Active NPI 1194726299 Individual Practitioner Female Practitioner

Dr. Dawn R. Whelchel , MD

Internal Medicine • Marshall, TX

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Dawn Whelchel, MD is a certified Internal Medicine practicing in Marshall, TX. With approximately 30 years of clinical experience since graduating from University Of Texas Medical School At San Antonio in 1996, Dr. Whelchel delivers high-quality medical care to the local community at 401 E PINECREST DR.

Dr. Whelchel accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection, triamcinolone acetonide, not otherwise specified, 10 mg, injection, dexamethasone sodium phosphate, 1 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

401 E Pinecrest Dr

Marshall, TX 756707207

Telephone 9039357101

Fax 9039357043

Associated Practice Facility / Clinic

🏢 Whelchel Primary Care Medicine Pa Facility NPI 1457543936

Medicare Profile & Education

Medical School

University Of Texas Medical School At San Antonio

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Marshall, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +5.2 yrs vs City Avg

City Avg: 24.8 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

14 Specialists

Practicing in Marshall, TX (9538 Statewide)

Telehealth Adoption Rate

28.6% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

28.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Whelchel (30 Years) 30 Yrs

Marshall Specialty Average (24.8 Years) 24.8 Yrs

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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	688	179	$131.00	$125.45
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	116	16	$15.00	$0.91
J1100 Injection, dexamethasone sodium phosphate, 1 mg	116	16	$5.00	$0.11
G0008 Administration of influenza virus vaccine	74	72	$25.00	$24.50
99213 Established patient office or other outpatient visit, typically 15 minutes	70	45	$93.00	$88.85
90662 Influenza vaccine split virus, preservative free	67	67	$75.00	$73.48
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	50	31	$191.00	$177.81
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	40	20	$25.00	$13.74
93000 Routine ekg using at least 12 leads including interpretation and report	24	19	$120.00	$13.99
81003 Automated urinalysis test	24	14	$15.00	$2.20
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	17	17	$200.00	$129.03
96127 Assessment of emotional or behavioral problems	14	13	$25.00	$4.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	718	181	$131.00	$123.05
99213 Established patient office or other outpatient visit, typically 15 minutes	101	64	$93.00	$75.86
G0008 Administration of influenza virus vaccine	84	84	$25.00	$24.50
90662 Influenza vaccine split virus, preservative free	80	80	$75.00	$71.93
J1100 Injection, dexamethasone sodium phosphate, 1 mg	65	15	$5.00	$0.12
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	65	15	$15.00	$1.07
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	49	31	$191.00	$172.99
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	42	24	$25.00	$13.64
81003 Automated urinalysis test	41	21	$15.00	$2.20
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	40	12	$150.00	$102.99
93000 Routine ekg using at least 12 leads including interpretation and report	34	32	$120.00	$13.89
96127 Assessment of emotional or behavioral problems	14	13	$25.00	$4.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$200.00	$160.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	759	193	$131.00	$125.28
99213 Established patient office or other outpatient visit, typically 15 minutes	143	84	$93.00	$88.79
G0008 Administration of influenza virus vaccine	88	86	$25.00	$24.52
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	81	15	$15.00	$1.14
J1100 Injection, dexamethasone sodium phosphate, 1 mg	81	15	$5.00	$0.12
90662 Influenza vaccine split virus, preservative free	75	75	$75.00	$68.54
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	52	29	$25.00	$14.03
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	33	25	$191.00	$172.50
81003 Automated urinalysis test	20	14	$15.00	$2.23
93000 Routine ekg using at least 12 leads including interpretation and report	20	19	$120.00	$13.89
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	19	11	$5.00	$1.68
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	13	12	$35.00	$20.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$200.00	$162.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	824	204	$127.45	$124.56
99213 Established patient office or other outpatient visit, typically 15 minutes	151	87	$89.30	$87.28
G0008 Administration of influenza virus vaccine	99	97	$25.00	$16.46
90662 Influenza vaccine split virus, preservative free	91	91	$73.90	$65.23
81003 Automated urinalysis test	82	45	$15.00	$2.25
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	48	34	$189.50	$178.54
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	39	18	$25.00	$13.92
93000 Routine ekg using at least 12 leads including interpretation and report	21	21	$120.00	$14.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$200.00	$164.56
96127 Assessment of emotional or behavioral problems	14	13	$25.00	$4.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	593	203	$115.00	$106.86
99213 Established patient office or other outpatient visit, typically 15 minutes	326	154	$80.00	$72.38
G0008 Administration of influenza virus vaccine	92	91	$25.00	$16.22
80305 Testing for presence of drug, read by direct observation	56	42	$72.00	$12.53
90662 Influenza vaccine split virus, preservative free	52	52	$65.00	$60.98
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	48	22	$25.00	$13.98
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	40	39	$35.00	$19.56
81003 Automated urinalysis test	40	30	$15.00	$2.24
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	34	26	$185.00	$144.23
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	32	15	$40.00	$39.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$200.00	$162.18
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	30	14	$120.00	$68.38
93000 Routine ekg using at least 12 leads including interpretation and report	24	22	$120.00	$16.65
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	20	12	$150.00	$89.99
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	16	15	$45.00	$14.27
96127 Assessment of emotional or behavioral problems	14	12	$25.00	$4.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,013	222	$115.00	$104.93
G0008 Administration of influenza virus vaccine	124	121	$25.00	$15.91
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	88	26	$25.00	$15.96
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	87	84	$35.00	$18.65
J1100 Injection, dexamethasone sodium phosphate, 1 mg	76	15	$5.00	$0.11
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	76	15	$15.00	$1.52
99213 Established patient office or other outpatient visit, typically 15 minutes	74	55	$80.00	$71.28
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	65	17	$150.00	$89.37
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	60	14	$120.00	$67.25
81003 Automated urinalysis test	54	33	$15.00	$2.44
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	51	29	$185.00	$141.27
90662 Influenza vaccine split virus, preservative free	37	37	$65.00	$54.89
93000 Routine ekg using at least 12 leads including interpretation and report	31	27	$120.00	$16.35
96127 Assessment of emotional or behavioral problems	26	21	$25.00	$4.97
80305 Testing for presence of drug, read by direct observation	22	16	$72.00	$12.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$200.00	$159.94
99318 Nursing facility annual assessment, typically 30 minutes	12	12	$123.00	$93.64
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	12	12	$40.00	$39.65
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	11	11	$125.00	$110.78
G0009 Administration of pneumococcal vaccine	11	11	$25.00	$15.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,211	226	$115.00	$98.20
G0008 Administration of influenza virus vaccine	133	131	$25.00	$19.51
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	105	103	$35.00	$18.65
J1100 Injection, dexamethasone sodium phosphate, 1 mg	96	19	$5.00	$0.12
81003 Automated urinalysis test	95	51	$15.00	$2.71
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	93	19	$15.00	$1.82
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	91	28	$25.00	$18.53
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	59	19	$40.00	$37.77
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	58	33	$183.36	$131.61
99213 Established patient office or other outpatient visit, typically 15 minutes	55	45	$80.00	$66.68
93000 Routine ekg using at least 12 leads including interpretation and report	40	34	$120.00	$15.37
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	34	13	$150.00	$83.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$200.00	$150.95
87804 Detection test by immunoassay with direct visual observation for influenza virus	30	15	$25.00	$16.22
90662 Influenza vaccine split virus, preservative free	28	28	$50.54	$49.12
80305 Testing for presence of drug, read by direct observation	19	14	$72.00	$13.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,310	272	$115.00	$96.62
J1100 Injection, dexamethasone sodium phosphate, 1 mg	162	34	$5.00	$0.12
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	158	34	$15.00	$1.81
G0008 Administration of influenza virus vaccine	156	154	$25.00	$23.91
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	138	47	$25.00	$22.57
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	126	124	$35.00	$18.65
81003 Automated urinalysis test	86	53	$15.00	$3.02
99213 Established patient office or other outpatient visit, typically 15 minutes	81	62	$80.00	$65.48
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	73	49	$185.00	$129.92
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	72	31	$40.00	$36.89
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	54	17	$120.00	$62.47
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	48	16	$150.00	$82.53
93000 Routine ekg using at least 12 leads including interpretation and report	42	36	$120.00	$15.17
90662 Influenza vaccine split virus, preservative free	30	30	$45.00	$44.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$200.00	$148.05
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	25	22	$55.00	$48.08
80305 Testing for presence of drug, read by direct observation	13	11	$72.00	$11.21
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	12	11	$180.00	$117.86

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX L0690

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

044765801 (TX)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 11, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location October 11, 2011

Registered at 401 E PINECREST DR, MARSHALL, TX 756707207 (Tel: 9039357101)

📍

Updated Business Mailing Address October 11, 2011

Registered at 401 E. PINECREST DR, MARSHALL, TX 756707207 (Tel: 9039357101)

👤

Provider Name / Credentials Updated October 11, 2011

Recorded as DAWN WHELCHEL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2011

Internal Medicine (License #L0690 in TX)

🟢

Initial NPI Registration & Enumeration August 10, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Dawn Whelchel. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1194726299

Entity Type:

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

Enumeration Date: August 10, 2005

Last Update: October 11, 2011

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

401 E. Pinecrest Dr

Marshall, TX 756707207

Phone: 9039357101

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.