Tom Whitlock, M.D.
NPI 1306985189 · Gastroenterology Physician · Asheville, NC
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tom Whitlock, M.D. is a Gastroenterology Physician provider in Asheville, NC (NPI 1306985189).
Provider details
- NPI number
- 1306985189
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 2010-01023 (NC)
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
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
1,131 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) |
|---|---|---|
| Chronic Care Management Services for Two Or More Chronic Conditions, Additional 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99439 | 357 | $46 |
| Chronic Care Management Services, First 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99490 | 194 | $61 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 179 | $237 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 122 | $68 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 54 | $77 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 6 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Gavilyte-G | 69 | 69 |
| Peg 3350/Sod Sulf,chlr/Pot/Magbrand: Suflave | 33 | 33 |
| Sodium, Potassium,mag Sulfatesbrand: Sod Sulf-Potass Sulf-Mag Sulf | 23 | 23 |
| Omeprazole | 22 | — |
| Pantoprazole Sodium | 22 | — |
| Famotidine | 19 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they include cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$281 across 7 records (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 (2)
- 188 Medical Park DriveSte aBrevard, NC 28712-4188Phone: (828) 883-9600Fax: (828) 254-1614
- 1032 Fleming StreetHendersonville, NC 28791-3532Phone: (828) 696-3099Fax: (828) 696-3868
Registry dates
- Enumerated
- 2007-02-06
- Last updated
- 2025-10-23
- Certified
- 2025-10-23
Frequently asked questions
- What is Tom Whitlock's NPI number?
- Tom Whitlock's National Provider Identifier (NPI) is 1306985189, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tom Whitlock's specialty?
- Tom Whitlock is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Tom Whitlock located?
- Tom Whitlock's practice location on file with NPPES is 291 Sweeten Creek Road, Asheville, NC 28803-1527.
- What is Tom Whitlock's phone number?
- The practice phone number listed in the NPPES registry for Tom Whitlock is (828) 254-0881.
- Does Tom Whitlock accept Medicare?
- Tom Whitlock is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tom Whitlock's NPI active?
- Yes — Tom Whitlock's NPI (1306985189) is active in the NPPES registry as of the last update on 2025-10-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.