Susan Egner-Whalen, PA
NPI 1801810510 · Physician Assistant · West Islip, NY
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Susan Egner-Whalen, PA is a Physician Assistant provider in West Islip, NY (NPI 1801810510).
Provider details
- NPI number
- 1801810510
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 002729 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
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
150 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) |
|---|---|---|
| Cervical Or Vaginal Cancer Screening; Pelvic and Clinical Breast ExaminationG0101 | 65 | $40 |
| Stool Analysis for Blood to Screen for Colon Tumors82270 | 34 | $4 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 26 | $122 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 13 | $90 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 12 | $56 |
Typical Medicare-allowed amounts for these services range $4–$122 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, 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 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Estradiol | 72 | 35 |
| Estradiolbrand: Yuvafem | 18 | 11 |
| Raloxifene Hcl | 17 | — |
| Clotrimazole/Betamethasone Dipbrand: Clotrimazole-Betamethasone | 15 | 11 |
| Fluconazole | 13 | 12 |
| Valacyclovir Hclbrand: Valacyclovir | 12 | — |
| Estrogens, Conjugatedbrand: Premarin | 11 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$63 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
- 2006-07-26
- Last updated
- 2009-02-13
Frequently asked questions
- What is Susan Egner-Whalen's NPI number?
- Susan Egner-Whalen's National Provider Identifier (NPI) is 1801810510, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Susan Egner-Whalen's specialty?
- Susan Egner-Whalen is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Susan Egner-Whalen located?
- Susan Egner-Whalen's practice location on file with NPPES is 1000 Montauk Hwy, West Islip, NY 11795-4927.
- What is Susan Egner-Whalen's phone number?
- The practice phone number listed in the NPPES registry for Susan Egner-Whalen is (631) 376-3000.
- Does Susan Egner-Whalen accept Medicare?
- Susan Egner-Whalen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Susan Egner-Whalen's NPI active?
- Yes — Susan Egner-Whalen's NPI (1801810510) is active in the NPPES registry as of the last update on 2009-02-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.