SUSAN EGNER-WHALEN PA
NPI 1801810510
Physician Assistant in West Islip, NY

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
1000 MONTAUK HWY, WEST ISLIP, NY 11795(631) 376-3000 Get Directions Write a Review

NPPES record last updated: February 13, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Susan Egner-whalen Pa NPPES

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

SUSAN EGNER-WHALEN PA (NPI 1801810510) is an individual physician assistant in West Islip, New York, licensed in New York (002729) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1801810510
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSUSAN EGNER-WHALENCredential: PA
Location Address1000 MONTAUK HWYWest Islip, NY 11795-4927
Mailing AddressPo Box 6010Hauppauge, NY 11788-9010 · (631) 232-4000 · Fax (631) 851-9225
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 26, 2006
Last NPPES UpdateFebruary 13, 2009
NPI 1801810510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 002729
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1000 MONTAUK HWY, West Islip, NY 11795

Other Identifiers 1

Medicare PIN1D192WS101NY

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

Susan Egner-whalen Pa 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 ID4688750276
PECOS Enrollment IDI20080324000325
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 6

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
40 services40 patients
Stool analysis for blood to screen for colon tumors 82270
A stool analysis for blood is a non-invasive procedure used to check for the presence of hidden blood in your stool. This can be an early sign of colon tumors. The test involves collecting a small sample of stool at home and sending it to a lab for analysis.
34 services34 patients
Established patient office or other outpatient visit, 20-29 minutes 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 services22 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
25 services22 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
19 services19 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11795 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Quality74.92
Promoting Interoperability91.67
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.

Internal Medicine
1000 MONTAUK HWY
WEST ISLIP, NY 11795
Internal Medicine
1000 MONTAUK HWY
WEST ISLIP, NY 11795
Pediatrics (Pediatric Critical Care Medicine)
1000 MONTAUK HWY
WEST ISLIP, NY 11795
Pediatrics (Pediatric Critical Care Medicine)
1000 MONTAUK HWY
WEST ISLIP, NY 11795
Pediatrics (Neonatal-Perinatal Medicine)
1000 MONTAUK HWY
WEST ISLIP, NY 11795
Pediatrics (Neonatal-Perinatal Medicine)
1000 MONTAUK HWY
WEST ISLIP, NY 11795
Pediatrics (Neonatal-Perinatal Medicine)
1000 MONTAUK HWY
WEST ISLIP, NY 11795
Nurse Practitioner (Pediatrics)
1000 MONTAUK HWY
WEST ISLIP, NY 11795

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801810510, enumerated as an "individual" on July 26, 2006.

The provider is located at 1000 MONTAUK HWY WEST ISLIP, NY 11795 and the phone number is (631) 376-3000.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Susan Egner-whalen is affiliated with: NORTH SHORE UNIVERSITY HOSPITAL.