JOSEPH BENEDICT WHALEN MD
NPI 1487627105
Family Medicine in Mint Hill, NC

Active since February 13, 2006PECOS Enrolled
95.35/100
CMS Quality Rating
11304 HAWTHORNE DR, STE 100, MINT HILL, NC 28227(704) 545-6400 Get Directions Write a Review

NPPES record last updated: May 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 4, 2023, Mar 9, 2023, Feb 28, 2023 and 49 more (52 updates tracked since 2018).

About Joseph Benedict Whalen Md NPPES

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

JOSEPH BENEDICT WHALEN MD (NPI 1487627105) is an individual family medicine provider in Mint Hill, North Carolina, licensed in North Carolina (9801798) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487627105
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOSEPH BENEDICT WHALENCredential: MD
Location Address11304 HAWTHORNE DR, STE 100Mint Hill, NC 28227-9425
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Enumeration DateFebruary 13, 2006
Last NPPES UpdateMay 4, 202352 updates tracked since enumeration
NPI 1487627105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NC · 9801798
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
11304 HAWTHORNE DR, Mint Hill, NC 28227

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Joseph Benedict Whalen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28227 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers43 claims96 services$6.08 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers18 claims22 services$0.91 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers24 claims24 services$206.53 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers11 claims11 services$23.66 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 19

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

Family Medicine
11304 HAWTHORNE DR, SUITE 100
CHARLOTTE, NC 28227
Family Medicine
11304 HAWTHORNE DR, STE 100
MINT HILL, NC 28227
Family Medicine
11304 HAWTHORNE DR, STE 100
MINT HILL, NC 28227
Surgery (Vascular Surgery)
11304 HAWTHORNE DR, STE 115
MINT HILL, NC 28227
Internal Medicine (Endocrinology, Diabetes & Metabolism)
11304 HAWTHORNE DR, SUITE 115
MINT HILL, NC 28227
Orthopaedic Surgery
11304 HAWTHORNE DR, SUITE 110
MINT HILL, NC 28227
Physician Assistant
11304 HAWTHORNE DR, STE 100
MINT HILL, NC 28227
Physician Assistant
11304 HAWTHORNE DR, STE 100
MINT HILL, NC 28227

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 Joseph Whalen's NPI number?

The NPI number for Joseph Whalen is 1487627105. It was assigned to this individual provider in the NPPES registry on February 13, 2006.

Where is Joseph Whalen located?

Joseph Whalen practices at 11304 Hawthorne Dr Ste 100, Mint Hill, NC 28227. The listed phone number is (704) 545-6400.

What is Joseph Whalen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Joseph Whalen enrolled in Medicare?

Yes. Joseph Whalen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Joseph Whalen was last updated on May 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.