Dr. John T. Whalen, MD

  • Albany, NY
  • Orthopedic surgeon
NPI1720055130PAC ID0143212217
Medicare services, 2024
665
Medicare patients, 2024
360
Part D claims, 2024
139
MIPS score, 2024
83
Hospital affiliations
2
Practice address
121 Everett Rd, Albany, NY 12205
Practice phone
Call (518) 453-9088
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Orthopedicsny

Albany, New York

See all 5 affiliations

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Dr. John T. Whalen is an orthopedic surgeon in Albany, New York

Dr. Whalen practices at Orthopedicsny in Albany, New York.

Dr. Whalen's NPI, 1720055130, was assigned on March 3, 2006. Dr. Whalen graduated from Yale School of Medicine in 1989. Dr. Whalen holds New York license 190181.

NPI and contact details
Medicare PAC ID
0143212217
NPI enumeration date
March 3, 2006
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(518) 453-9088
Professional email
Get email
Personal email
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Mobile number
Get number
Sex
Male
Estimated age
63
Medical school graduation
1989

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. John T. Whalen practices at Orthopedicsny in Albany, New York

Dr. Whalen's primary practice is Orthopedicsny, at 121 Everett Rd, Albany, NY 12205 in Albany County. The practice phone is (518) 453-9088.

  • Orthopedicsny
    121 Everett Rd, Albany, NY 12205 · Albany CountyPhone(518) 453-9088

Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data

Dr. John T. Whalen is affiliated with 4 sites of care and 1 medical group

Dr. Whalen's primary practice is Orthopedicsny in Albany, New York. Dr. Whalen is also affiliated with St. Peter's Hospital. The medical group on file is OrthoNY. Dmand AI also links Dr. Whalen to 1 more hospital and 1 group practice or clinic, each named with a free account.

See all 5 affiliations for Dr. Whalen

Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data

Dmand AI tracks the EHR system at Dr. John T. Whalen's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Whalen practices, 3 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
OrthopedicsnyAvailable with a free account
+3 more affiliated sitesAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. John T. Whalen is one of 1,151 orthopedic surgeons in New York

Orthopaedic surgery is Dr. Whalen's primary specialty in the NPI Registry, under taxonomy code 207X00000X. Dr. Whalen is licensed in New York.

Specialties and state licenses

  • Orthopaedic surgery, New YorkPrimaryLicense 190181 · taxonomy 207X00000X

Orthopedic surgeons near Dr. Whalen

Counts of orthopedic surgeons with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. John T. Whalen billed Medicare for 665 services in 2024

CMS data shows 665 Medicare services from Dr. Whalen across 23 procedure codes in 2024, for 360 Medicare patients. Medicare paid $83,833 for them.

Medicare services, 2024665
Medicare patients360
Paid by Medicare$83,833
Procedure codes23

Dr. Whalen's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Imaging
2023: 7832024: 35854%
Office and hospital visits
2023: 2142024: 2203%
Surgery
2023: 662024: 8732%

Where Dr. Whalen's Medicare services took place, 2024

  • In an office53180%
  • In a facility13420%

Dr. Whalen compared with the New York median for orthopedic surgeons, 2024

  • Dr. Whalen
  • New York median
Medicare services
665vs 7268% below
Medicare patients
360vs 23653% above
Part D claims
107vs 7347% above

Medians across 1,081 orthopedic surgeons in New York with Dmand AI profiles that report each measure.

Dr. Whalen's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Whalen

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. John T. Whalen treated 360 Medicare patients in 2024, average age 72

CMS counts 360 Medicare patients who saw Dr. Whalen in 2024. The largest group is 65 to 74, with 135 patients. 75% of them have arthritis, and 75% have high blood pressure. 22% are also on Medicaid. Their average risk score is 1.33, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Dr. Whalen's median patient age at 63, with 52% women.

Medicare patients, 2024360
Average age72
Average risk score1.33
Also on Medicaid22%

Dr. Whalen's Medicare patients by age, 2024

Dr. Whalen's Medicare patients by sex, 2024

  • Women23666%
  • Men12434%

Chronic conditions among Dr. Whalen's Medicare patients, 2024

  1. Arthritis75%
  2. High blood pressure75%
  3. High cholesterol75%
  4. Ischemic heart disease42%
  5. Anxiety34%
  6. Diabetes33%
  7. Mood disorders28%
  8. Depression25%

Share of Medicare patients with each condition. A patient can have several.

Dr. Whalen's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 63

Patient panel by sex, all payers

  • Women52%
  • Men48%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. John T. Whalen wrote 139 Medicare Part D claims in 2024

In 2024, Dr. Whalen wrote 139 Medicare Part D claims for 117 patients. 100% of them were for generic drugs. CMS names the drug for 107 of them, across 2 drugs with 11 or more claims each, at $830 in total drug cost. In 2023, CMS named 135 claims across 4 drugs.

Part D claims, 2024139
Drugs named by CMS2
Total drug cost$830
Part D patients117

Dr. Whalen's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 1352024: 10721%

Drugs named by CMS: 2 in 2024, 4 in 2023.

See all prescribing by Dr. Whalen

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. John T. Whalen scored 83 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 83 out of 100 for Dr. Whalen for performance year 2024, reported as part of a group. Dr. Whalen accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS counts 195 procedures of spinal fusion by Dr. Whalen, more than 89% of the clinicians it reports for that procedure.

Accepts Medicare assignment
Yes

Dr. Whalen's MIPS scores, performance year 2024

  • 83of 100Final score
  • 75of 100Promoting Interoperability
  • 40of 100Improvement Activities
  • 89of 100Cost

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Where Dr. Whalen ranks in Medicare procedure volume

Spinal fusion
89th percentile195 procedures
Laminectomy or laminotomy (partial removal of spine bones)
78th percentile51 procedures

CMS ranks each clinician against every clinician it reports for the same procedure category.

Sources: Doctors and Clinicians National Downloadable File (CMS); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)

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Dr. John T. Whalen received $1,665 in industry payments from 2016 to 2025

CMS Open Payments shows 30 general payments to Dr. Whalen from 19 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 95% of the total. Boston Scientific Corporation paid the most, $298.

General payments to Dr. Whalen by program year, 2016 to 2025

General payments to Dr. Whalen by kind, 2016 to 2025

$1.7Kin total
  • Food and beverage$1,58095%
  • Education$855%

Companies that paid Dr. Whalen the most, 2016 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Whalen

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. John T. Whalen graduated from Yale School of Medicine

Dr. Whalen graduated from Yale School of Medicine in 1989.

  1. Medical schoolYale School of Medicine

Source: Dmand AI Professional Profile Data

Sources for Dr. John T. Whalen's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. John T. Whalen

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. John T. Whalen's NPI number?

Dr. John T. Whalen's NPI number is 1720055130. It was assigned on March 3, 2006, and it is active in the NPI Registry.

What kind of doctor is Dr. John T. Whalen?

Dr. John T. Whalen is an orthopedic surgeon in Albany, New York. The primary specialty in the NPI Registry is Orthopaedic Surgery Physician (taxonomy code 207X00000X).

Where does Dr. John T. Whalen practice?

Dr. Whalen practices at 121 Everett Rd, Albany, NY 12205. Dr. Whalen's primary practice is Orthopedicsny in Albany, New York. Dmand AI also links Dr. Whalen to 1 hospital and 1 group practice or clinic.

What is Dr. John T. Whalen's office phone number?

The practice phone on file for Dr. Whalen is (518) 453-9088.

What is Dr. John T. Whalen's medical license number?

Dr. Whalen holds New York license 190181.

Which hospitals is Dr. John T. Whalen affiliated with?

Dr. Whalen is affiliated with St. Peter's Hospital. Dmand AI links Dr. Whalen to 1 more hospital.

What medical group is Dr. John T. Whalen part of?

Dr. Whalen is linked to OrthoNY.

Does Dr. John T. Whalen accept Medicare?

Yes. CMS data shows Dr. Whalen billed Medicare for 665 services in 2024, and Dr. Whalen accepts Medicare assignment.

What is Dr. John T. Whalen's MIPS score?

Dr. Whalen's MIPS final score for performance year 2024 is 83 out of 100, reported as part of a group.

How many Medicare patients does Dr. John T. Whalen see?

CMS counts 360 Medicare patients who saw Dr. Whalen in 2024, with an average age of 72.

Show 5 more questionsShow fewer questions

What services does Dr. John T. Whalen bill to Medicare?

In 2024, Dr. Whalen's most billed Medicare services were office visit, established patient (99214), diagnostic imaging (72110) and diagnostic imaging (72148).

Where did Dr. John T. Whalen go to medical school?

Dr. Whalen graduated from Yale School of Medicine in 1989.

What drugs does Dr. John T. Whalen prescribe most?

In 2024 Medicare Part D data, Dr. Whalen's most prescribed drugs by claims were Mupirocin and Cyclobenzaprine HCl.

Has Dr. John T. Whalen received payments from drug or device companies?

CMS Open Payments shows $1,665 in general payments to Dr. Whalen from 19 companies from 2016 to 2025. The largest total came from Boston Scientific Corporation.

How long has Dr. John T. Whalen been practicing?

Dr. Whalen graduated from medical school in 1989, 37 years ago.

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