DEREK WHALEN PA-C
NPI 1215545934
Physician Assistant - Medical in Waxhaw, NC

Q: What is Derek Whalen's NPI number?

The NPI number for Derek Whalen is 1215545934. It was assigned to this individual provider in the NPPES registry on July 20, 2020.

Q: What is Derek Whalen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Derek Whalen was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.

Active since July 20, 2020PECOS EnrolledAccepts Medicare Assignment

1621 PROVIDENCE RD S STE 370, WAXHAW, NC 28173(704) 520-7089(704) 520-7099 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 5, 2024, Dec 6, 2023, Oct 14, 2020 and 3 more (6 updates tracked since 2020).

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About Derek Whalen Pa-c NPPES

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

DEREK WHALEN PA-C (NPI 1215545934) is an individual medical provider in Waxhaw, North Carolina, licensed in North Carolina (0010-13935) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS, is affiliated with Novant Health Matthews Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1215545934

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameDEREK WHALENCredential: PA-C

Location Address1621 PROVIDENCE RD S STE 370Waxhaw, NC 28173-8331

Mailing Address4705 University Dr Bldg 700Durham, NC 27707-3489 · (919) 237-1337 · Fax (919) 237-1625

Phone(704) 520-7089

Fax(704) 520-7099

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJuly 20, 2020

Last NPPES UpdateDecember 5, 20246 updates tracked since enumeration

NPPES CertifiedDecember 5, 2024

✔ NPI 1215545934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in NC · 0010-13935

Also ListedPhysician AssistantTaxonomy 363A00000X

1621 PROVIDENCE RD S STE 370, Waxhaw, NC 28173

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

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

Derek Whalen Pa-c 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 ID9537585880

PECOS Enrollment IDI20240222004300

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 2

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 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.

60 services50 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

18 services18 patients

Hospital Affiliations CMS Care Compare

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

Novant Health Matthews Medical Center

Acute Care Hospitals · Matthews, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number340171

Location1500 Matthews Twnshp Prkwy Box 3310Matthews, NC 28106 · Mecklenburg County

Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 2

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

4 suppliers13 claims25 services$6.04 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier11 claims13 services$82.75 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Derek Whalen's NPI number?

The NPI number for Derek Whalen is 1215545934. It was assigned to this individual provider in the NPPES registry on July 20, 2020.

Where is Derek Whalen located?

Derek Whalen practices at 1621 Providence Rd S Ste 370, Waxhaw, NC 28173. The listed phone number is (704) 520-7089.

What is Derek Whalen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Derek Whalen enrolled in Medicare?

Yes. Derek 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.

What insurance does Derek Whalen accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Derek Whalen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Derek Whalen affiliated with any hospitals?

According to CMS data, Derek Whalen is affiliated with Novant Health Matthews Medical Center.

When was this NPI record last updated?

The NPPES record for Derek Whalen was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.