PAUL DAVID MCWHIRTER M.D.
NPI 1609843366
Internal Medicine - Interventional Cardiology in Concord, CA

Active since March 01, 2006PECOS EnrolledAccepts Medicare Assignment
97.12/100
CMS Quality Rating
2485 HIGH SCHOOL AVE, STE 100, CONCORD, CA 94520(925) 671-0610(925) 671-0878 Get Directions Write a Review

NPPES record last updated: April 13, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Paul David Mcwhirter M.d. NPPES

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

PAUL DAVID MCWHIRTER M.D. (NPI 1609843366) is an individual interventional cardiology provider in Concord, California, licensed in California (G73099) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Un Of California, Irvine, College Of Medicine (1988).

NPPES Registry Identity

NPI1609843366
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NamePAUL DAVID MCWHIRTERCredential: M.D.
Location Address2485 HIGH SCHOOL AVE, STE 100Concord, CA 94520-1819
Mailing Address1450 Treat Blvd, Ste 300Walnut Creek, CA 94597-2168
Fax(925) 671-0878
Sole ProprietorNo
Medical School CMSUn Of California, Irvine, College Of MedicineGraduated 1988
Enumeration DateMarch 1, 2006
Last NPPES UpdateApril 13, 2016
NPI 1609843366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in CA · G73099
Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

2485 HIGH SCHOOL AVE, Concord, CA 94520

Other Identifiers 4

OtherG73099CA · License
Medicare PINCA189419CA
Medicare UPINA21387CA
Medicare ID-Type Unspecified00G730992CA · Ppin

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

Paul David Mcwhirter 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 ID3870578784
PECOS Enrollment IDI20040701000797
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 4

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
400 services333 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.
44 services44 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
29 services23 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94520 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

97.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.24
Promoting Interoperability100
Improvement Activities40

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.

Surgery (Plastic and Reconstructive Surgery)
2485 HIGH SCHOOL AVE, SUITE 222
CONCORD, CA 94520
Plastic Surgery
2485 HIGH SCHOOL AVE, SUITE 222
CONCORD, CA 94520
Psychiatry & Neurology (Psychiatry)
2485 HIGH SCHOOL AVE, STE 218
CONCORD, CA 94520
Internal Medicine (Interventional Cardiology)
2485 HIGH SCHOOL AVE, STE 100
CONCORD, CA 94520
Family Medicine
2485 HIGH SCHOOL AVE, SUITE 208
CONCORD, CA 94520
Podiatrist (Foot & Ankle Surgery)
2485 HIGH SCHOOL AVE, STE 222
CONCORD, CA 94520
Internal Medicine (Gastroenterology)
2485 HIGH SCHOOL AVE, SUITE 306
CONCORD, CA 94520
Plastic Surgery
2485 HIGH SCHOOL AVE, SUITE 222
CONCORD, CA 94520

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 Paul Mcwhirter's NPI number?

The NPI number for Paul Mcwhirter is 1609843366. It was assigned to this individual provider in the NPPES registry on March 1, 2006.

Where is Paul Mcwhirter located?

Paul Mcwhirter practices at 2485 High School Ave Ste 100, Concord, CA 94520. The listed phone number is (925) 671-0610.

What is Paul Mcwhirter's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Paul Mcwhirter enrolled in Medicare?

Yes. Paul Mcwhirter 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.

When was this NPI record last updated?

The NPPES record for Paul Mcwhirter was last updated on April 13, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.