Claiborne Whitworth, MD
NPI 1073592796 · Urology Physician · Lexington, VA
Enrolled with Medicare as Practitioner - Urology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Claiborne Whitworth, MD is a Urology Physician provider in Lexington, VA (NPI 1073592796).
Provider details
- NPI number
- 1073592796
- Entity type
- Individual
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 0101049835 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
651 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 133 | $88 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 109 | $124 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 68 | $161 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 62 | $106 |
| Limited Ultrasound Scan of Pelvis76857 | 57 | $48 |
| Diagnostic Exam of Bladder and Urethra Using an Endoscope |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 25 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Tamsulosin Hcl | 224 | 76 |
| Finasteride | 140 | 44 |
| Mirabegronbrand: Myrbetriq | 98 | 31 |
| Cephalexin | 47 | 26 |
| Trimethoprim | 29 | — |
| Furosemide | 26 | — |
| Oxybutynin Chloride | 25 | 17 |
| Nitrofurantoin Monohyd/M-Cryst |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$32 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 155 Riverbend DrCharlottesville, VA 22911-8607Phone: (434) 295-0184Fax: (434) 295-2463
Registry dates
- Enumerated
- 2006-01-11
- Last updated
- 2022-08-09
- Certified
- 2022-08-09
Frequently asked questions
- What is Claiborne Whitworth's NPI number?
- Claiborne Whitworth's National Provider Identifier (NPI) is 1073592796, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Claiborne Whitworth's specialty?
- Claiborne Whitworth is listed in the NPPES registry with a primary specialty of Urology Physician (Allopathic & Osteopathic Physicians).
- Where is Claiborne Whitworth located?
- Claiborne Whitworth's practice location on file with NPPES is 100 Spotswood Dr, Lexington, VA 24450-2454.
- What is Claiborne Whitworth's phone number?
- The practice phone number listed in the NPPES registry for Claiborne Whitworth is (540) 463-7108.
- Does Claiborne Whitworth accept Medicare?
- Claiborne Whitworth is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Claiborne Whitworth's NPI active?
- Yes — Claiborne Whitworth's NPI (1073592796) is active in the NPPES registry as of the last update on 2022-08-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.