DR. MICHAEL JOSEPH WHALEN M.D.
NPI 1164675245
Urology in Washington, DC

Active since November 03, 2008PECOS EnrolledAccepts Medicare Assignment
2150 PENNSYLVANIA AVE NW, DEPT OF UROLOGY, GW MFA SUITE 3-417, WASHINGTON, DC 20037(202) 741-3100 Get Directions Write a Review

NPPES record last updated: September 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michael Joseph Whalen M.d. NPPES

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

DR. MICHAEL JOSEPH WHALEN M.D. (NPI 1164675245) is an individual urology provider in Washington, District Of Columbia, licensed in District Of Columbia (044326) and active in the NPI registry since November 2008. He is enrolled in Medicare PECOS and is a graduate of Columbia University College Of Physicians And Surgeons (2008).

NPPES Registry Identity

NPI1164675245
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. MICHAEL JOSEPH WHALENCredential: M.D.
Location Address2150 PENNSYLVANIA AVE NW, DEPT OF UROLOGY, GW MFA SUITE 3-417Washington, DC 20037-3201
Mailing Address2150 Pennsylvania Ave Nw, Dept Of Urology, Gw Mfa Suite 3-417Washington, DC 20037-3201 · (202) 741-3100
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 2008
Enumeration DateNovember 3, 2008
Last NPPES UpdateSeptember 2, 2021
NPPES CertifiedSeptember 2, 2021
NPI 1164675245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses Licensed in DC · 044326 Licensed in CT · 54046
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
2150 PENNSYLVANIA AVE NW, Washington, DC 20037

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

Dr. Michael Joseph Whalen M.d. 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 ID8123330354
PECOS Enrollment IDI20160915001405
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 20

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
218 services137 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
188 services134 patients
Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg J9201
Gemcitabine hydrochloride is a medication given via injection to treat certain types of cancer. The 200 mg dose is administered by a healthcare professional. The drug works by slowing or stopping the growth of cancer cells in the body. It's important to follow your doctor's instructions while receiving this treatment.
140 services11 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
128 services81 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
94 services73 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
83 services63 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20037 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
1 supplier13 claims1,475 services$6.18 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
3 suppliers27 claims72 services$7.94 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
3 suppliers16 claims230 services$4.91 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
4 suppliers28 claims680 services$5.60 avg. paid by Medicare
Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each A4432
DME-Orthotic Devices · category DF010N
4 suppliers29 claims750 services$3.37 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
4 suppliers17 claims875 services$0.23 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 20

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

Internal Medicine
2150 PENNSYLVANIA AVE NW, SUITE 5-416
WASHINGTON, DC 20037
Student in an Organized Health Care Education/Training Program
2150 PENNSYLVANIA AVE NW
WASHINGTON, DC 20037
Obstetrics & Gynecology (Obstetrics)
2150 PENNSYLVANIA AVE NW
WASHINGTON, DC 20037
Student in an Organized Health Care Education/Training Program
2150 PENNSYLVANIA AVE NW
WASHINGTON, DC 20037
Student in an Organized Health Care Education/Training Program
2150 PENNSYLVANIA AVE NW
WASHINGTON, DC 20037
Obstetrics & Gynecology (Maternal & Fetal Medicine)
2150 PENNSYLVANIA AVE NW
WASHINGTON, DC 20037
Internal Medicine (Hematology & Oncology)
2150 PENNSYLVANIA AVE NW
WASHINGTON, DC 20037
Internal Medicine (Rheumatology)
2150 PENNSYLVANIA AVE NW
WASHINGTON, DC 20037

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 Michael Whalen's NPI number?

The NPI number for Michael Whalen is 1164675245. It was assigned to this individual provider in the NPPES registry on November 3, 2008.

Where is Michael Whalen located?

Michael Whalen practices at 2150 Pennsylvania Ave NW Dept Of Urology, Gw Mfa Suite 3-417, Washington, DC 20037. The listed phone number is (202) 741-3100.

What is Michael Whalen's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Michael Whalen enrolled in Medicare?

Yes. Michael 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.

When was this NPI record last updated?

The NPPES record for Michael Whalen was last updated on September 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.