DR. CAROLYN M WHATLEY MD
NPI 1487750022
Internal Medicine in Lansing, MI

Active since September 14, 2006PECOS EnrolledAccepts Medicare Assignment
1200 E MICHIGAN AVE, STE 530, LANSING, MI 48912(517) 364-5880(517) 364-5887 Get Directions Write a Review

NPPES record last updated: December 27, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Carolyn M Whatley Md NPPES

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

DR. CAROLYN M WHATLEY MD (NPI 1487750022) is an individual internal medicine provider in Lansing, Michigan, licensed in Michigan (4301082788) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Marion General Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1487750022
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. CAROLYN M WHATLEYCredential: MD
Location Address1200 E MICHIGAN AVE, STE 530Lansing, MI 48912-1800
Mailing AddressPo Box 13008Lansing, MI 48901-3008 · (517) 364-6253 · Fax (517) 364-6204
Fax(517) 364-5887
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 2000
Enumeration DateSeptember 14, 2006
Last NPPES UpdateDecember 27, 2022
NPPES CertifiedDecember 27, 2022
✔ NPI 1487750022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 4301082788
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1200 E MICHIGAN AVE, Lansing, MI 48912

Secondary Practice Locations 3

Location 1505 E Alcott StKalamazoo, MI 49001-6144 · Phone (269) 349-2641
Location 21308 N Burdick StKalamazoo, MI 49007-2503 · Phone (269) 349-2641
Location 3117 W Paterson StKalamazoo, MI 49007-2581 · Phone (269) 349-2641

Other Identifiers 3

Other1103311021MI · Bcbs Individual Pin
Medicaid4922730MI
Medicaid4609384MI

Accepted Insurance

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. Carolyn M Whatley 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 ID9335030154
PECOS Enrollment IDI20130207000491, I20140423001251
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

14

Medicare enrollment records show Carolyn Whatley reassigns Medicare billing to 14 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
901 S OAKLAND ST
Saint Johns, MI 48879
  • Reassigned Medicare billing, Michigan enrollment
  • 114 clinicians in this Medicare group
Internal Medicine
1521 GULL RD
Kalamazoo, MI 49048
  • Reassigned Medicare billing, Michigan enrollment
  • 596 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
2501 MILLCORK ST
Kalamazoo, MI 49001
  • Reassigned Medicare billing, Michigan enrollment
  • 75 clinicians in this Medicare group
Internal Medicine
818 RIVERSIDE AVE
Adrian, MI 49221
  • Reassigned Medicare billing, Michigan enrollment
  • 237 clinicians in this Medicare group
Hospitalist
215 W 4TH ST, # 200
Mishawaka, IN 46544
  • Reassigned Medicare billing, Indiana enrollment
  • 384 clinicians in this Medicare group
Hospitalist
7950 W JEFFERSON BLVD
Fort Wayne, IN 46804
  • Reassigned Medicare billing, Indiana enrollment
  • 309 clinicians in this Medicare group
Hospitalist
651 W MARION RD
Mount Gilead, OH 43338
  • Reassigned Medicare billing, Ohio enrollment
  • 89 clinicians in this Medicare group
Internal Medicine
2741 W LAYTON AVE., SUITE 106
Milwaukee, WI 53221
  • Reassigned Medicare billing, Indiana enrollment
  • 30 clinicians in this Medicare group
Internal Medicine
100 MEDICAL CENTER DR
Springfield, OH 45504
  • Reassigned Medicare billing, Ohio enrollment
  • 494 clinicians in this Medicare group
Internal Medicine
1320 MERCY DR NW
Canton, OH 44708
  • Reassigned Medicare billing, Ohio enrollment
  • 456 clinicians in this Medicare group

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
210 services208 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
19 services19 patients

Hospital Affiliations CMS Care Compare 5

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

Marion General Hospital

Acute Care Hospitals · Marion, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150011
Location441 N Wabash AveMarion, IN 46952 · Grant County
Emergency services Birthing friendly

Lutheran Hospital Of Indiana

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number150017
Location7950 W Jefferson BlvdFort Wayne, IN 46804 · Allen County
Emergency services Birthing friendly

The Orthopaedic Hospital Of Lutheran Health Networ

Acute Care Hospitals · Fort Wayne, IN
OwnershipProprietary
CMS Certification Number150168
Location7952 W Jefferson BlvdFort Wayne, IN 46804 · Allen County

Woodlawn Hospital

Critical Access Hospitals · Rochester, IN
OwnershipGovernment - Local
CMS Certification Number151313
Location1400 E 9th StRochester, IN 46975 · Fulton County
Emergency services

Ohiohealth O'bleness Hospital

Acute Care Hospitals · Athens, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360014
Location55 Hospital DriveAthens, OH 45701 · Athens County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48912 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
94%254 patients4/55-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 20

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

Family Medicine
1200 E MICHIGAN AVE, SUITE 245
LANSING, MI 48912
Surgery
1200 E MICHIGAN AVE, SUITE 655
LANSING, MI 48912
Family Medicine
1200 E MICHIGAN AVE, SUITE 245-C
LANSING, MI 48912
Anesthesiology
1200 E MICHIGAN AVE, SUITE 370
LANSING, MI 48912
Pediatrics (Pediatric Hematology-Oncology)
1200 E MICHIGAN AVE, STE 145
LANSING, MI 48912
Technician/Technologist (Optician)
1200 E MICHIGAN AVE, SUITE 110
LANSING, MI 48912
Counselor
1200 E MICHIGAN AVE, SUITE 630
LANSING, MI 48912
Internal Medicine
1200 E MICHIGAN AVE, SUITE 500
LANSING, MI 48912

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 Carolyn Whatley's NPI number?

The NPI number for Carolyn Whatley is 1487750022. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Where is Carolyn Whatley located?

Carolyn Whatley practices at 1200 E Michigan Ave Ste 530, Lansing, MI 48912. The listed phone number is (517) 364-5880.

What is Carolyn Whatley's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Carolyn Whatley enrolled in Medicare?

Yes. Carolyn Whatley 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 Carolyn Whatley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carolyn Whatley reassigns Medicare benefits to 14 organizations: Sparrow Clinton Hospital (Saint Johns, MI), Sound Inpatient Physicians-Michigan, PLLC (Kalamazoo, MI), Family Health Center Inc (Kalamazoo, MI), Hospitalist Medicine Physicians Of Michigan, PLLC (Adrian, MI), Sound Physicians Of Indiana, LLC (Mishawaka, IN) and 9 more organizations, listed in the Medicare section above. 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 Carolyn Whatley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carolyn Whatley accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and CareSource list Carolyn Whatley 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.

Is Carolyn Whatley affiliated with any hospitals?

According to CMS data, Carolyn Whatley is affiliated with Marion General Hospital, Lutheran Hospital Of Indiana, The Orthopaedic Hospital Of Lutheran Health Networ, Woodlawn Hospital and Ohiohealth O'bleness Hospital.

When was this NPI record last updated?

The NPPES record for Carolyn Whatley was last updated on December 27, 2022. 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.