Physician

Nathaniel Robb Whaley, MD

According to 2025 Medicare claims, Nathaniel Whaley, MD (NPI: 1245213545) practices neurology in the Johnson City, TN market, with the plurality of this provider's patient population coming from Washington, TN. This provider's primary affiliated billing organization is TRI STATE MOUNTAIN NEUROLOGY ASSOCIATES PC (NPI: 1801823638; TIN: 62-1105910) and primary practice location at 37604-7902.

Whaley's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 434 traditional Medicare patients, billed 58,400 HCPCS/CPT codes, and received $2,155,981 in Medicare payments. The top billing code was 95910 (Nerve conduction, 7-8 studies). Part D data shows 4,122 prescription claims across 527 beneficiaries totaling $2,449,451 in drug costs, led by Apokyn (Apomorphine Hcl). 2023 DME data shows 11 claims. Open Payments data shows 241 records totaling $28,924. 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 from a lower plateau to a higher plateau, from $667,423 to $2,155,981. Similarly, Part D prescription costs have risen steadily, from $1,079,959 to $2,449,451. In contrast, DME billing represents a smaller volume and moved sharply higher in recent years, from $2,953 to $7,760.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	415	25,866	$667,423
2016	583	29,009	$888,266
2017	630	28,501	$950,723
2018	577	23,782	$769,904
2019	496	29,096	$1,326,258
2020	483	36,385	$2,069,193
2021	413	29,401	$1,600,473
2022	434	42,170	$1,692,435
2023	421	58,365	$2,009,020
2024	434	58,400	$2,155,981

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	401	3,485	$1,079,959
2016	511	4,407	$1,627,994
2017	540	5,423	$2,751,544
2018	568	5,475	$2,563,137
2019	488	4,778	$2,876,284
2020	459	4,435	$3,115,979
2021	434	3,948	$3,849,566
2022	456	3,980	$3,303,347
2023	470	3,941	$2,866,727
2024	527	4,122	$2,449,451

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	12	$634
2016	48	61	$25,554
2017	N/R	N/R	N/R
2018	N/R	24	$1,387
2019	N/R	11	$231
2020	N/R	23	$697
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	11	$260
2024	N/R	N/R	N/R

* / # = 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
95910	Nerve conduction, 7-8 studies	30	30	$112
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$95
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	307	659	$73
95886	Needle measurement of electrical activity in arm or leg muscles, complete study	84	130	$56
96365	Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	31	423	$40

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Apokyn	Apomorphine Hcl	13	329	$405,575
Octagam	Immun Globg(Igg)/Malt/Iga Ov50	31	651	$332,104
Nuplazid	Pimavanserin Tartrate	30	1,200	$198,733
Privigen	Immun Glob G(Igg)/Pro/Iga 0-50	32	672	$179,802
Botox	Onabotulinumtoxina	105	9,063	$177,404

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.	240	$28,905	ARGENX US, INC.
Research Payments	Reported research-related payment or transfer-of-value amount.	1	$19	Novartis Pharmaceuticals Corporation
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 Nathaniel Robb Whaley, MD?

Tedicare shows public-source Medicare data for Nathaniel Robb Whaley, MD (NPI 1245213545), 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 Nathaniel Robb Whaley, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Nathaniel Robb Whaley, MD?

Nathaniel Robb Whaley, MD is linked to TRI STATE MOUNTAIN NEUROLOGY ASSOCIATES PC (billing NPI 1801823638) in the available physician profile data.

Does Nathaniel Robb Whaley, MD have Open Payments data?

Nathaniel Robb Whaley, MD has 241 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.