍

Updated Business Mailing Address February 07, 2023

Registered at 9 INDUSTRIAL RD STE 5, MILFORD, MA 017573736 (Tel: 5084731480)

📍

Updated Practice Location July 11, 2019

Registered at 28 STURDY ST, ATTLEBORO, MA 027033148 (Tel: 5082267788)

📍

Updated Business Mailing Address July 11, 2019

Registered at 28 STURDY ST, ATTLEBORO, MA 027033148 (Tel: 5082267788)

📍

Updated Practice Location February 05, 2019

Registered at 100 SOUTH ST STE 108, SOUTHBRIDGE, MA 015504051 (Tel: 5087646966)

📍

Updated Business Mailing Address February 05, 2019

Registered at 100 SOUTH ST STE 108, SOUTHBRIDGE, MA 015504051 (Tel: 5087646966)

✅

NPI Profile Active December 22, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location December 22, 2011

Registered at 94 SOUTH ST, SOUTHBRIDGE, MA 015504000 (Tel: 5087646966)

📍

Updated Business Mailing Address December 22, 2011

Registered at 94 SOUTH ST, SOUTHBRIDGE, MA 015504000 (Tel: 5087646966)

👤

Provider Name / Credentials Updated December 22, 2011

Recorded as COLETTE WHITBY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 22, 2011

Surgery (License #220095 in MA)

🟢

Initial NPI Registration & Enumeration May 03, 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: 1225096480

Entity Type:

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

Enumeration Date: May 03, 2006

Last Update: May 02, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

20 Cumberland Hill Rd Unit 202

Woonsocket, RI 028954854

Phone: 4017662970

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.