Richard Whelan, M.D.
NPI 1063596542 · Colon & Rectal Surgery Physician · New York, NY
Enrolled with Medicare as Practitioner - Colorectal Surgery (proctology) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Richard Whelan, M.D. is a Colon & Rectal Surgery Physician provider in New York, NY (NPI 1063596542).
Provider details
- NPI number
- 1063596542
- Entity type
- Individual
- Primary specialty
- Colon & Rectal Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 162960-1 (NY)
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
19 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
181 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) |
|---|---|---|
| Diagnostic Exam of Anus Using an Endoscope46600 | 58 | $133 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 31 | $175 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 27 | $143 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 19 | $125 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 19 | $101 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$3,486 across 3 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
- 2006-10-24
- Last updated
- 2012-10-22
Frequently asked questions
- What is Richard Whelan's NPI number?
- Richard Whelan's National Provider Identifier (NPI) is 1063596542, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Richard Whelan's specialty?
- Richard Whelan is listed in the NPPES registry with a primary specialty of Colon & Rectal Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Richard Whelan located?
- Richard Whelan's practice location on file with NPPES is 425 W 59th St, New York, NY 10019-8022.
- What is Richard Whelan's phone number?
- The practice phone number listed in the NPPES registry for Richard Whelan is (212) 523-8172.
- Does Richard Whelan accept Medicare?
- Richard Whelan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Richard Whelan's NPI active?
- Yes — Richard Whelan's NPI (1063596542) is active in the NPPES registry as of the last update on 2012-10-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.