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DR. DOUGLAS JAMES WHIKEHART MD
NPI 1386706372
Psychiatry & Neurology - Psychiatry in Staten Island, NY

Active since December 15, 2006PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
375 SEGUINE AVE, STATEN ISLAND, NY 10309(718) 226-2274(718) 226-2658 Get Directions Write a Review

NPPES record last updated: September 28, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Douglas James Whikehart Md NPPES

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

DR. DOUGLAS JAMES WHIKEHART MD (NPI 1386706372) is an individual psychiatry provider in Staten Island, New York, licensed in New York (202120) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Indiana University School Of Medicine (1987).

NPPES Registry Identity

NPI1386706372
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. DOUGLAS JAMES WHIKEHARTCredential: MD
Location Address375 SEGUINE AVEStaten Island, NY 10309-3932
Mailing Address27 Ridge RdCroton On Hudson, NY 10520-2623
Phone(718) 226-2274
Fax(718) 226-2658
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1987
Enumeration DateDecember 15, 2006
Last NPPES UpdateSeptember 28, 2020
NPPES CertifiedSeptember 28, 2020
✔ NPI 1386706372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NY · 202120
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
375 SEGUINE AVE, Staten Island, NY 10309
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Other Identifiers 1

Medicaid01426053NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Douglas James Whikehart 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 ID5092796185
PECOS Enrollment IDI20040525001461
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Douglas Whikehart reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mccd Psychiatry Services PLLC
19 mi
Psychiatry
109 W 27TH ST # 5S
New York, NY 10001
  • Reassigned Medicare billing, New York enrollment
  • 590 clinicians in this Medicare group
NPI 1033750823 (917) 634-5311
North Shore - Lij Medical PC
30 mi
Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1790043479 (516) 465-8089
St. Joseph's Hospital & Medical Center
33 mi
Psychiatry
127 S BROADWAY
Yonkers, NY 10701
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: St Joseph's Hospital Yonkers
  • 233 clinicians in this Medicare group
NPI 1245204908 (914) 378-7342

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.
109 services20 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.
24 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10309 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
$203.53 typical visit price
range $67.40 – $203.53
Typical copayment $50.88 (range $16.85 – $50.88)
Most-billed visit code 99205
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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.

MRS. LISA TARZIA RN
Registered Nurse (Emergency)
375 SEGUINE AVE
STATEN ISLAND, NY 10309
Richmond County (718) 226-2000
LUIS ALBERTO QUIEL M.D.
Hospitalist
375 SEGUINE AVE
STATEN ISLAND, NY 10309
Richmond County (718) 226-6902
JUNHYEOK CHOI
Physician Assistant
375 SEGUINE AVE
STATEN ISLAND, NY 10309
Richmond County (718) 226-2000
JAMES PATRICK LEAHY JR. PMHNP-BC
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
375 SEGUINE AVE
STATEN ISLAND, NY 10309
Richmond County (718) 226-9000
MS. MAGDALENA A LUBINSKI PA-C
Physician Assistant
375 SEGUINE AVE
STATEN ISLAND, NY 10309
Richmond County (718) 226-2000
DR. MICHAEL COSTES M.D.
Anesthesiology
375 SEGUINE AVE
STATEN ISLAND, NY 10309
Richmond County (718) 226-2000
DR. WAI-KWOK TAM MD
Internal Medicine
375 SEGUINE AVE
STATEN ISLAND, NY 10309
Richmond County (781) 226-2051
MRS. DEBRA SNOW MORIARTY F.N.P.
Nurse Practitioner (Family)
375 SEGUINE AVE, EMPLOYEE HEALTH
STATEN ISLAND, NY 10309
Richmond County (718) 226-2099

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 Douglas Whikehart's NPI number?

The NPI number for Douglas Whikehart is 1386706372. It was assigned to this individual provider in the NPPES registry on December 15, 2006.

Where is Douglas Whikehart located?

Douglas Whikehart practices at 375 Seguine Ave, Staten Island, NY 10309. The listed phone number is (718) 226-2274.

What is Douglas Whikehart's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Douglas Whikehart enrolled in Medicare?

Yes. Douglas Whikehart 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.

Which organizations bill Medicare for Douglas Whikehart's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Whikehart reassigns Medicare benefits to 3 organizations: Mccd Psychiatry Services PLLC (New York, NY), North Shore - Lij Medical PC (New Hyde Park, NY) and St. Joseph's Hospital & Medical Center (Yonkers, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Douglas Whikehart's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Douglas Whikehart was last updated on September 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.