DR. WHITNEY SINCLAIR DO
NPI 1316469661
Emergency Medicine in Garden City, MI

Active since July 07, 2017PECOS EnrolledAccepts Medicare Assignment
88.97/100
CMS Quality Rating
6245 INKSTER RD, GARDEN CITY, MI 48135(734) 458-4486 Get Directions Write a Review

NPPES record last updated: July 7, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Whitney Sinclair Do NPPES

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

DR. WHITNEY SINCLAIR DO (NPI 1316469661) is an individual emergency medicine provider in Garden City, Michigan, licensed in Michigan (5101023574) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, is affiliated with Aspirus Stevens Point Hospital & Clinics, Inc., and is a graduate of Michigan State University College Of Osteopathic Medicine (2017).

NPPES Registry Identity

NPI1316469661
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. WHITNEY SINCLAIRCredential: DO
Location Address6245 INKSTER RDGarden City, MI 48135-4001
Mailing Address6245 Inkster RdGarden City, MI 48135-4001 · (734) 458-4486
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2017
Enumeration DateJuly 7, 2017
✔ NPI 1316469661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MI · 5101023574
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
6245 INKSTER RD, Garden City, MI 48135

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. Whitney Sinclair Do 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 ID2860762523
PECOS Enrollment IDI20210623003068
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 Reassignments

2

Medicare enrollment records show Whitney Sinclair reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
3500 HOOVER RD
Stevens Point, WI 54481
  • Reassigned Medicare billing, Wisconsin enrollment
  • 619 clinicians in this Medicare group
Critical Access
507 S MAIN ST
Viroqua, WI 54665
  • Reassigned Medicare billing, Wisconsin enrollment
  • 127 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 4

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
133 services124 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
60 services58 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
55 services51 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Aspirus Stevens Point Hospital & Clinics, Inc.

Acute Care Hospitals · Stevens Point, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520002
Location900 Illinois AveStevens Point, WI 54481 · Portage County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48135 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

88.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.89
Promoting Interoperability100
Improvement Activities40
Cost69.92

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.

Emergency Medicine
6245 INKSTER RD
GARDEN CITY, MI 48135
Emergency Medicine
6245 INKSTER RD
GARDEN CITY, MI 48135
Student in an Organized Health Care Education/Training Program
6245 INKSTER RD
GARDEN CITY, MI 48135
Nurse Anesthetist, Certified Registered
6245 INKSTER RD
GARDEN CITY, MI 48135
Nurse Anesthetist, Certified Registered
6245 INKSTER RD
GARDEN CITY, MI 48135
Emergency Medicine
6245 INKSTER RD
GARDEN CITY, MI 48135
Emergency Medicine
6245 INKSTER RD
GARDEN CITY, MI 48135
Radiology (Diagnostic Radiology)
6245 INKSTER RD
GARDEN CITY, MI 48135

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 Sinclair's NPI number?

The NPI number for Whitney Sinclair is 1316469661. It was assigned to this individual provider in the NPPES registry on July 7, 2017.

Where is Whitney Sinclair located?

Whitney Sinclair practices at 6245 Inkster Rd, Garden City, MI 48135. The listed phone number is (734) 458-4486.

What is Whitney Sinclair's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Whitney Sinclair enrolled in Medicare?

Yes. Whitney Sinclair 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 Whitney Sinclair's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Whitney Sinclair reassigns Medicare benefits to 2 organizations: Aspirus Stevens Point Hospital & Clinics, Inc. (Stevens Point, WI) and Vernon Memorial Healthcare, Inc. (Viroqua, WI). 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 Whitney Sinclair's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Whitney Sinclair accept?

Health plans from Anthem Blue Cross and Blue Shield list Whitney Sinclair 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 Whitney Sinclair affiliated with any hospitals?

According to CMS data, Whitney Sinclair is affiliated with Aspirus Stevens Point Hospital & Clinics, Inc..

When was this NPI record last updated?

The NPPES record for Whitney Sinclair was last updated on July 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.