RICHARD JAMES JR. WHITEHEAD (PAC) – Physician Assistant, NPI 1487630919

RICHARD JAMES JR. WHITEHEAD (PAC) is a healthcare provider. based in Middletown, Connecticut. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. 000881 (CT). The NPI Number for RICHARD JAMES JR. WHITEHEAD (PAC) is 1487630919

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
RICHARD JAMES JR. WHITEHEAD (PAC)
NPI
1487630919
Phone
(860) 347-4620
Address
410 SAYBROOK RD
Enumeration Date
16 December 2005
Last Update Date
25 March 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8603474620
Graduation Year
1999 (27 years ago)
PAC ID
7517979123
Group Practice PAC ID
5597657627
Professional Enrollment ID
I20060626000033
Address ID
CT064574777MI410XXRDXX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,243 PHYSICIAN ASSISTANT in CT

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Provider Addresses for RICHARD JAMES JR. WHITEHEAD (PAC)

  • 410, Saybrook Road, Middletown, Middlesex County, Connecticut, 06457, United States

    SUITE 201

    MIDDLETOWN, CT 06457

    Phone: (860) 347-4620

    Fax: (860) 346-9687

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 225 Open Payments records for all available years, with a total value of $4,436.

Total Amount is formed as General ($4,436) + Research ($0) + Ownership ($0) = $4,436.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($951).

Total Amount

$4,436

General + Research + Ownership

Payments

225

Total payment records

General Amount

$4,436

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-06-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060626000033IPhysician AssistantCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes114110$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes8353$0
99214Established patient office or other outpatient visit, 30-39 minutes5855$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes5552$0
99203New patient office or other outpatient visit, 30-44 minutes5252$0
View full utilization report →

Insurance plans in this area (ZIP 06457)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5597657627View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YCT
G A S T R O E N T E R O L O G YCT
-CT
G A S T R O E N T E R O L O G YTX
Physician AssistantCT
Physician AssistantCT
G A S T R O E N T E R O L O G YCT
-CT
G A S T R O E N T E R O L O G YCT
G A S T R O E N T E R O L O G YCT

Reviews

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Frequently asked questions

How do payers reference RICHARD JAMES JR. WHITEHEAD (PAC)?
For RICHARD JAMES JR. WHITEHEAD (PAC), use NPI 1487630919 as the unique 10-digit identifier.
Is RICHARD JAMES JR. WHITEHEAD (PAC) still an active registrant?
RICHARD JAMES JR. WHITEHEAD (PAC) carries an active NPI according to the public dataset.
What kind of doctor is RICHARD JAMES JR. WHITEHEAD (PAC)?
RICHARD JAMES JR. WHITEHEAD (PAC) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Is RICHARD JAMES JR. WHITEHEAD (PAC) associated with Middletown?
Public fields place RICHARD JAMES JR. WHITEHEAD (PAC) around Middletown, Connecticut. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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