AMBER JOHNSON WHITFIELD MD
NPI 1053574178
Family Medicine in Decatur, AL

Active since July 09, 2008PECOS EnrolledAccepts Medicare Assignment
75.45/100
CMS Quality Rating
2828 HIGHWAY 31 S STE 111, DECATUR, AL 35603(256) 686-3456 Get Directions Write a Review

NPPES record last updated: February 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 27, 2021, Jan 19, 2021, Jun 3, 2019 (3 updates tracked since 2019).

About Amber Johnson Whitfield Md NPPES

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

AMBER JOHNSON WHITFIELD MD (NPI 1053574178) is an individual family medicine provider in Decatur, Alabama, licensed in Alabama (31200) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1053574178
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameAMBER JOHNSON WHITFIELDCredential: MD
Location Address2828 HIGHWAY 31 S STE 111Decatur, AL 35603-1538
Mailing Address2430 Red Bank Rd SeDecatur, AL 35603-5028 · (256) 214-7868
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 9, 2008
Last NPPES UpdateFebruary 27, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2021
NPI 1053574178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in AL · 31200
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2828 HIGHWAY 31 S STE 111, Decatur, AL 35603

Accepted Insurance

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

Amber Johnson Whitfield 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 ID1850559402
PECOS Enrollment IDI20120823000564
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 20

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.

Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
464 services26 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
383 services194 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
381 services193 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
350 services22 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
235 services55 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
135 services135 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35603 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
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.

75.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Promoting Interoperability100
Improvement Activities40
Cost18.18

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
3%428 patients
Breast Cancer Screening
66%571 patients3/55-star benchmark: 93%
Cervical Cancer Screening
51%1,036 patients3/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
45%520 patients3/55-star benchmark: 87%
Colorectal Cancer Screening
48%1,112 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
77%740 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
17%340 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
21%340 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
97%8,201 patients4/55-star benchmark: 100%
e-Prescribing
98%5,749 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
63%528 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
72%2,259 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
55%1,537 patients3/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
25%4,264 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 2,000 patients
0%2,000 patients
Provide Patients Electronic Access to Their Health Information
90%2,003 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
85%711 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 4% · 513 patients
Patients totalRate: 25% · 579 patients
28%579 patients2/55-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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers12 claims27 services$6.09 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers25 claims25 services$91.23 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier20 claims20 services$34.01 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

Clinic/Center
2828 HIGHWAY 31 S STE 111
DECATUR, AL 35603
Nurse Practitioner (Family)
2828 HIGHWAY 31 S STE 111
DECATUR, AL 35603
Physician Assistant
2828 HIGHWAY 31 S STE 111
DECATUR, AL 35603
Nurse Practitioner (Family)
2828 HIGHWAY 31 S STE 111
DECATUR, AL 35603
Nurse Practitioner (Family)
2828 HIGHWAY 31 S STE 111
DECATUR, AL 35603

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 Amber Whitfield's NPI number?

The NPI number for Amber Whitfield is 1053574178. It was assigned to this individual provider in the NPPES registry on July 9, 2008.

Where is Amber Whitfield located?

Amber Whitfield practices at 2828 Highway 31 S Ste 111, Decatur, AL 35603. The listed phone number is (256) 686-3456.

What is Amber Whitfield's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Amber Whitfield enrolled in Medicare?

Yes. Amber Whitfield 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.

What insurance does Amber Whitfield accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 1 other insurer list Amber Whitfield as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amber Whitfield was last updated on February 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.