Doctor profile · Federal record
Dr. Kyle Whelan, MD
Pulmonary Disease Physician (CMS: Pulmonary Disease) · Critical Care Medicine (Internal Medicine) Physician · Worcester, MA
- NPI 1073962619
- Accepts Medicare
- MIPS 89.0 / 100 · 2023
- 10 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
55 Lake Ave N
Worcester, MA 016550002
(774) 443-2781
fax (774) 442-3999 - Mailing address
-
Po Box 415348
Boston, MA 022415348
Credentials & registration
- NPI registered
- June 2016 — 10 yrs on file
- Profile last updated
- June 7, 2022
- Year of graduation
- 2016 — 10 yrs since
- Specialty taxonomy
- 207RP1001X — NUCC code
- State license (1)
- Massachusetts #292282
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1073962619. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
513
Distinct HCPCS
10
Medicare allowed
$61,336
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 130 | 77 | $80 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 80 | 68 | $98 | |
99291 |
Critical care, first 30-74 minutes | 57 | 33 | $214 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 56 | 54 | $145 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 42 | 38 | $67 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 39 | 25 | $120 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 33 | 31 | $131 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 28 | 28 | $134 | |
99205 |
New patient office or other outpatient visit, 60-74 minutes | 19 | 19 | $182 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 15 | 15 | $175 |
In context: peer comparison
Among 18 peers in this city , average services per provider: 55. This provider delivers 9.3× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
308
Patients
85
Total drug cost
$117,521
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Prednisone | Generic | 50 | 25 | $181 |
| Symbicort (Budesonide/Formoterol Fumarate) | Brand | 45 | 19 | $21,065 |
| Breo Ellipta (Fluticasone/Vilanterol) | Brand | 35 | 0 | $14,572 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 30 | 17 | $1,410 |
| Spiriva Respimat (Tiotropium Bromide) | Brand | 29 | 0 | $16,250 |
| Incruse Ellipta (Umeclidinium Bromide) | Brand | 27 | 0 | $14,429 |
| Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter) | Brand | 27 | 12 | $25,950 |
| Fluticasone Propionate | Generic | 18 | 12 | $311 |
| Anoro Ellipta (Umeclidinium Brm/Vilanterol Tr) | Brand | 17 | 0 | $9,689 |
| Stiolto Respimat (Tiotropium Br/Olodaterol Hcl) | Brand | 17 | 0 | $9,322 |
Hospital affiliations
Frequently asked questions
What is Dr. Kyle Whelan's medical specialty?
Dr. Kyle Whelan practices Pulmonary Disease Physician in Worcester, MA.
Where does Dr. Kyle Whelan practice?
Dr. Kyle Whelan practices at 55 Lake Ave N, Worcester, MA 016550002. Office phone: 7744432781.
What is Dr. Kyle Whelan's NPI?
Dr. Kyle Whelan's National Provider Identifier (NPI) is 1073962619, issued by NPPES.
Does Dr. Kyle Whelan accept Medicare assignment?
Yes. Dr. Kyle Whelan accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kyle Whelan commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Established patient office or other outpatient visit (HCPCS 99214); Critical care (HCPCS 99291). Source: CMS Medicare Physician & Other Practitioners file.