Doctor profile · Federal record

Dr. Michael Whalen, PA

Physician Assistant · Physician Assistant · Providence, RI

  • NPI 1922470533
  • Accepts Medicare
  • 11 yrs in practice
  • Licensed in 2 states
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
164 Summit Ave
Providence, RI 029062853
(401) 793-4102
fax (401) 793-4049
Mailing address
117 Ellenfield St Ste 101
Providence, RI 029054541

Credentials & registration

NPPES · NUCC
NPI registered
October 2015 — 11 yrs on file
Profile last updated
March 25, 2024
Year of graduation
2015 — 11 yrs since
Specialty taxonomy
363A00000X — NUCC code
State licenses (2)
Rhode Island #PA01153 · Massachusetts #PA5543

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1922470533. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
54
Distinct HCPCS
3
Medicare allowed
$4,061
HCPCS Description Services Patients Avg allowed
99214 Established patient office or other outpatient visit, 30-39 minutes 25 20 $90
96160 Administration and interpretation of patient-focused health risk assessment 16 15 $2
99215 Established patient office or other outpatient visit, 40-54 minutes 13 13 $137

In context: peer comparison

Among 42 peers in Providence Physician Assistant, average services per provider: 90. This provider delivers 0.6× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
436
Patients
93
Total drug cost
$6,064
Drug Type Claims Patients Total cost
Amlodipine Besylate Generic 77 30 $654
Atorvastatin Calcium Generic 59 18 $1,059
Losartan Potassium Generic 44 19 $646
Atenolol Generic 30 13 $308
Simvastatin Generic 30 0 $269
Lisinopril Generic 28 13 $351
Escitalopram Oxalate Generic 25 0 $287
Omeprazole Generic 21 0 $376
Albuterol Sulfate Hfa (Albuterol Sulfate) Brand 20 0 $393
Hydrochlorothiazide Generic 18 0 $69

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Michael Whalen's medical specialty?
Dr. Michael Whalen practices Physician Assistant in Providence, RI.
Where does Dr. Michael Whalen practice?
Dr. Michael Whalen practices at 164 Summit Ave, Providence, RI 029062853. Office phone: 4017934102.
What is Dr. Michael Whalen's NPI?
Dr. Michael Whalen's National Provider Identifier (NPI) is 1922470533, issued by NPPES.
Does Dr. Michael Whalen accept Medicare assignment?
Yes. Dr. Michael Whalen accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Michael Whalen commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Administration and interpretation of patient-focused health risk assessment (HCPCS 96160); Established patient office or other outpatient visit (HCPCS 99215). Source: CMS Medicare Physician & Other Practitioners file.