James Whalen, M.D.
NPI 1134245954 · Psychiatry Physician · Lincoln, RI
Enrolled with Medicare as Practitioner - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
James Whalen, M.D. is a Psychiatry Physician provider in Lincoln, RI (NPI 1134245954).
Provider details
- NPI number
- 1134245954
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 8487 (RI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
148 Medicare services, 2024 (ranked within specialty)
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 methodology.
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 | 95 | $129 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 32 | $97 |
| Psychotherapy With Evaluation and Management Visit, 30 Minutes90833 | 21 | $72 |
Typical Medicare-allowed amounts for these services range $72–$129 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 80 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Buspirone Hcl | 530 | 71 |
| Trazodone Hcl | 481 | 62 |
| Benztropine Mesylate | 399 | 49 |
| Clozapine | 397 | 32 |
| Quetiapine Fumarate | 392 | 46 |
| Hydroxyzine Hcl | 322 | 72 |
| Duloxetine Hcl | 310 | 35 |
| Clonazepam |
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-03-22
- Last updated
- 2020-12-15
- Certified
- 2020-12-15
Frequently asked questions
- What is James Whalen's NPI number?
- James Whalen's National Provider Identifier (NPI) is 1134245954, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is James Whalen's specialty?
- James Whalen is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is James Whalen located?
- James Whalen's practice location on file with NPPES is 6 Blackstone Valley Pl, Lincoln, RI 02865-1179.
- What is James Whalen's phone number?
- The practice phone number listed in the NPPES registry for James Whalen is (401) 333-3435.
- Does James Whalen accept Medicare?
- James Whalen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is James Whalen's NPI active?
- Yes — James Whalen's NPI (1134245954) is active in the NPPES registry as of the last update on 2020-12-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.