RACHEL LYNN WHELAN M.D.
NPI 1407266737
Otolaryngology in Pittsburgh, PA

Q: What is Rachel Whelan's NPI number?

The NPI number for Rachel Whelan is 1407266737. It was assigned to this individual provider in the NPPES registry on May 8, 2014.

Q: What is Rachel Whelan's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Rachel Whelan was last updated on November 5, 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.

Active since May 08, 2014PECOS EnrolledAccepts Medicare Assignment

77.5/100

CMS Quality Rating

203 LOTHROP ST, EYE & EAR BUILDING, SUITE 500, PITTSBURGH, PA 15213(609) 457-9658 Get Directions Write a Review

NPPES record last updated: November 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 5, 2021, Apr 10, 2020 (2 updates tracked since 2020).

On this page

About Rachel Lynn Whelan M.d. NPPES

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

RACHEL LYNN WHELAN M.D. (NPI 1407266737) is an individual otolaryngology provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD473093) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, is affiliated with Upmc Mercy, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1407266737

Entity TypeIndividualFemale

Primary Taxonomy207Y00000X

Provider Legal NameRACHEL LYNN WHELANCredential: M.D.

Location Address203 LOTHROP ST, EYE & EAR BUILDING, SUITE 500Pittsburgh, PA 15213-2548

Mailing Address203 Lothrop St, Eye & Ear Building, Suite 500Pittsburgh, PA 15213-2548

Phone(609) 457-9658

Sole ProprietorNo

Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2014

Enumeration DateMay 8, 2014

Last NPPES UpdateNovember 5, 20212 updates tracked since enumeration

NPPES CertifiedNovember 5, 2021

✔ NPI 1407266737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

Licenses✔ Licensed in PA · MD473093✔ Licensed in PA · MT205986

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License MT205986 (PA)

203 LOTHROP ST, Pittsburgh, PA 15213

Open in Google Maps ↗

Secondary Practice Locations 2

Location 14401 Penn AvePittsburgh, PA 15224-1334 · Phone (412) 692-5460 · Fax (412) 692-6074

Location 21400 Locust StPittsburgh, PA 15219-5114 · Phone (172) 459-1323

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

Rachel Lynn Whelan 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 ID7113326703

PECOS Enrollment IDI20210602001407

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

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.

15 services12 patients

Hospital Affiliations CMS Care Compare

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

Upmc Mercy

Acute Care Hospitals · Pittsburgh, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390028

Location1400 Locust StreetPittsburgh, PA 15219 · Allegheny County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15213 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

77.5/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

68.61

Promoting Interoperability

100

Improvement Activities

Cost

56.4

Referred Medical Equipment & Supplies CMS DME claims

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

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers23 claims23 services$30.71 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.

ARIANA DESAI

Speech-Language Pathologist

203 LOTHROP ST
PITTSBURGH, PA 15213

Allegheny County (412) 647-6461

LINDSEY SOLES PA

Otolaryngology

203 LOTHROP ST
PITTSBURGH, PA 15213

Allegheny County (412) 647-2100

RITA HERSAN

Speech-Language Pathologist

203 LOTHROP ST, 500
PITTSBURGH, PA 15213

Allegheny County (412) 647-2130

BROOKE MARSHALL BROWNING PA-C

Physician Assistant (Medical)

203 LOTHROP ST
PITTSBURGH, PA 15213

Allegheny County (412) 647-2200

MARY KATE SIMPSON CCC-SLP

Speech-Language Pathologist

203 LOTHROP ST
PITTSBURGH, PA 15213

Allegheny County (412) 647-4524

GABRIELLE BONHOMME

Ophthalmology

203 LOTHROP ST, EEINS, 6TH, 7TH AND 8TH FLOORS
PITTSBURGH, PA 15213

Allegheny County (412) 647-2200

BRANDON T SMITH MD

Student in an Organized Health Care Education/Training Program

203 LOTHROP ST, SUITE 300
PITTSBURGH, PA 15213

Allegheny County (412) 647-2100

MR. RICK J HYRE AUD

Specialist

203 LOTHROP ST, 500 EEINS
PITTSBURGH, PA 15213

Allegheny County (412) 647-2130

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 Rachel Whelan's NPI number?

The NPI number for Rachel Whelan is 1407266737. It was assigned to this individual provider in the NPPES registry on May 8, 2014.

Where is Rachel Whelan located?

Rachel Whelan practices at 203 Lothrop St Eye & Ear Building, Suite 500, Pittsburgh, PA 15213. The listed phone number is (609) 457-9658.

What is Rachel Whelan's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Rachel Whelan enrolled in Medicare?

Yes. Rachel Whelan 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.

Is Rachel Whelan affiliated with any hospitals?

According to CMS data, Rachel Whelan is affiliated with Upmc Mercy.

When was this NPI record last updated?

The NPPES record for Rachel Whelan was last updated on November 5, 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.