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CANDICE WINFUL M.D.
NPI 1386842771
Family Medicine in Houston, TX

Active since July 06, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
4500 WASHINGTON AVE, SUITE 300, HOUSTON, TX 77007(713) 861-6490 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 23, 2024, Aug 11, 2016 (2 updates tracked since 2016).

About Candice Winful M.d. NPPES

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

CANDICE WINFUL M.D. (NPI 1386842771) is an individual family medicine provider in Houston, Texas, licensed in Texas (P1250) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Houston, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1386842771
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCANDICE WINFULCredential: M.D.
Location Address4500 WASHINGTON AVE, SUITE 300Houston, TX 77007-5476
Mailing Address909 Frostwood Dr, Suite 1.100Houston, TX 77024-2301 · (713) 338-4523
Phone(713) 861-6490
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJuly 6, 2007
Last NPPES UpdateSeptember 23, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2024
✔ NPI 1386842771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in TX · P1250✔ Licensed in IA · R8204
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.
Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X · License P1250 (TX)
4500 WASHINGTON AVE, Houston, TX 77007
Open in Google Maps ↗

Secondary Practice Location 1

Location 113550 East FwyHouston, TX 77015-5926 · Phone (713) 330-8993

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.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

Candice Winful 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 ID4284781386
PECOS Enrollment IDI20130829000820
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.

Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml Q9965
Low osmolar contrast material with 100-199 mg/ml iodine concentration is a type of dye used in medical imaging tests. It helps to clearly highlight certain areas in the body, improving the quality of images and aiding in accurate diagnosis. It's generally safe and well-tolerated.
46,100 services251 patients
Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg J7320
Genvisc 850 is an injection containing hyaluronan, a substance naturally found in your joints. It helps to lubricate and cushion your joints. This treatment is used to relieve knee pain due to osteoarthritis when other treatments have not worked.
28,250 services200 patients
Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg J3304
Triamcinolone acetonide is a long-lasting, preservative-free steroid injection. It's delivered in tiny, slow-releasing particles (microspheres) to manage inflammation or related conditions. The dose given is 1 mg. It's generally safe with few side effects.
1,984 services35 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
1,268 services199 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
940 services256 patients
Fluoroscopic guidance for needle placement 77002
Fluoroscopic guidance for needle placement is a medical procedure that uses a special X-ray technology to help accurately place a needle in the body. It's often used in biopsies, injections or other treatments to ensure precision and safety.
940 services256 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77007 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

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

Referred Medical Equipment & Supplies CMS DME claims 5

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

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 supplier12 claims372 services$7.15 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims3,897 services$0.48 avg. paid by Medicare
Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L1843
DME-Orthotic Devices · category DF011N
1 supplier26 claims40 services$740.48 avg. paid by Medicare
Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, custom fabricated L1844
DME-Orthotic Devices · category DF011N
1 supplier20 claims33 services$1,296.28 avg. paid by Medicare
Addition to lower extremity orthosis, suspension sleeve L2397
DME-Orthotic Devices · category DF000N
1 supplier46 claims73 services$91.30 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 4

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

HA THI-BICH NGUYEN D.O.
Internal Medicine
4500 WASHINGTON AVE, SUITE 300
HOUSTON, TX 77007
Harris County (713) 861-6490
DESIGN DENTAL GROUP
Clinic/Center (Dental)
4500 WASHINGTON AVE, SUITE 700
HOUSTON, TX 77007
Harris County (713) 869-0334
DR. LADAN POURMASIHA D.O.
Family Medicine
4500 WASHINGTON AVE, SUITE 300
HOUSTON, TX 77007
Harris County (713) 861-6490
STEVE ALAN WATTS M.D.
Family Medicine (Sports Medicine)
4500 WASHINGTON AVE, SUITE 300
HOUSTON, TX 77007
Harris County (713) 861-6490

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 Candice Winful's NPI number?

The NPI number for Candice Winful is 1386842771. It was assigned to this individual provider in the NPPES registry on July 6, 2007.

Where is Candice Winful located?

Candice Winful practices at 4500 Washington Ave Suite 300, Houston, TX 77007. The listed phone number is (713) 861-6490.

What is Candice Winful's specialty?

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

Is Candice Winful enrolled in Medicare?

Yes. Candice Winful 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 Candice Winful accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Candice Winful 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 Candice Winful was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.