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DR. DOUGLAS M WHELAN M.D.
NPI 1588607485
Obstetrics & Gynecology in Longview, WA

Active since June 14, 2006PECOS Enrolled
88.67/100
CMS Quality Rating
790 14TH AVE, LONGVIEW, WA 98632(360) 423-2450(360) 425-4969 Get Directions Write a Review

NPPES record last updated: August 17, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Douglas M Whelan M.d. NPPES

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

DR. DOUGLAS M WHELAN M.D. (NPI 1588607485) is an individual obstetrics & gynecology provider in Longview, Washington, licensed in Washington (26709) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588607485
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. DOUGLAS M WHELANCredential: M.D.
Location Address790 14TH AVELongview, WA 98632
Mailing Address790 14th AveLongview, WA 98632 · (360) 423-2450 · Fax (360) 425-4969
Phone(360) 423-2450
Fax(360) 425-4969
Sole ProprietorYes
Enumeration DateJune 14, 2006
Last NPPES UpdateAugust 17, 2010
✔ NPI 1588607485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in WA · 26709
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedSpecialistTaxonomy 174400000X · License MD00026709 (WA)
790 14TH AVE, Longview, WA 98632
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Other Identifiers 3

Medicare UPINE57471WA
Medicare PIN000700226
Medicaid1150119WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Douglas M Whelan M.d. 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.

Medicare Billing Reassignments

5

Medicare enrollment records show Douglas Whelan reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Legacy Emanuel Hospital & Health Center
20 mi
Rural Health
475 S COLUMBIA RIVER HWY STE 100
Saint Helens, OR 97051
  • Reassigned Medicare billing, Oregon enrollment
  • 719 clinicians in this Medicare group
NPI 1316129232 (503) 397-0471
Legacy Salmon Creek Hospital
32 mi
Clinic/Center
2211 NE 139TH ST
Vancouver, WA 98686
  • Reassigned Medicare billing, Washington enrollment
  • 754 clinicians in this Medicare group
NPI 1356357784 (360) 487-2878
Legacy Clinics LLC
43 mi
Clinic/Center
1130 NW 22ND AVE STE 220
Portland, OR 97210
  • Reassigned Medicare billing, Oregon enrollment
  • 1,248 clinicians in this Medicare group
NPI 1902827272 (503) 413-2901
Kitsap Obgyn PLLC
106 mi
Specialist
9750 LEVIN RD NW
Silverdale, WA 98383
  • Reassigned Medicare billing, Washington enrollment
  • 9 clinicians in this Medicare group
NPI 1366835399 (360) 307-7202
Obhg Washington, PC
106 mi
Obstetrics & Gynecology
1800 NW MYHRE RD
Silverdale, WA 98383
  • Reassigned Medicare billing, Washington enrollment
  • 223 clinicians in this Medicare group
NPI 1962729525 (800) 967-2289

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98632 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

88.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.54
Promoting Interoperability100
Improvement Activities40
Cost70.7

Other Providers at the Same Location NPPES 3

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

LOWER COLUMBIA WOMEN'S CLINIC,LLP
Specialist
790 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 423-2450
HOMAYOUN A. SARAF
Specialist
790 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 423-2450
PHILIP H. HENDERSON III
Specialist
790 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 423-2450

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 Douglas Whelan's NPI number?

The NPI number for Douglas Whelan is 1588607485. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Douglas Whelan located?

Douglas Whelan practices at 790 14th Ave, Longview, WA 98632. The listed phone number is (360) 423-2450.

What is Douglas Whelan's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Douglas Whelan enrolled in Medicare?

Yes. Douglas Whelan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Douglas Whelan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Whelan reassigns Medicare benefits to 5 organizations: Legacy Emanuel Hospital & Health Center (Saint Helens, OR), Legacy Salmon Creek Hospital (Vancouver, WA), Legacy Clinics LLC (Portland, OR), Kitsap Obgyn PLLC (Silverdale, WA) and Obhg Washington, PC (Silverdale, WA). 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 Douglas Whelan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Douglas Whelan accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Douglas 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 Douglas Whelan was last updated on August 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.