Richard Whalen, MD
NPI 1003881483 · Family Medicine Physician · Norfolk, VA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Richard Whalen, MD is a Family Medicine Physician provider in Norfolk, VA (NPI 1003881483).
Provider details
- NPI number
- 1003881483
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 0101039984 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
199 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 67 | $121 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 57 | $75 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 22 | $85 |
| Hemoglobin A1c Level83036 | 18 | $9 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 12 | $110 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 12 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 18 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 63 | 16 |
| Amlodipine Besylate | 38 | 13 |
| Omeprazole | 30 | — |
| Lisinopril | 27 | — |
| Metformin Hcl | 23 | — |
| Potassium Chloride | 21 | — |
| Gabapentin | 21 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$36 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-02-21
- Last updated
- 2011-10-03
Frequently asked questions
- What is Richard Whalen's NPI number?
- Richard Whalen's National Provider Identifier (NPI) is 1003881483, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Richard Whalen's specialty?
- Richard Whalen is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Richard Whalen located?
- Richard Whalen's practice location on file with NPPES is 825 Fairfax Ave, Norfolk, VA 23507-1914.
- What is Richard Whalen's phone number?
- The practice phone number listed in the NPPES registry for Richard Whalen is (757) 446-5955.
- Does Richard Whalen accept Medicare?
- Richard Whalen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Richard Whalen's NPI active?
- Yes — Richard Whalen's NPI (1003881483) is active in the NPPES registry as of the last update on 2011-10-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.