Active NPI 1538141957 Individual Practitioner Male Practitioner

Dr. Giles F Whalen , MD

Surgery • Worcester, MA

Professional Overview & Biography Verified Profile Summary

Dr. Giles Whalen, MD is a registered healthcare professional specializing in Surgery in Worcester, MA. Practice services are available at 119 BELMONT ST under active NPI credentials.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, removal or exploration of parathyroid glands. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

119 Belmont St
Department Of Surgical Oncology

Worcester, MA 016052903

Telephone 5083345202

Fax 5083345089

Associated Practice Facility / Clinic

🏢 Coordinated Primary Care, Inc. Facility NPI 1649241019

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Worcester, MA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 23.4 Yrs

State Avg: 28.2 Yrs

Regional Practice Density

48 Specialists

Practicing in Worcester, MA (1077 Statewide)

Telehealth Adoption Rate

20.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

77.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$359.00	$80.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$547.00	$131.27
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$300.00	$65.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$547.00	$135.74
99213 Established patient office or other outpatient visit, typically 15 minutes	29	24	$276.83	$67.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$359.00	$84.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	12	$402.00	$92.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	12	$178.00	$36.20
60500 Removal or exploration of parathyroid glands	12	12	$4622.00	$991.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$359.00	$86.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$547.00	$138.35
99213 Established patient office or other outpatient visit, typically 15 minutes	31	28	$244.00	$69.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	21	$359.00	$102.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	17	$178.00	$37.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$358.17	$87.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$540.04	$142.51
99213 Established patient office or other outpatient visit, typically 15 minutes	22	21	$241.27	$70.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	20	$348.76	$104.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	12	$144.75	$37.65
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	11	$230.81	$74.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$349.00	$80.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$489.00	$132.78
99213 Established patient office or other outpatient visit, typically 15 minutes	22	21	$214.00	$54.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	15	$316.00	$83.67
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	11	$429.00	$118.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$348.49	$79.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$486.50	$135.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	29	$314.67	$82.39
99213 Established patient office or other outpatient visit, typically 15 minutes	24	23	$211.50	$53.49
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	14	$428.44	$116.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$479.00	$134.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$342.00	$79.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	31	$296.00	$81.59
99213 Established patient office or other outpatient visit, typically 15 minutes	30	26	$199.00	$53.29
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	11	$210.00	$75.52
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$420.00	$115.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$337.33	$78.22
99213 Established patient office or other outpatient visit, typically 15 minutes	41	38	$199.00	$52.13
99213 Established patient office or other outpatient visit, typically 15 minutes	39	37	$199.00	$52.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$472.37	$132.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	30	$296.00	$80.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	15	$135.41	$26.17

Medical Specialties & State Licenses

CMS Verified: 2024-07-31

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MA 57085

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

3113922 (MA)

Medicaid State Provider ID

110053383A (MA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners

Mary Sullivan , NP

Nurse Practitioner

NPI 1053372110

Nurse Practitioner

Dr. James Lindberg , MD

Surgery - Surgical Oncology

NPI 1326281080

Doctor of Medicine (M.D.)

Dr. Laura Lambert , MD

Surgery

NPI 1467532390

Doctor of Medicine (M.D.)

Dr. David Linshaw , MD

Surgery - Surgical Oncology

NPI 1518304815

Doctor of Medicine (M.D.)

Dr. Jennifer Lafemina , MD

Surgery

NPI 1598713570

Doctor of Medicine (M.D.)

Amy Sharron , NP

Nurse Practitioner

NPI 1861551707

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events

📍

Updated Business Mailing Address July 31, 2024

Registered at 21 WINWOOD RD, SUTTON, MA 015901831

✅

NPI Profile Active April 27, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location April 27, 2017

Registered at 119 BELMONT ST, DEPARTMENT OF SURGICAL ONCOLOGY, WORCESTER, MA 016052903 (Tel: 5083345202)

📍

Updated Business Mailing Address April 27, 2017

Registered at PO BOX 415348, BOSTON, MA 022410001 (Tel: 8002258885)

👤

Provider Name / Credentials Updated April 27, 2017

Recorded as GILES WHALEN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2017

Surgery (License #57085 in MA)

✅

NPI Profile Active April 10, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location April 10, 2009

Registered at 119 BELMONT ST, DEPARTMENT OF SURGICAL ONCOLOGY, WORCESTER, MA 016052903 (Tel: 5083345202)

📍

Updated Business Mailing Address April 10, 2009

Registered at PO BOX 415348, BOSTON, MA 022410001 (Tel: 8002258885)

👤

Provider Name / Credentials Updated April 10, 2009

Recorded as GILES WHALEN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 10, 2009

Surgery (License #57085 in MA)

🟢

Initial NPI Registration & Enumeration November 20, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538141957

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 20, 2005

Last Update: July 31, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

21 Winwood Rd

Sutton, MA 015901831

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.