DR. RICHARD M. WHALEN (MD) – Family Medicine Physician, NPI 1003881483
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,174 FAMILY PRACTICE in VA
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Provider Addresses for DR. RICHARD M. WHALEN (MD)
PO Box, adj, Main Road, Lot's Bridge, Upwell, King's Lynn and West Norfolk, Norfolk, East of England, England, PE14 9JA, United Kingdom
NORFOLK, VA 235010936
Phone: (757) 446-5955
Fax: (757) 446-5196
Type: Mailing
825, Fairfax Avenue, Norfolk, Virginia, 23507, United States
SUITE 118
NORFOLK, VA 235071914
Phone: (757) 446-5955
Fax: (757) 446-5196
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $36.
Total Amount is formed as General ($36) + Research ($0) + Ownership ($0) = $36.
Last reported payment date: 2024-02-06 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($36).
Total Amount
$36
General + Research + Ownership
Payments
2
Total payment records
General Amount
$36
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $36 |
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: 2004-08-19
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 |
|---|---|---|---|---|
| I20040819001057 | I | Family Practice | VA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 82 | 65 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 42 | 19 | $0 |
| 82962 | Blood glucose (sugar) test performed by hand-held instrument | 30 | 23 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 28 | 24 | $0 |
| 83036 | Hemoglobin a1c level | 24 | 18 | $0 |
Insurance plans in this area (ZIP 23501)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | VA | 83036 | Hemoglobin A1C level | 16 | 16 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| Internal Medicine | VA | |
| General Surgery, Critical Care (Intensivists) | VA | |
| Family Practice | VA | |
| - | VA | |
| - | WA | |
| Internal Medicine | VA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | VA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NY | |
| - | VA |
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