DR. CARMEN R WINTERS MD
NPI 1194112110
Pathology - Anatomic Pathology & Clinical Pathology in Portland, OR
About Dr. Carmen R Winters Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CARMEN R WINTERS MD (NPI 1194112110) is an individual anatomic pathology & clinical pathology provider in Portland, Oregon, licensed in Oregon (MD197735) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Legacy Good Samaritan Medical Center, and maintains a secondary practice location in Portland.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Carmen R Winters 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.
Medicare Billing Reassignments
3Medicare enrollment records show Carmen Winters reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gresham, OR 97030
- Reassigned Medicare billing, Oregon and Washington enrollments
- Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
- Also billed through NPI 1871848457 (Washington)
- 3,207 clinicians in this Medicare group
Portland, OR 97232
- Reassigned Medicare billing, Oregon and Washington enrollments
- Also billed through NPI 1568618239 (Washington)
- 27 clinicians in this Medicare group
Salem, OR 97301
- Reassigned Medicare billing, Oregon enrollment
- 26 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 12
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Legacy Good Samaritan Medical Center
Acute Care Hospitals · Portland, ORLegacy Mount Hood Medical Center
Acute Care Hospitals · Gresham, ORLegacy Meridian Park Medical Center
Acute Care Hospitals · Tualatin, ORTacoma General Allenmore Hospital
Acute Care Hospitals · Tacoma, WALegacy Salmon Creek Medical Center
Acute Care Hospitals · Vancouver, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97230 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTLAND, OR 97230
PORTLAND, OR 97230
PORTLAND, OR 97230
PORTLAND, OR 97230
PORTLAND, OR 97230
PORTLAND, OR 97230
PORTLAND, OR 97230
PORTLAND, OR 97230
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 Carmen Winters's NPI number?
The NPI number for Carmen Winters is 1194112110. It was assigned to this individual provider in the NPPES registry on April 16, 2015.
Where is Carmen Winters located?
Carmen Winters practices at 13705 NE Airport Way Ste C, Portland, OR 97230. The listed phone number is (800) 813-2000.
What is Carmen Winters's specialty?
The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.
Is Carmen Winters enrolled in Medicare?
Yes. Carmen Winters 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.
Which organizations bill Medicare for Carmen Winters's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carmen Winters reassigns Medicare benefits to 3 organizations: Sapphire At Gresham Rehab, LLC (Gresham, OR), Cascade Pathology Services, Corp (Portland, OR) and Pacific Pathology Associates, Inc. (Salem, OR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carmen Winters's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carmen Winters accept?
Health plans from Blue Cross and Blue Shield of Texas and Moda Health Plan, Inc. list Carmen Winters 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.
Is Carmen Winters affiliated with any hospitals?
According to CMS data, Carmen Winters is affiliated with Legacy Good Samaritan Medical Center, Legacy Mount Hood Medical Center, Legacy Meridian Park Medical Center, Tacoma General Allenmore Hospital and Legacy Salmon Creek Medical Center.
When was this NPI record last updated?
The NPPES record for Carmen Winters was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.