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DR. KERTRISA R MCWHITE MD
NPI 1023053485
Surgery - Surgical Oncology in Middletown, CT

Active since June 19, 2006PECOS EnrolledAccepts Medicare Assignment
97.27/100
CMS Quality Rating
540 SAYBROOK RD STE 100, MIDDLETOWN, CT 06457(860) 358-2850(860) 358-8661 Get Directions Write a Review

NPPES record last updated: May 4, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 4, 2021, Oct 30, 2018, Dec 1, 2015 (3 updates tracked since 2015).

About Dr. Kertrisa R Mcwhite Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KERTRISA R MCWHITE MD (NPI 1023053485) is an individual surgical oncology provider in Middletown, Connecticut, licensed in Connecticut (67547) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Hahnemann University College Of Medicine (1999).

NPPES Registry Identity

NPI1023053485
Entity TypeIndividualFemale
Primary Taxonomy2086X0206X
Provider Legal NameDR. KERTRISA R MCWHITECredential: MD
Location Address540 SAYBROOK RD STE 100Middletown, CT 06457-4760
Mailing Address28 Crescent StMiddletown, CT 06457-3654 · (860) 358-2850
Phone(860) 358-2850
Fax(860) 358-8661
Sole ProprietorNo
Medical School CMSHahnemann University College Of MedicineGraduated 1999
Enumeration DateJune 19, 2006
Last NPPES UpdateMay 4, 20213 updates tracked since enumeration
NPPES CertifiedMay 4, 2021
✔ NPI 1023053485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
License✔ Licensed in CT · 67547
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
540 SAYBROOK RD STE 100, Middletown, CT 06457
Open in Google Maps ↗

Other Identifiers 4

Medicaid204295AL
Other8708239AL · Cigna
OtherZ51050AL · Viva Health
Medicaid008101457CT

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kertrisa R Mcwhite Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739190471
PECOS Enrollment IDI20210413000506
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
62 services47 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
22 services21 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06457 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$183.10 typical visit price
range $60.82 – $183.10
Typical copayment $45.77 (range $15.20 – $45.77)
Most-billed visit code 99205
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.68
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
84%161 patients4/55-star benchmark: 92%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
73%62 patients3/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
89%194 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
77%145 patients4/55-star benchmark: 99%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
40%52 patients2/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
93%145 patients4/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 110 patients
1%110 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MHS PRIMARY CARE INC.
Surgery
540 SAYBROOK RD STE 100
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 358-2780
DAVID AUGENBLICK MD
Surgery
540 SAYBROOK RD STE 100
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 358-2850
JAMES MICHAEL PARKER MD
Surgery
540 SAYBROOK RD STE 100
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 358-2850
DR. ANDREA MARIE MALON M.D.
Surgery (Surgical Oncology)
540 SAYBROOK RD STE 100
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 358-2850
ROBERT COOPER BROWN PA
Physician Assistant
540 SAYBROOK RD STE 100
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 358-2850
MS. DEBRA AUGUST KING PA, PHD
Physician Assistant (Surgical)
540 SAYBROOK RD STE 100
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 358-2850
MHS PRIMARY CARE INC.
Surgery
540 SAYBROOK RD STE 100
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 358-2850
MARY LOUISE BURBANK RD
Dietitian, Registered
540 SAYBROOK RD STE 100
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 287-1078

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kertrisa Mcwhite's NPI number?

The NPI number for Kertrisa Mcwhite is 1023053485. It was assigned to this individual provider in the NPPES registry on June 19, 2006.

Where is Kertrisa Mcwhite located?

Kertrisa Mcwhite practices at 540 Saybrook Rd Ste 100, Middletown, CT 06457. The listed phone number is (860) 358-2850.

What is Kertrisa Mcwhite's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is Kertrisa Mcwhite enrolled in Medicare?

Yes. Kertrisa Mcwhite is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kertrisa Mcwhite was last updated on May 4, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.