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DR. JANET C WHELAN O.D., P.A.
NPI 1457356024
Optometrist in Biddeford, ME

Active since June 20, 2005PECOS EnrolledAccepts Medicare Assignment
3 BEACON AVE, STE 101, BIDDEFORD, ME 04005(207) 284-4231(207) 283-4234 Get Directions Write a Review

NPPES record last updated: May 1, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Janet C Whelan O.d., P.a. NPPES

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

DR. JANET C WHELAN O.D., P.A. (NPI 1457356024) is an individual optometrist in Biddeford, Maine, licensed in Maine (OPT715) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (1984).

NPPES Registry Identity

NPI1457356024
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. JANET C WHELANCredential: O.D., P.A.
Location Address3 BEACON AVE, STE 101Biddeford, ME 04005-2917
Mailing Address3 Beacon Ave, Ste 101Biddeford, ME 04005-2917 · (207) 284-4231 · Fax (207) 283-4234
Phone(207) 284-4231
Fax(207) 283-4234
Sole ProprietorNo
Medical School CMSNew England College Of OptometryGraduated 1984
Enumeration DateJune 20, 2005
Last NPPES UpdateMay 1, 2008
✔ NPI 1457356024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in ME · OPT715
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
3 BEACON AVE, Biddeford, ME 04005
Open in Google Maps ↗

Other Identifiers 7

Medicare NSC0609520001ME
Medicare PIN410039947ME
Other000654ME · Anthem Bcbs
Medicaid238760099ME
Medicare UPINU32736ME
Other1041325ME · Aetna
Medicare PINPX6880ME

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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. Janet C Whelan O.d., P.a. 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 ID1456308717
PECOS Enrollment IDI20050629001021
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 6

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
153 services153 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
39 services36 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
35 services33 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
21 services16 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.
21 services17 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
14 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04005 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
$128.83 typical visit price
range $56.28 – $169.96
Typical copayment $32.20 (range $14.07 – $42.49)
Most-billed visit code 99204
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
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.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%38 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

BEACON EYE CARE PA
Optometrist
3 BEACON AVE
BIDDEFORD, ME 04005
York County (207) 284-4231
LAUREN NICOLE BOUTET OD
Optometrist
3 BEACON AVE, SUITE 101
BIDDEFORD, ME 04005
York County (207) 284-4231

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 Janet Whelan's NPI number?

The NPI number for Janet Whelan is 1457356024. It was assigned to this individual provider in the NPPES registry on June 20, 2005.

Where is Janet Whelan located?

Janet Whelan practices at 3 Beacon Ave Ste 101, Biddeford, ME 04005. The listed phone number is (207) 284-4231.

What is Janet Whelan's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Janet Whelan enrolled in Medicare?

Yes. Janet 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.

What insurance does Janet Whelan accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Janet Whelan 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 Janet Whelan was last updated on May 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.