Michael Whalen, M.D.
NPI 1164675245 · Urology Physician · Washington, DC
Enrolled with Medicare as Practitioner - Urology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michael Whalen, M.D. is a Urology Physician provider in Washington, DC (NPI 1164675245).
Provider details
- NPI number
- 1164675245
- Entity type
- Individual
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 54046 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
17 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
1,209 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 High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 218 | $178 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 188 | $124 |
| Diagnostic Exam of Bladder and Urethra Using an Endoscope52000 | 128 | $268 |
| Ultrasound Measurement of Bladder Capacity After Voiding51798 | 94 | $13 |
| Automated Urinalysis Test81003 | 83 | $2 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 12 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Relugolixbrand: Orgovyx | 183 | 33 |
| Tamsulosin Hcl | 180 | 69 |
| Finasteride | 52 | 15 |
| Silodosin | 44 | 19 |
| Abiraterone Acetate | 24 | — |
| Vibegronbrand: Gemtesa | 18 | — |
| Prednisone | 16 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$3,952 across 14 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
- 2008-11-03
- Last updated
- 2021-09-02
- Certified
- 2021-09-02
Frequently asked questions
- What is Michael Whalen's NPI number?
- Michael Whalen's National Provider Identifier (NPI) is 1164675245, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Whalen's specialty?
- Michael Whalen is listed in the NPPES registry with a primary specialty of Urology Physician (Allopathic & Osteopathic Physicians).
- Where is Michael Whalen located?
- Michael Whalen's practice location on file with NPPES is 2150 Pennsylvania Ave Nw, Washington, DC 20037-3201.
- What is Michael Whalen's phone number?
- The practice phone number listed in the NPPES registry for Michael Whalen is (202) 741-3100.
- Does Michael Whalen accept Medicare?
- Michael Whalen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michael Whalen's NPI active?
- Yes — Michael Whalen's NPI (1164675245) is active in the NPPES registry as of the last update on 2021-09-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.