James Whelan, M.D.
NPI 1174571327 · Surgery Physician · Richmond, VA
Enrolled with Medicare as Practitioner - General Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
James Whelan, M.D. is a Surgery Physician provider in Richmond, VA (NPI 1174571327).
Provider details
- NPI number
- 1174571327
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 0101241969 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
251 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) |
|---|---|---|
| Critical Care, First 30-74 Minutes99291 | 216 | $203 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 35 | $75 |
Typical Medicare-allowed amounts for these services range $75–$203 (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.
Practice location
Mailing address
Additional practice locations (3)
- 11958 W Broad StHenrico, VA 23233-1007Phone: (804) 360-4669
- 417 N 11th StRichmond, VA 23298-5024Phone: (803) 828-7069
- 9109 Stony Point DrRichmond, VA 23235-1979Phone: (804) 775-4500
Registry dates
- Enumerated
- 2006-05-04
- Last updated
- 2021-09-09
- Certified
- 2021-09-09
Frequently asked questions
- What is James Whelan's NPI number?
- James Whelan's National Provider Identifier (NPI) is 1174571327, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is James Whelan's specialty?
- James Whelan is listed in the NPPES registry with a primary specialty of Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is James Whelan located?
- James Whelan's practice location on file with NPPES is 1250 E Marshall St, Richmond, VA 23298-5051.
- What is James Whelan's phone number?
- The practice phone number listed in the NPPES registry for James Whelan is (804) 827-1207.
- Does James Whelan accept Medicare?
- James Whelan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is James Whelan's NPI active?
- Yes — James Whelan's NPI (1174571327) is active in the NPPES registry as of the last update on 2021-09-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.