MAE WHELAN M.D.
NPI 1528388345
Internal Medicine - Endocrinology, Diabetes & Metabolism in New London, CT

Active since June 03, 2010PECOS EnrolledAccepts Medicare Assignment
93.27/100
CMS Quality Rating
194 HOWARD ST, NEW LONDON, CT 06320(860) 444-4737 Get Directions Write a Review

NPPES record last updated: June 12, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mae Whelan M.d. NPPES

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

MAE WHELAN M.D. (NPI 1528388345) is an individual endocrinology, diabetes & metabolism provider in New London, Connecticut, licensed in Connecticut (054187) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with Westerly Hospital, and is a graduate of Albany Medical College Of Union University (2010).

NPPES Registry Identity

NPI1528388345
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameMAE WHELANCredential: M.D.
Location Address194 HOWARD STNew London, CT 06320-5544
Mailing Address194 Howard StNew London, CT 06320-5544 · (860) 444-4737
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 2010
Enumeration DateJune 3, 2010
Last NPPES UpdateJune 12, 2020
NPPES CertifiedJune 12, 2020
NPI 1528388345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in CT · 054187
Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Also ListedInternal MedicineTaxonomy 207R00000X · License 054187 (CT), LP01967 (RI)
194 HOWARD ST, New London, CT 06320

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

Mae 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 ID2365660180
PECOS Enrollment IDI20151014000533
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 7

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
2,880 services27 patients
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.
401 services234 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
207 services116 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
142 services73 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.
105 services91 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
54 services29 patients

Hospital Affiliations CMS Care Compare

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

Westerly Hospital

Acute Care Hospitals · Westerly, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410013
Location25 Wells StreetWesterly, RI 02891 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06320 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

93.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.72
Promoting Interoperability78.03
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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
24 suppliers98 claims350 services$6.16 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
16 suppliers39 claims63 services$1.11 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
9 suppliers309 claims313 services$192.40 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.

Nurse Practitioner (Family)
194 HOWARD ST
NEW LONDON, CT 06320
Family Medicine
194 HOWARD ST
NEW LONDON, CT 06320
Nurse Practitioner (Adult Health)
194 HOWARD ST
NEW LONDON, CT 06320
Physician Assistant (Surgical)
194 HOWARD ST
NEW LONDON, CT 06320
Surgery
194 HOWARD ST
NEW LONDON, CT 06320
Nurse Practitioner (Family)
194 HOWARD ST
NEW LONDON, CT 06320
Internal Medicine
194 HOWARD ST
NEW LONDON, CT 06320
Dietitian, Registered
194 HOWARD ST
NEW LONDON, CT 06320

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 Mae Whelan's NPI number?

The NPI number for Mae Whelan is 1528388345. It was assigned to this individual provider in the NPPES registry on June 3, 2010.

Where is Mae Whelan located?

Mae Whelan practices at 194 Howard St, New London, CT 06320. The listed phone number is (860) 444-4737.

What is Mae Whelan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Mae Whelan enrolled in Medicare?

Yes. Mae 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 Mae Whelan affiliated with any hospitals?

According to CMS data, Mae Whelan is affiliated with Westerly Hospital.

When was this NPI record last updated?

The NPPES record for Mae Whelan was last updated on June 12, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.