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

Q: 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.

Q: What is Douglas Whikehart's specialty?

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

Q: 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 5 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.

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: August 23, 2026.

On this page

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

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.

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

Quality

74.92

Promoting Interoperability

91.67

Improvement Activities

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.

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

MRS. GABRIELLA MEDVEDOVSKY DPT

Physical Therapist

375 SEGUINE AVE
STATEN ISLAND, NY 10309

Richmond County (718) 226-9000

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.

What insurance does Douglas Whikehart accept?

Health plans from Providence Health Plan list Douglas Whikehart 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.

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 5 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.