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MS. KATIE WINNER PA
NPI 1528337151
Physician Assistant in Cumberland, MD

Active since December 28, 2011PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
13800 MCMULLEN HWY SW, CUMBERLAND, MD 21502(301) 729-7000 Get Directions Write a Review

NPPES record last updated: December 28, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Katie Winner Pa NPPES

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

MS. KATIE WINNER PA (NPI 1528337151) is an individual physician assistant in Cumberland, Maryland, licensed in Maryland (C0004634) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS, is affiliated with Garrett Regional Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1528337151
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. KATIE WINNERCredential: PA
Location Address13800 MCMULLEN HWY SWCumberland, MD 21502-5622
Mailing Address13800 Mcmullen Hwy SwCumberland, MD 21502-5622
Phone(301) 729-7000
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateDecember 28, 2011
✔ NPI 1528337151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MD · C0004634
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
13800 MCMULLEN HWY SW, Cumberland, MD 21502
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Ms. Katie Winner Pa 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 ID2668627092
PECOS Enrollment IDI20130308000391
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 3

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.

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.
48 services47 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
23 services23 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.
23 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Garrett Regional Medical Center

Acute Care Hospitals · Oakland, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210017
Location251 North Fourth StreetOakland, MD 21550 · Garrett County
Emergency services Birthing friendly

Potomac Valley Hospital

Critical Access Hospitals · Keyser, WV
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number511315
Location100 Pin Oak LaneKeyser, WV 26726 · Mineral County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21502 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
Most-billed visit code 99213
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

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.

DR. AVA G JOUBERT MD
Internal Medicine
13800 MCMULLEN HWY SW
CUMBERLAND, MD 21502
Allegany County (301) 729-7000
DR. ISAIAS G TESSEMA MD
Family Medicine
13800 MCMULLEN HWY SW
CUMBERLAND, MD 21502
Allegany County (301) 729-7115
ANIKA MANSFIELD FNP-C
Nurse Practitioner (Family)
13800 MCMULLEN HWY SW
CUMBERLAND, MD 21502
Allegany County (301) 729-7172
BEVERLY MCLAUGHLIN
Nurse Practitioner (Family)
13800 MCMULLEN HWY SW
CUMBERLAND, MD 21502
Allegany County (301) 729-7132

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 Katie Winner's NPI number?

The NPI number for Katie Winner is 1528337151. It was assigned to this individual provider in the NPPES registry on December 28, 2011.

Where is Katie Winner located?

Katie Winner practices at 13800 Mcmullen Hwy SW, Cumberland, MD 21502. The listed phone number is (301) 729-7000.

What is Katie Winner's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Katie Winner enrolled in Medicare?

Yes. Katie Winner 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 Katie Winner accept?

Health plans from CareSource list Katie Winner 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 Katie Winner affiliated with any hospitals?

According to CMS data, Katie Winner is affiliated with Garrett Regional Medical Center and Potomac Valley Hospital.

When was this NPI record last updated?

The NPPES record for Katie Winner was last updated on December 28, 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.