Doctor profile · Federal record
Dr. James Whalen, MD
Mohs-Micrographic Surgery Physician (CMS: Dermatology) · Dermatology Physician · Cromwell, CT
- NPI 1780681064
- Accepts Medicare
- MIPS 75.0 / 100 · 2023
- 38 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
1 Willowbrook RD Ste 2
Cromwell, CT 06416
(860) 322-2222
fax (860) 322-6838 - Additional location
-
30 Knotter Dr, Southington, CT 06489
Southington, CT 06489
(860) 400-2000
fax (860) 400-3000 - Additional location
-
340 Buckland RD Fl 2
South Windsor, CT 060743725
Credentials & registration
- NPI registered
- July 2005 — 21 yrs on file
- Profile last updated
- July 27, 2023
- Year of graduation
- 1988 — 38 yrs since
- Specialty taxonomy
- 207ND0101X — NUCC code
- State license (1)
- Connecticut #033745
- Medicaid
- CT #1337452
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1780681064. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,754
Distinct HCPCS
10
Medicare allowed
$562,090
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
17311 |
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 414 | 326 | $718 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 339 | 167 | $60 | |
17312 |
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 192 | 128 | $443 | |
12052 |
Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm | 138 | 126 | $177 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 132 | 132 | $118 | |
12032 |
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm | 118 | 106 | $255 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 117 | 107 | $95 | |
11602 |
Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm | 43 | 40 | $135 | |
12051 |
Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less | 42 | 41 | $155 | |
17313 |
Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks | 40 | 36 | $679 |
In context: peer comparison
Among 1 peers in Cromwell Mohs-Micrographic Surgery Physician, average services per provider: 97. This provider delivers 18× the peer median.Open Payments
Industry payments received
All-time total
$669
Transactions
28
Manufacturers
11
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Janssen Biotech, INC. | 5 | $156.96 | |
| Genzyme Corporation | 6 | $154.75 | |
| Abbvie INC. | 4 | $94.06 | |
| Arcutis Biotherapeutics, INC. | 3 | $55.85 | |
| Sun Pharmaceutical Industries INC. | 2 | $50.40 | |
| Novartis Pharmaceuticals Corporation | 3 | $45.32 | |
| Regeneron Healthcare Solutions, INC. | 1 | $38.15 | |
| Dermavant Sciences, INC. | 1 | $28.57 | |
| Lilly USA, LLC | 1 | $17.60 | |
| Ucb, INC. | 1 | $13.89 | |
| E.R. Squibb & Sons, L.L.C. | 1 | $13.74 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
86
Patients
54
Total drug cost
$797
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Mupirocin | Generic | 52 | 35 | $317 |
| Cephalexin | Generic | 20 | 19 | $254 |
| Imiquimod | Generic | 14 | 0 | $226 |
Frequently asked questions
What is Dr. James Whalen's medical specialty?
Dr. James Whalen practices Mohs-Micrographic Surgery Physician in Cromwell, CT.
Where does Dr. James Whalen practice?
Dr. James Whalen practices at 1 Willowbrook RD Ste 2, Cromwell, CT 06416. Office phone: 8603222222.
What is Dr. James Whalen's NPI?
Dr. James Whalen's National Provider Identifier (NPI) is 1780681064, issued by NPPES.
Does Dr. James Whalen accept Medicare assignment?
Yes. Dr. James Whalen accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. James Whalen commonly perform?
Top Medicare-reported procedures in 2023: Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks (HCPCS 17311); Established patient office or other outpatient visit (HCPCS 99212); Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks (HCPCS 17312). Source: CMS Medicare Physician & Other Practitioners file.