JAMES D WHALEN (MD) – MOHS-Micrographic Surgery Physician, NPI 1780681064
MOHS-Micrographic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
270 DERMATOLOGY in CT
Provider Addresses for JAMES D WHALEN (MD)
30 Knotter Dr, Southington, CT 06489
Southington, CT 06489
Phone: (860) 400-2000
Fax: (860) 400-3000
Type: Location
2, Willowbrook Road, Cromwell, Middlesex County, Connecticut, 06416, United States
CROMWELL, CT 064161745
Phone: (860) 322-2222
Fax: (860) 322-6838
Type: Mailing
340 Buckland Rd Fl 2
South Windsor, CT 060743725
Phone: (860) 322-2222
Fax: (860) 322-6838
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 59 Open Payments records for all available years, with a total value of $1,377.
Total Amount is formed as General ($1,377) + Research ($0) + Ownership ($0) = $1,377.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: ABBVIE INC. ($382).
Total Amount
$1,377
General + Research + Ownership
Payments
59
Total payment records
General Amount
$1,377
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $382 |
| GENZYME CORPORATION | $276 |
| Janssen Biotech, Inc. | $218 |
| Incyte Corporation | $69 |
| Arcutis Biotherapeutics, Inc. | $56 |
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: 2007-10-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20071005000668 | I | Dermatology | CT | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 414 | 326 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 339 | 167 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 192 | 128 | $0 |
| 12052 | Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm | 138 | 126 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 132 | 132 | $0 |
Insurance plans in this area (ZIP 06489)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | CT | 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 236 | 214 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CT | |
| Nurse Practitioner | FL | |
| D E R M A T O L O G Y | MD | |
| D E R M A T O L O G Y | CT | |
| Micrographic Dermatologic Surgery (Mds) | CT | |
| Nurse Practitioner | CT | |
| D E R M A T O L O G Y | CT | |
| Nurse Practitioner | CT | |
| Micrographic Dermatologic Surgery (Mds) | CT | |
| Physician Assistant | CT |
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