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DR. KATHERINE BOOTY WINDHAM MD
NPI 1942296512
Internal Medicine in Prattville, AL

Active since September 20, 2005PECOS EnrolledAccepts Medicare Assignment
89.21/100
CMS Quality Rating
204 MEDICAL CENTER CT, PRATTVILLE, AL 36066(334) 361-3090(334) 361-2090 Get Directions Write a Review

NPPES record last updated: August 12, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Katherine Booty Windham Md NPPES

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

DR. KATHERINE BOOTY WINDHAM MD (NPI 1942296512) is an individual internal medicine provider in Prattville, Alabama, licensed in Alabama (AL16083) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (1990).

NPPES Registry Identity

NPI1942296512
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. KATHERINE BOOTY WINDHAMCredential: MD
Location Address204 MEDICAL CENTER CTPrattville, AL 36066-7288
Mailing Address204 Medical Center CtPrattville, AL 36066-7288 · (334) 361-3090 · Fax (334) 361-2090
Phone(334) 361-3090
Fax(334) 361-2090
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1990
Enumeration DateSeptember 20, 2005
Last NPPES UpdateAugust 12, 2010
✔ NPI 1942296512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AL · AL16083
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
204 MEDICAL CENTER CT, Prattville, AL 36066
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Other Identifiers 2

Medicare ID-Type Unspecified051503219
Medicare UPINE95986

Accepted Insurance

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

Dr. Katherine Booty Windham Md 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 ID2163688813
PECOS Enrollment IDI20120724000618
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 5

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.
149 services75 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.
135 services73 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.
36 services21 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
28 services24 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
16 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36066 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

89.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality87.2
Promoting Interoperability100
Improvement Activities40
Cost76.85

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
0%162 patients
Breast Cancer Screening
76%262 patients4/55-star benchmark: 93%
Cervical Cancer Screening
19%227 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
51%239 patients3/55-star benchmark: 87%
Colorectal Cancer Screening
74%373 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
59%308 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
2%104 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
15%104 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%1,620 patients5/55-star benchmark: 100%
e-Prescribing
99%1,229 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%286 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
23%587 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
1%352 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
37%590 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 22% · 569 patients
20%569 patients
Provide Patients Electronic Access to Their Health Information
84%402 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
69%281 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 268 patients
Patients totalRate: 16% · 300 patients
18%300 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers14 claims42 services$6.64 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
5 suppliers11 claims11 services$13.24 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers38 claims38 services$5.71 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
4 suppliers59 claims59 services$84.25 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 2

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

MR. DANIEL EDWARD BANACH MD
Family Medicine
204 MEDICAL CENTER CT
PRATTVILLE, AL 36066
Autauga County (334) 361-3090
FAMILY MEDICINE ASSOCIATES,LLC
Internal Medicine
204 MEDICAL CENTER CT
PRATTVILLE, AL 36066
Autauga County (334) 361-3090

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 Katherine Windham's NPI number?

The NPI number for Katherine Windham is 1942296512. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Where is Katherine Windham located?

Katherine Windham practices at 204 Medical Center Ct, Prattville, AL 36066. The listed phone number is (334) 361-3090.

What is Katherine Windham's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Katherine Windham enrolled in Medicare?

Yes. Katherine Windham 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 Katherine Windham accept?

Health plans from Blue Cross and Blue Shield of Alabama list Katherine Windham 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 Katherine Windham was last updated on August 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.