John Whelan, M.D.
NPI 1932202116 · Internal Medicine Physician · Durham, NC
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
John Whelan, M.D. is a Internal Medicine Physician provider in Durham, NC (NPI 1932202116).
Provider details
- NPI number
- 1932202116
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 96-01523 (NC)
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 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
1,529 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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 416 | $120 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 357 | $15 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 247 | $121 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 166 | $85 |
| Hemoglobin A1c Level83036 | 126 | $10 |
| Administration of Influenza Virus Vaccine |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 128 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 565 | 162 |
| Rosuvastatin Calcium | 538 | 160 |
| Metoprolol Succinate | 381 | 110 |
| Amlodipine Besylate | 322 | 102 |
| Levothyroxine Sodium | 287 | 77 |
| Empagliflozinbrand: Jardiance | 263 | 54 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$221 across 11 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
- 2006-09-06
- Last updated
- 2015-03-18
Frequently asked questions
- What is John Whelan's NPI number?
- John Whelan's National Provider Identifier (NPI) is 1932202116, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Whelan's specialty?
- John Whelan is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is John Whelan located?
- John Whelan's practice location on file with NPPES is 4205 Ben Franklin Blvd, Durham, NC 27704-2143.
- What is John Whelan's phone number?
- The practice phone number listed in the NPPES registry for John Whelan is (919) 477-6900.
- Does John Whelan accept Medicare?
- John Whelan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is John Whelan's NPI active?
- Yes — John Whelan's NPI (1932202116) is active in the NPPES registry as of the last update on 2015-03-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.