BRYSON WHALEN M.D.
NPI 1255727301
Obstetrics & Gynecology in Glen Carbon, IL

Q: What is Bryson Whalen's NPI number?

The NPI number for Bryson Whalen is 1255727301. It was assigned to this individual provider in the NPPES registry on April 15, 2015.

Q: What is Bryson Whalen's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Bryson Whalen was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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 April 15, 2015PECOS EnrolledAccepts Medicare Assignment

2246 S STATE ROUTE 157 STE 100, GLEN CARBON, IL 62034(618) 288-9251(618) 288-6900 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 14, 2020, Oct 6, 2020 (2 updates tracked since 2020).

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About Bryson Whalen M.d. NPPES

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

BRYSON WHALEN M.D. (NPI 1255727301) is an individual obstetrics & gynecology provider in Glen Carbon, Illinois, licensed in Ohio (036.150352) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Anderson Hospital, and maintains a secondary practice location in Maryville.

NPPES Registry Identity

NPI1255727301

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameBRYSON WHALENCredential: M.D.

Location Address2246 S STATE ROUTE 157 STE 100Glen Carbon, IL 62034-1717

Mailing Address6810 State Route 162, Box 215Maryville, IL 62062 · (618) 391-6495

Phone(618) 288-9251

Fax(618) 288-6900

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateApril 15, 2015

Last NPPES UpdateAugust 28, 20242 updates tracked since enumeration

NPPES CertifiedAugust 28, 2024

✔ NPI 1255727301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in OH · 036.150352

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2246 S STATE ROUTE 157 STE 100, Glen Carbon, IL 62034

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Secondary Practice Location 1

Location 16812 State Route 162 Ste 301Maryville, IL 62062-8562 · Phone (618) 288-5699 · Fax (619) 288-5797

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Bryson 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 ID9436468428

PECOS Enrollment IDI20191011000682

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 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.

27 services18 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

Anderson Hospital

Acute Care Hospitals · Maryville, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140289

Location6800 State Route 162Maryville, IL 62062 · Madison County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62034 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

$131.14 typical visit price

range $56.28 – $173.35

Typical copayment $32.78 (range $14.07 – $43.33)

Most-billed visit code 99204

Established Patient

$70.42 typical visit price

range $17.51 – $139.99

Typical copayment $17.60 (range $4.37 – $34.99)

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.

Other Providers at the Same Location NPPES 2

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

DENNIS M HURFORD MD

Obstetrics & Gynecology

2246 S STATE ROUTE 157 STE 100
GLEN CARBON, IL 62034

Madison County (618) 288-9251

KRISTEN JAMES M.D.

Obstetrics & Gynecology

2246 S STATE ROUTE 157 STE 100
GLEN CARBON, IL 62034

Madison County (618) 288-9251

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 Bryson Whalen's NPI number?

The NPI number for Bryson Whalen is 1255727301. It was assigned to this individual provider in the NPPES registry on April 15, 2015.

Where is Bryson Whalen located?

Bryson Whalen practices at 2246 S State Route 157 Ste 100, Glen Carbon, IL 62034. The listed phone number is (618) 288-9251.

What is Bryson Whalen's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Bryson Whalen enrolled in Medicare?

Yes. Bryson 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 Bryson Whalen accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Bryson 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 Bryson Whalen affiliated with any hospitals?

According to CMS data, Bryson Whalen is affiliated with Anderson Hospital.

When was this NPI record last updated?

The NPPES record for Bryson Whalen was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.