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WHITNEY MORGAN WINHAM M.D.
NPI 1073769352
Pathology - Anatomic Pathology & Clinical Pathology in Albuquerque, NM

Active since August 18, 2008PECOS Enrolled
83.84/100
CMS Quality Rating
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106(479) 871-3796 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Whitney Morgan Winham M.d. NPPES

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

WHITNEY MORGAN WINHAM M.D. (NPI 1073769352) is an individual anatomic pathology & clinical pathology provider in Albuquerque, New Mexico, licensed in New Mexico (MD2013-0104) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073769352
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameWHITNEY MORGAN WINHAMCredential: M.D.
Location Address1100 CENTRAL AVE SEAlbuquerque, NM 87106-4930
Mailing Address1108 Quincy St NeAlbuquerque, NM 87110-5830 · (479) 871-3796
Phone(479) 871-3796
Sole ProprietorNo
Enumeration DateAugust 18, 2008
Last NPPES UpdateJanuary 21, 2025
NPPES CertifiedJanuary 21, 2025
✔ NPI 1073769352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in NM · MD2013-0104
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedPathology · Anatomic PathologyTaxonomy 207ZP0101X · License E-7486 (AR)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1100 CENTRAL AVE SE, Albuquerque, NM 87106
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Whitney Morgan Winham M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 11

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
478 services258 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
80 services62 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
57 services24 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
51 services38 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
30 services30 patients
Special stained specimen slides to examine tissue, each multiplex procedure 88344
Special stained specimen slides are used to study tissue in detail. This multiplex procedure involves applying different dyes to the tissue sample on a slide to highlight specific elements. These colors help identify any abnormalities in the tissue, aiding in accurate diagnosis and treatment planning.
25 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87106 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
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

83.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.59
Promoting Interoperability100
Improvement Activities40
Cost58.63

Other Providers at the Same Location NPPES 20

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

AUDRA DAWN CLEMENS PA-C
Physician Assistant
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 724-6124
STEFANIE LEIGH RAITT PHARMD, PHC
Pharmacist (Pharmacotherapy)
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 681-4154
SARAH VERTREES D.O.
Pediatrics
1100 CENTRAL AVE SE, PMG PEDIATRIC URGENT CARE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 841-1819
NICHOLAS WEISS D.O.
Emergency Medicine
1100 CENTRAL AVE SE, EMERGENCY MEDICINE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 841-1125
LUKE EZEKIEL GLAZENER PA-C
Physician Assistant
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 841-1125
SARAH LEW
Student in an Organized Health Care Education/Training Program
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 841-1234
NATALEE TRUEBA CCHW
Community Health Worker
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 554-8161
PATRICIA HERSON C.R.N.P.
Nurse Practitioner (Gerontology)
1100 CENTRAL AVE SE, PALLIATIVE CARE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 252-7393

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 Whitney Winham's NPI number?

The NPI number for Whitney Winham is 1073769352. It was assigned to this individual provider in the NPPES registry on August 18, 2008.

Where is Whitney Winham located?

Whitney Winham practices at 1100 Central Ave SE, Albuquerque, NM 87106. The listed phone number is (479) 871-3796.

What is Whitney Winham's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Whitney Winham enrolled in Medicare?

Yes. Whitney Winham is registered in the Medicare PECOS enrollment system.

What insurance does Whitney Winham accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Whitney Winham 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 Whitney Winham was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.