Giles F. Whalen, M.D.
NPI 1538141957ActiveIndividual· Surgery· Worcester, MA
Surgery (M.D.) in Worcester, Massachusetts, licensed in MA, with an NPI issued in November 2005. Mostly services rather than prescriptions: Medicare paid $22,622 for 56 patients in 2024, with only 17 Part D claims.
Overview
| NPI | 1538141957 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Nov 20, 2005 |
| Last updated in NPPES | Jul 31, 2024 |
| Certified by provider | Jul 31, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | 57085 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 56 |
|---|---|
| Services billed | 103 across 33 procedure codes |
| Paid by Medicare | $22,622 |
Part D prescriptions in 2024
| Prescriptions (claims) | 17 · 21 30-day fills |
|---|---|
| Total drug cost | $6,120 |
| Generic share | 71% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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