Dr John T Whalen, MD - Medicare Orthopedic Surgery in Albany, NY

Dr John T Whalen, MD is a medicare enrolled "Orthopaedic Surgery" physician in Albany, New York. He went to Yale University School Of Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Orthopedicsny, Llp and his current practice location is 121 Everett Rd, Albany, New York. You can reach out to his office (for appointments etc.) via phone at (518) 489-2663.

Dr John T Whalen is licensed to practice in New York (license number 190181) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1720055130.

Contact Information

Dr John T Whalen, MD
121 Everett Rd,
Albany, NY 12205-1474
(518) 489-2663
(518) 689-3881

Map and Direction




Physician's Profile

Full NameDr John T Whalen
GenderMale
SpecialityOrthopedic Surgery
Experience35 Years
Location121 Everett Rd, Albany, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr John T Whalen attended and graduated from Yale University School Of Medicine in 1989
  NPI Data:
  • NPI Number: 1720055130
  • Provider Enumeration Date: 03/03/2006
  • Last Update Date: 12/08/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0143212217
  • Enrollment ID: I20100913000949

Medical Identifiers

Medical identifiers for Dr John T Whalen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720055130NPI-NPPES
190181OtherNYNY LICENSE
01586507MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207XS0117XOrthopaedic Surgery - Orthopaedic Surgery Of The Spine 190181 (New York)Secondary
207X00000XOrthopaedic Surgery 190181 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Samaritan HospitalTroy, NYHospital
St Peter's HospitalAlbany, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Orthopedicsny, Llp6901898170106

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr John T Whalen allows following entities to bill medicare on his behalf.
Entity NameOrthopedicsny, Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568415412
PECOS PAC ID: 6901898170
Enrollment ID: O20040330001750

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr John T Whalen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr John T Whalen, MD
121 Everett Rd,
Albany, NY 12205-1474

Ph: (518) 489-2663
Dr John T Whalen, MD
121 Everett Rd,
Albany, NY 12205-1474

Ph: (518) 489-2663

Reviews and Comments


Orthopaedic Surgery Doctors in Albany, NY

George S Zanaros, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1367 Washington Ave, Suite 200, Albany, NY 12206
Phone: 518-489-2666    Fax: 518-489-5933
Kaushik Bagchi, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1367 Washington Ave, Suite 200, Albany, NY 12206
Phone: 518-489-2666    Fax: 518-489-2666
Dr. Christopher De Camp, M.D.
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 121 Everett Rd, Albany, NY 12205
Phone: 518-453-9088    Fax: 518-689-6111
Dr. Justin Tyler Zaremba, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 43 New Scotland Ave, Albany, NY 12208
Phone: 518-453-3079    
Jeffrey Lozman, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1367 Washington Ave, Suite 200, Albany, NY 12206
Phone: 518-489-2666    Fax: 518-489-5933
Dr. Imran Akhtar, D.O.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 121 Everett Rd, Albany, NY 12205
Phone: 518-489-2663    Fax: 518-689-3881
Dr. Leonard E Goldstock, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 121 Everett Rd, Albany, NY 12205
Phone: 518-453-9088    Fax: 518-689-6111

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.