STEPHEN M. WINHUSEN M.D.
NPI 1265488514
Family Medicine in Cincinnati, OH

Q: What is Stephen Winhusen's NPI number?

The NPI number for Stephen Winhusen is 1265488514. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Q: What is Stephen Winhusen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stephen Winhusen was last updated on November 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since May 26, 2006PECOS EnrolledAccepts Medicare Assignment

6350 GLENWAY AVE, SUITE 205, CINCINNATI, OH 45211(513) 481-0900(513) 481-0904 Get Directions Write a Review

NPPES record last updated: November 15, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Stephen M. Winhusen M.d. NPPES

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

STEPHEN M. WINHUSEN M.D. (NPI 1265488514) is an individual family medicine provider in Cincinnati, Ohio, licensed in Ohio (35070645) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital, and is a graduate of University Of Cincinnati College Of Medicine (1994).

NPPES Registry Identity

NPI1265488514

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameSTEPHEN M. WINHUSENCredential: M.D.

Location Address6350 GLENWAY AVE, SUITE 205Cincinnati, OH 45211-6378

Mailing AddressPo Box 635156Cincinnati, OH 45263-0001 · (513) 481-0900 · Fax (513) 481-0904

Phone(513) 481-0900

Fax(513) 481-0904

Sole ProprietorNo

Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1994

Enumeration DateMay 26, 2006

Last NPPES UpdateNovember 15, 2011

✔ NPI 1265488514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OH · 35070645

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.

6350 GLENWAY AVE, Cincinnati, OH 45211

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Other Identifiers 7

Medicare PINP00454773OH

Medicare PINWI0806906OH

Medicare UPINF93843OH

Medicare ID-Type UnspecifiedWI0806901OH

Medicaid0272155OH

Medicare PINWI0806905OH

Medicare PIN0806907OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Stephen M. Winhusen M.d. 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 ID7416968631

PECOS Enrollment IDI20060531000149

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.

Medicare Billing Reassignment

Medicare enrollment records show Stephen Winhusen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Trihealth G LLC

5.7 mi

Internal Medicine

379 DIXMYTH AVE
Cincinnati, OH 45220

Reassigned Medicare billing, Ohio enrollment
1,126 clinicians in this Medicare group

NPI 1295862944 (513) 246-7000

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.

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

281 services171 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.

198 services122 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.

138 services98 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.

113 services113 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

85 services50 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

78 services74 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

57 services55 patients

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.

27 services22 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

25 services24 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

17 services13 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

13 services13 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Good Samaritan Hospital

Acute Care Hospitals · Cincinnati, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360134

Location375 Dixmyth AvenueCincinnati, OH 45220 · Hamilton County

Emergency services Birthing friendly

Christ Hospital

Acute Care Hospitals · Cincinnati, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360163

Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County

Emergency services Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360179

Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County

Emergency services Birthing friendly

Mercy Health - West Hospital

Acute Care Hospitals · Cincinnati, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360234

Location3300 Mercy Health BlvdCincinnati, OH 45211 · Hamilton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45211 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

10 suppliers51 claims159 services$5.14 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

4 suppliers13 claims15 services$0.83 avg. paid by Medicare

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

1 supplier11 claims341 services$4.19 avg. paid by Medicare

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152

Other-Enteral and Parenteral · category OB006N

1 supplier11 claims4,257 services$0.24 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier12 claims12 services$4.63 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 suppliers26 claims26 services$63.43 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 20

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

SUSAN R STRICK MD

Pediatrics

6350 GLENWAY AVE, SUITE 300
CINCINNATI, OH 45211

Hamilton County (513) 481-9700

KADI CARMOSINO P.T

Physical Therapist

6350 GLENWAY AVE, STE 415
CINCINNATI, OH 45211

Hamilton County (513) 347-9999

ERNEST CIAMBARELLA MD

Pediatrics

6350 GLENWAY AVE, SUITE 300
CINCINNATI, OH 45211

Hamilton County (513) 481-9700

MERCY HEALTH PHYSICIANS CINCINNATI LLC

Durable Medical Equipment & Medical Supplies

6350 GLENWAY AVE, SUITE 415
CINCINNATI, OH 45211

Hamilton County (513) 347-9999

AMY FRISCH BENGE MD

Pediatrics

6350 GLENWAY AVE, SUITE 300
CINCINNATI, OH 45211

Hamilton County (513) 481-9700

MONICA Q LEONARD CNP

Nurse Practitioner (Pediatrics)

6350 GLENWAY AVE, SUITE 300
CINCINNATI, OH 45211

Hamilton County (513) 481-9700

STEPHANIE ANN BECKER NP

Nurse Practitioner (Family)

6350 GLENWAY AVE
CINCINNATI, OH 45211

Hamilton County (513) 481-3400

DR. ROSHNI SHETTY M.D.

Internal Medicine

6350 GLENWAY AVE, SUITE 400
CINCINNATI, OH 45211

Hamilton County (513) 481-3400

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 Stephen Winhusen's NPI number?

The NPI number for Stephen Winhusen is 1265488514. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Stephen Winhusen located?

Stephen Winhusen practices at 6350 Glenway Ave Suite 205, Cincinnati, OH 45211. The listed phone number is (513) 481-0900.

What is Stephen Winhusen's specialty?

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

Is Stephen Winhusen enrolled in Medicare?

Yes. Stephen Winhusen 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 organization bills Medicare for Stephen Winhusen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Winhusen reassigns Medicare benefits to Trihealth G LLC (Cincinnati, OH). The 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 Stephen Winhusen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephen Winhusen accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Stephen Winhusen 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 Stephen Winhusen affiliated with any hospitals?

According to CMS data, Stephen Winhusen is affiliated with Good Samaritan Hospital, Christ Hospital, Bethesda North and Mercy Health - West Hospital.

When was this NPI record last updated?

The NPPES record for Stephen Winhusen was last updated on November 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.