2026 NPPES data Dermatology Physician NPI 1619273042 DO
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TARA WHELAN, DO

Dermatology Physician in WESTERLY, Rhode Island. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
1K
Medicare Part D claims · 413 beneficiaries · Dermatology Physician avg: 729
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
93.2757/100
▲ 10 pts above national avg 83.1 · [object Object]
What the federal data reveals: TARA WHELAN, DO is a Dermatology Physician ([object Object]) practicing in WESTERLY, Rhode Island with a Medicare Part D prescribing footprint of 1K claims across 413 beneficiaries — 14% brand-name prescribing . Their CMS MIPS Final Score of 93.2757/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: TARA WHELAN, DO reported a CMS MIPS final score of 93.2757 out of 100, above the 83.1 national average, and filed 1,194 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

TARA WHELAN, DO practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

TARA WHELAN, DO at a glance

High performer (top quartile)

NPI registry status

Active

Issued 02/02/2011

NPI 1619273042

Primary specialty

Dermatology Physician

Mid-sized

14,610 US NPIs in this specialty

Medicare Part D claims

1,194 64% vs specialty avg

2023 prescription claims

Specialty avg: 729

MIPS final score

93.2757/100 10.175700000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Rhode Island

How Dermatology Physician compares to other specialties among Rhode Island providers

Rhode Island providers

Dermatology Physician share within Rhode Island

1. Dermatology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Dermatology Physician share within Rhode Island

Medicare quality performance — MIPS

TARA WHELAN, DO's 2023 MIPS final score plotted against the Dermatology Physician national average

High performer (top quartile)
MIPS Final Score
93.2757/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Dermatology Physician) — 93.2757/100 vs national avg 83.1

0%100%National avg83%93.3%
MIPS final score (Dermatology Physician) — 93.2757/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

TARA WHELAN, DO is a Dermatology Physician provider practicing in WESTERLY, Rhode Island, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: DO. NPI: 1619273042. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

TARA WHELAN, DO appears in the CMS NPPES registry as a Dermatology Physician provider holding DO credentials at 45 WELLS ST, WESTERLY, RI, 02891, with a listed phone of (401) 315-2222. NPI 1619273042 was issued on 02/02/2011. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what WHELAN most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 1,194 prescription claims written by this provider, covering 413 Medicare beneficiaries and totaling roughly $587K in drug spend, split 14% brand-name and 86% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 93.2757/100 for the 2023 performance year (Quality 81.7219), compared with the national average of 83.1.

Dermatology Physician is a mid-sized specialty nationwide, with 14,610 enrolled providers across 53 states and an average of 729 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

45 WELLS ST
WESTERLY, RI 02891

Provider Details

NPI 1619273042
Specialty Dermatology Physician
Credentials DO
Gender Female
NPI Issued 02/02/2011

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

93.2757
Final Score
Avg: 83.1
81.7219
Quality
78.0315
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where TARA WHELAN, DO bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

NORTHEAST MEDICAL GROUP INC
WESTERLY, RI

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Typical

TARA WHELAN, DO — brand share 14.0%
Specialty average (est.)

14% brand-name claims vs 86% generic, on 1,194 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

1,194
Total Claims
$587K
Total Drug Cost
413
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,379
Total Day Supply
36,110
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$543K
Generic Drug Cost
$44K
Antibiotic Claims
20

Patient Demographics

Average Patient Age
73.0 years
Avg HCC Risk Score
1.10
Gender Split
63% female / 37% male
Age Distribution
<65: 28, 65-74: 210, 75-84: 144, 85+: 31

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Ketoconazole
266
Clobetasol Propionate
156
Triamcinolone Acetonide
120
Nystatin
60
Mupirocin
55
Otezla
Apremilast
50
Doxycycline Hyclate
46
Fluorouracil
46
Metronidazole
41
Halobetasol Propionate
32

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Dermatology Physician Overview

How TARA WHELAN, DO fits within the Dermatology Physician landscape nationally.

14,610
Dermatology Physician Providers in US
53
States with Dermatology Physician
729
Avg Claims per Provider

TARA WHELAN, DO's 1,194 claims are above the specialty average of 729.

Nearby Dermatology Physician Providers in Rhode Island

Other clinicians with the same primary specialty enrolled in Rhode Island, drawn from the same CMS NPPES roster as WHELAN.

Compare Dermatology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is TARA WHELAN, DO's specialty?
TARA WHELAN, DO specializes in Dermatology Physician and practices in WESTERLY, Rhode Island. Credentials: DO.
How much does TARA WHELAN, DO prescribe under Medicare Part D?
In 2023, TARA WHELAN, DO wrote 1,194 Medicare Part D claims totaling $587K in drug costs for 413 beneficiaries.
What is TARA WHELAN, DO's Medicare quality score?
TARA WHELAN, DO has a CMS MIPS Final Score of 93.2757/100 (Quality: 81.7219). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is TARA WHELAN, DO located?
TARA WHELAN, DO is located at 45 WELLS ST, WESTERLY, RI, 02891. Phone: (401) 315-2222.
What is TARA WHELAN, DO's NPI number?
TARA WHELAN, DO's National Provider Identifier (NPI) is 1619273042, issued on 02/02/2011.
Does TARA WHELAN, DO prescribe more brand-name or generic drugs?
TARA WHELAN, DO's prescribing is 14% brand-name and 86% generic drugs by claim count, with $543K in brand drug costs.
How many Dermatology Physician providers are there in the US?
There are 14,610 Dermatology Physician providers across 53 states in the US. The average Dermatology Physician provider writes 729 Medicare Part D claims per year.
What drugs does TARA WHELAN, DO prescribe most often?
Based on 2023 Medicare Part D data, TARA WHELAN, DO's most frequently prescribed drugs include Ketoconazole, Clobetasol Propionate, Triamcinolone Acetonide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does TARA WHELAN, DO accept Medicare?
TARA WHELAN, DO appears in CMS Medicare data with 1,194 Part D claims and 413 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify TARA WHELAN, DO's credentials?
TARA WHELAN, DO's NPI is 1619273042 with credentials DO. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology