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LANCE WHITEHAIR M.D.
NPI 1861833402
Family Medicine in Shiprock, NM

Active since July 11, 2013PECOS EnrolledAccepts Medicare Assignment
55.65/100
CMS Quality Rating
PO BOX 160, SHIPROCK, NM 87420(505) 368-6001 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lance Whitehair M.d. NPPES

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

LANCE WHITEHAIR M.D. (NPI 1861833402) is an individual family medicine provider in Shiprock, New Mexico, licensed in New Mexico (RS2013-0531) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with San Juan Regional Medical Center Inc, and is a graduate of University Of Minnesota, Duluth School Of Medicine (2012).

NPPES Registry Identity

NPI1861833402
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameLANCE WHITEHAIRCredential: M.D.
Location AddressPO BOX 160Shiprock, NM 87420-0160
Mailing AddressPo Box 160Shiprock, NM 87420-0160 · (505) 368-6001 · Fax (505) 368-7011
Phone(505) 368-6001
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota, Duluth School Of MedicineGraduated 2012
Enumeration DateJuly 11, 2013
Last NPPES UpdateOctober 1, 2025
NPPES CertifiedOctober 1, 2025
✔ NPI 1861833402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NM · RS2013-0531
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.
PO BOX 160, Shiprock, NM 87420
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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

Lance Whitehair 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 ID4789983289
PECOS Enrollment IDI20161004000529
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 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.
94 services61 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
42 services15 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

San Juan Regional Medical Center Inc

Acute Care Hospitals · Farmington, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320005
Location801 West Maple StreetFarmington, NM 87401 · San Juan County
Emergency services Birthing friendly

Northern Navajo Medical Center

Acute Care Hospitals · Shiprock, NM
OwnershipGovernment - Federal
CMS Certification Number320059
LocationUs Hwy 491 NorthShiprock, NM 87420 · San Juan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87420 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

55.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.51
Promoting Interoperability0
Improvement Activities40
Cost51.32

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier23 claims23 services$16.81 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$873.79 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 suppliers32 claims32 services$87.41 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 13

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

MR. STEPHEN W SHANKS DO
Family Medicine
PO BOX 160
SHIPROCK, NM 87420
San Juan County (505) 326-6001
CHERILYNN LEA BENALLY CPNP-PC
Nurse Practitioner (Pediatrics)
PO BOX 160
SHIPROCK, NM 87420
San Juan County (505) 368-6760
MARCUS LAWRENCE COULDRIDGE
Family Medicine
PO BOX 160
SHIPROCK, NM 87420
San Juan County (505) 368-6001
CRYSTAL CHI PHARMD
Pharmacist
PO BOX 160
SHIPROCK, NM 87420
San Juan County (505) 368-6001
TANYA LISTER CNM
Advanced Practice Midwife
PO BOX 160
SHIPROCK, NM 87420
San Juan County (505) 368-6900
LEIGHTON PRUITT APRN, FNP-C
Nurse Practitioner (Family)
PO BOX 160
SHIPROCK, NM 87420
San Juan County (505) 368-6001
EDGAR ALLAN BAUTISTA RN
Registered Nurse (Emergency)
PO BOX 160
SHIPROCK, NM 87420
San Juan County (505) 368-6001
JONATHAN MICHAEL CHAVEZ PHARMD
Pharmacist
PO BOX 160
SHIPROCK, NM 87420
San Juan County (505) 368-6001

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 Lance Whitehair's NPI number?

The NPI number for Lance Whitehair is 1861833402. It was assigned to this individual provider in the NPPES registry on July 11, 2013.

Where is Lance Whitehair located?

Lance Whitehair practices at PO Box 160, Shiprock, NM 87420. The listed phone number is (505) 368-6001.

What is Lance Whitehair's specialty?

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

Is Lance Whitehair enrolled in Medicare?

Yes. Lance Whitehair 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.

Is Lance Whitehair affiliated with any hospitals?

According to CMS data, Lance Whitehair is affiliated with San Juan Regional Medical Center Inc and Northern Navajo Medical Center.

When was this NPI record last updated?

The NPPES record for Lance Whitehair was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.