Physician

Nicole Lia Whatley, M.D.

According to 2025 Medicare claims, Nicole Whatley, M.D. (NPI: 1073956553) practices general surgery in the Arlington-Alexandria-Reston, VA-WV market, with the plurality of this provider's patient population coming from Jefferson, WV. This provider's primary affiliated billing organization is WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION (NPI: 1275504508; TIN: 550492006) and primary practice location at 25438-1631. Whatley is affiliated with the ACO West Virginia (ACO ID: A3563), participating under the MSSP model.

Whatley's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 121 traditional Medicare patients, billed 270 HCPCS/CPT codes, and received $26,525 in Medicare payments. The top billing code was 45380 (Biopsy of large bowel using a flexible endoscope). Part D data shows 121 prescription claims across 64 beneficiaries totaling $6,737 in drug costs, led by Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav). Open Payments data shows 12 records totaling $6,590. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved up and down with repeated peaks and valleys, starting at $3,155 and ending at $26,525. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $734 and ending at $6,737. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	14	32	$3,155
2020	141	277	$34,625
2021	88	185	$28,360
2022	N/R	N/R	N/R
2023	42	95	$9,581
2024	121	270	$26,525

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	35	53	$734
2016	27	51	$1,777
2017	12	15	$143
2018	19	24	$363
2019	13	27	$302
2020	27	59	$979
2021	33	49	$591
2022	N/R	N/R	N/R
2023	16	24	$1,505
2024	64	121	$6,737

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
45380	Biopsy of large bowel using a flexible endoscope	36	36	$124
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$70
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	34	$69
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$43
99202	New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more	28	28	$31

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Amoxicillin-Clavulanate Potass	Amoxicillin/Potassium Clav	11	148	$199
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	22	114	$137

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	12	$6,590	INTUITIVE SURGICAL, INC.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Nicole Lia Whatley, M.D.?

Tedicare shows public-source Medicare data for Nicole Lia Whatley, M.D. (NPI 1073956553), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Nicole Lia Whatley, M.D. have ACO affiliation data?

Nicole Lia Whatley, M.D. is shown with ACO affiliation data for ACO West Virginia (MSSP, ACO ID A3563).

What billing organization is linked to Nicole Lia Whatley, M.D.?

Nicole Lia Whatley, M.D. is linked to WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION (billing NPI 1275504508) in the available physician profile data.

Does Nicole Lia Whatley, M.D. have Open Payments data?

Nicole Lia Whatley, M.D. has 12 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.