DR. CALVIN CURTIS WHALEY DO
NPI 1699033894
Neurological Surgery in Charleston, WV

Active since April 25, 2012PECOS EnrolledAccepts Medicare Assignment
49.81/100
CMS Quality Rating
415 MORRIS ST STE 400, CHARLESTON, WV 25301(043) 443-5513 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 3, 2020, Aug 30, 2019, Feb 12, 2016 (3 updates tracked since 2016).

About Dr. Calvin Curtis Whaley Do NPPES

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

DR. CALVIN CURTIS WHALEY DO (NPI 1699033894) is an individual neurological surgery provider in Charleston, West Virginia, licensed in West Virginia (3595) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1699033894
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. CALVIN CURTIS WHALEYCredential: DO
Location Address415 MORRIS ST STE 400Charleston, WV 25301-1854
Mailing Address415 Morris St Ste 400Charleston, WV 25301-1854 · (043) 443-5513
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2012
Enumeration DateApril 25, 2012
Last NPPES UpdateJanuary 9, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2024
NPI 1699033894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Licenses Licensed in WV · 3595 Licensed in WA · OP60929128
Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

415 MORRIS ST STE 400, Charleston, WV 25301

Secondary Practice Locations 2

Location 1550 17th Ave Ste 110Seattle, WA 98122-5789 · Phone (206) 320-3470 · Fax (206) 320-3471
Location 2415 Morris St Ste 400Charleston, WV 25301-1854 · Phone (304) 344-3551 ext. 213 · Fax (304) 342-6927

Accepted Insurance

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

Dr. Calvin Curtis Whaley Do 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 ID5597069310
PECOS Enrollment IDI20200902002998
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.

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.
53 services47 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.
25 services25 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.
12 services12 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510022
Location501 Morris StreetCharleston, WV 25301 · Kanawha County
Emergency services Birthing friendly

Raleigh General Hospital

Acute Care Hospitals · Beckley, WV
1/5 CMS rating
OwnershipProprietary
CMS Certification Number510070
Location1710 Harper RoadBeckley, WV 25801 · Raleigh County
Emergency services Birthing friendly

Boone Memorial Hospital

Critical Access Hospitals · Madison, WV
OwnershipGovernment - Local
CMS Certification Number511313
Location701 Madison AvenueMadison, WV 25130 · Boone County
Emergency services

Camc Plateau Medical Center, Inc

Critical Access Hospitals · Oak Hill, WV
3/5 CMS rating
OwnershipProprietary
CMS Certification Number511317
Location430 Main Street, WestOak Hill, WV 25901 · Fayette County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25301 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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.

49.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality55.17
Promoting Interoperability0
Improvement Activities30
Cost73.37

Other Providers at the Same Location NPPES 8

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

Nurse Practitioner (Family)
415 MORRIS ST STE 400
CHARLESTON, WV 25301
Neurological Surgery
415 MORRIS ST STE 400
CHARLESTON, WV 25301
Nurse Practitioner (Family)
415 MORRIS ST STE 400
CHARLESTON, WV 25301
Nurse Practitioner (Family)
415 MORRIS ST STE 400
CHARLESTON, WV 25301
Physician Assistant
415 MORRIS ST STE 400
CHARLESTON, WV 25301
Nurse Practitioner (Family)
415 MORRIS ST STE 400
CHARLESTON, WV 25301
Nurse Practitioner (Family)
415 MORRIS ST STE 400
CHARLESTON, WV 25301
Orthopaedic Surgery
415 MORRIS ST STE 400
CHARLESTON, WV 25301

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 Calvin Whaley's NPI number?

The NPI number for Calvin Whaley is 1699033894. It was assigned to this individual provider in the NPPES registry on April 25, 2012.

Where is Calvin Whaley located?

Calvin Whaley practices at 415 Morris St Ste 400, Charleston, WV 25301. The listed phone number is (043) 443-5513.

What is Calvin Whaley's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Calvin Whaley enrolled in Medicare?

Yes. Calvin Whaley 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.

What insurance does Calvin Whaley accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Calvin Whaley 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 Calvin Whaley affiliated with any hospitals?

According to CMS data, Calvin Whaley is affiliated with Charleston Area Medical Center, Raleigh General Hospital, Boone Memorial Hospital and Camc Plateau Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Calvin Whaley was last updated on January 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.