BLYTHE WINCHESTER
NPI 1720004310
Family Medicine in Cherokee, NC

Q: What is Blythe Winchester's NPI number?

The NPI number for Blythe Winchester is 1720004310. It was assigned to this individual provider in the NPPES registry on July 15, 2006.

Q: What is Blythe Winchester'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 Blythe Winchester was last updated on August 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 July 15, 2006PECOS EnrolledAccepts Medicare Assignment

3.31/100

CMS Quality Rating

1 HOSPITAL ROAD, CALLER BOX C-268, CHEROKEE, NC 28719(828) 497-9163(828) 497-1723 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 1, 2024, Jul 23, 2024 (2 updates tracked since 2024).

On this page

About Blythe Winchester NPPES

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

BLYTHE WINCHESTER (NPI 1720004310) is an individual family medicine provider in Cherokee, North Carolina, licensed in North Carolina (2009-00861) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Harris Regional Hospital, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2006).

NPPES Registry Identity

NPI1720004310

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameBLYTHE WINCHESTER

Location Address1 HOSPITAL ROAD, CALLER BOX C-268Cherokee, NC 28719-0000

Mailing Address1 Hospital RdCherokee, NC 28719-0000 · (828) 497-9163 · Fax (828) 497-1723

Phone(828) 497-9163

Fax(828) 497-1723

Sole ProprietorNo

Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2006

Enumeration DateJuly 15, 2006

Last NPPES UpdateAugust 1, 20242 updates tracked since enumeration

NPPES CertifiedAugust 1, 2024

✔ NPI 1720004310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NC · 2009-00861

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.

1 HOSPITAL ROAD, Cherokee, NC 28719

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next.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

Blythe Winchester 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 ID1759427149

PECOS Enrollment IDI20091015000627

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 17

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.

Assessment of emotional or behavioral problems 96127

Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.

158 services130 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

131 services60 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

115 services102 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.

98 services90 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

84 services43 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

81 services39 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.

68 services68 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.

61 services61 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

50 services48 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

45 services26 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

37 services36 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.

35 services34 patients

Influenza vaccine split virus, preservative free 90662

26 services26 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

26 services25 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

25 services19 patients

Administration of influenza virus vaccine G0008

21 services21 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

18 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Harris Regional Hospital

Acute Care Hospitals · Sylva, NC

3/5 CMS rating

OwnershipProprietary

CMS Certification Number340016

Location68 Hospital RdSylva, NC 28779 · Jackson County

Emergency services Birthing friendly

Cherokee Indian Hospital Authority

Acute Care Hospitals · Cherokee, NC

OwnershipGovernment - Federal

CMS Certification Number340156

LocationCaller Box C268Cherokee, NC 28719 · Swain County

Emergency services

Dlp Swain County Hospital LLC

Critical Access Hospitals · Bryson City, NC

OwnershipVoluntary non-profit - Private

CMS Certification Number341305

Location45 Plateau StreetBryson City, NC 28713 · Swain County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28719 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

3.31/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Cost

11.04

Referred Medical Equipment & Supplies CMS DME claims 8

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

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

2 suppliers11 claims11 services$65.77 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier21 claims21 services$19.22 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier28 claims28 services$8.73 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

3 suppliers56 claims56 services$112.06 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers17 claims17 services$38.30 avg. paid by Medicare

Lightweight wheelchair K0003

DME-Wheelchairs · category DD000N

1 supplier22 claims22 services$44.52 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.

EMILY CAROLINE WEGENKA

Nurse Practitioner

1 HOSPITAL ROAD
CHEROKEE, NC 28719

Swain County (828) 497-9163

STUART TYRUS MAYNARD JR. MD

Family Medicine

1 HOSPITAL ROAD, CALLER BOX C-268
CHEROKEE, NC 28719

Swain County (828) 497-9163

INPATIENT UNIT CIHA

General Acute Care Hospital

1 HOSPITAL ROAD
CHEROKEE, NC 28719

Swain County (828) 497-9163

KATHRYN ELIZABETH MOORE LCSWA

Social Worker (Clinical)

1 HOSPITAL ROAD
CHEROKEE, NC 28719

Swain County (828) 497-9163

MRS. REGINA WADE

Dental Hygienist

1 HOSPITAL ROAD, CALLER BOX C-268
CHEROKEE, NC 28719

Swain County (828) 497-9163

DR. CALVIN KEITH GRANT D.M.D.

Dentist

1 HOSPITAL ROAD
CHEROKEE, NC 28719

Swain County (828) 497-9163

DR. SHANNON GABRIELA ARDAIOLO O.D.

Optometrist

1 HOSPITAL ROAD
CHEROKEE, NC 28719

Swain County (828) 497-9163

MANDEL STEPHEN WATTY MPT

Physical Therapist

1 HOSPITAL ROAD, CALLER BOX C-268
CHEROKEE, NC 28719

Swain County (828) 497-9163

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 Blythe Winchester's NPI number?

The NPI number for Blythe Winchester is 1720004310. It was assigned to this individual provider in the NPPES registry on July 15, 2006.

Where is Blythe Winchester located?

Blythe Winchester practices at 1 Hospital Road Caller Box C-268, Cherokee, NC 28719. The listed phone number is (828) 497-9163.

What is Blythe Winchester's specialty?

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

Is Blythe Winchester enrolled in Medicare?

Yes. Blythe Winchester 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 Blythe Winchester accept?

Health plans from AmeriHealth Caritas Next list Blythe Winchester 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 Blythe Winchester affiliated with any hospitals?

According to CMS data, Blythe Winchester is affiliated with Harris Regional Hospital, Cherokee Indian Hospital Authority and Dlp Swain County Hospital LLC.

When was this NPI record last updated?

The NPPES record for Blythe Winchester was last updated on August 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.