Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

RICHARD B WHALEN MD
NPI 1043202138
Family Medicine in Titusville, PA

Active since August 16, 2005PECOS Enrolled
339 W SPRING ST, SUITE 102, TITUSVILLE, PA 16354(814) 827-9675(814) 827-0216 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Richard B Whalen Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RICHARD B WHALEN MD (NPI 1043202138) is an individual family medicine provider in Titusville, Pennsylvania, licensed in Pennsylvania (MD055364L) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Upmc Northwest, and is a graduate of University Of Pittsburgh School Of Medicine (1992).

NPPES Registry Identity

NPI1043202138
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRICHARD B WHALENCredential: MD
Location Address339 W SPRING ST, SUITE 102Titusville, PA 16354-1655
Mailing Address339 W Spring St, Suite 102Titusville, PA 16354-1655 · (814) 827-9675 · Fax (814) 827-0216
Fax(814) 827-0216
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 1992
Enumeration DateAugust 16, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1043202138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · MD055364L
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

339 W SPRING ST, Titusville, PA 16354

Other Identifiers 1

Medicaid0015347440003PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Richard B Whalen Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648307686
PECOS Enrollment IDI20100422000440
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
50 services25 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Upmc Northwest

Acute Care Hospitals · Seneca, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390091
Location100 Fairfield DriveSeneca, PA 16346 · Venango County
Emergency services Birthing friendly

Meadville Medical Center

Acute Care Hospitals · Meadville, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390113
Location751 Liberty StreetMeadville, PA 16335 · Crawford County
Emergency services Birthing friendly

Titusville Area Hospital

Critical Access Hospitals · Titusville, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number391314
Location406 West Oak StreetTitusville, PA 16354 · Crawford County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16354 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%30 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers31 claims92 services$6.01 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers11 claims11 services$57.14 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
3 suppliers12 claims12 services$15.89 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
3 suppliers12 claims12 services$18.63 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers17 claims102 services$2.41 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers32 claims32 services$19.96 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
339 W SPRING ST, SUITE 103
TITUSVILLE, PA 16354
Nurse Practitioner
339 W SPRING ST, SUITE 102
TITUSVILLE, PA 16354
Nurse Practitioner (Family)
339 W SPRING ST, SUITE 102
TITUSVILLE, PA 16354
Internal Medicine
339 W SPRING ST, SUITE 102
TITUSVILLE, PA 16354
Pediatrics
339 W SPRING ST, SUITE 103
TITUSVILLE, PA 16354
Physician Assistant
339 W SPRING ST
TITUSVILLE, PA 16354
Nurse Practitioner (Family)
339 W SPRING ST
TITUSVILLE, PA 16354
Clinic/Center (Rural Health)
339 W SPRING ST
TITUSVILLE, PA 16354

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard Whalen's NPI number?

The NPI number for Richard Whalen is 1043202138. It was assigned to this individual provider in the NPPES registry on August 16, 2005.

Where is Richard Whalen located?

Richard Whalen practices at 339 W Spring St Suite 102, Titusville, PA 16354. The listed phone number is (814) 827-9675.

What is Richard Whalen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Richard Whalen enrolled in Medicare?

Yes. Richard Whalen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Richard Whalen affiliated with any hospitals?

According to CMS data, Richard Whalen is affiliated with Upmc Northwest, Meadville Medical Center and Titusville Area Hospital.

When was this NPI record last updated?

The NPPES record for Richard Whalen was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.