DR. KERTRISA R MCWHITE (MD) – Surgical Oncology Physician, NPI 1023053485

DR. KERTRISA R MCWHITE (MD) is a healthcare provider. based in Middletown, Connecticut. specializing in SURGICAL ONCOLOGY. They hold the professional credentials MD. They hold a License No. 67547 (CT). The NPI Number for DR. KERTRISA R MCWHITE (MD) is 1023053485

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. KERTRISA R MCWHITE (MD)
NPI
1023053485
Phone
(860) 358-2850
Address
540 SAYBROOK RD STE 100
Enumeration Date
19 June 2006
Last Update Date
4 May 2021

Doctor Profile

Medical School Name
HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
8603585120
Graduation Year
1999 (27 years ago)
PAC ID
9739190471
Group Practice PAC ID
4082507371
Professional Enrollment ID
I20210413000506
Address ID
CT064574711MI540XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

51 SURGICAL ONCOLOGY in CT

Provider Addresses for DR. KERTRISA R MCWHITE (MD)

  • 540 SAYBROOK RD STE 100

    MIDDLETOWN, CT 064574760

    Phone: (860) 358-2850

    Fax: (860) 358-8661

    Type: Location

  • 301, Brown Springs Road, Mitylene, Montgomery, Montgomery County, Alabama, 36117, United States

    MONTGOMERY, AL 361177005

    Phone: (334) 273-4159

    Fax: (334) 273-4556

    Type: Mailing

  • Berry Boulevard, Young Place, Montgomery, Montgomery County, Alabama, 36123, United States

    MONTGOMERY, AL 361063079

    Phone: (334) 747-8850

    Fax: (334) 747-8860

    Type: Location

  • 28 CRESCENT ST

    MIDDLETOWN, CT 064573654

    Phone: (860) 358-2850

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-04-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180125003158ISurgical OncologyALTBD
I20210413000506ISurgical OncologyCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes8043$0
99203New patient office or other outpatient visit, 30-44 minutes2828$0
View full utilization report →

Insurance plans in this area (ZIP 06457)

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Provider's Procedures

DR. KERTRISA R MCWHITE (MD) performs procedures in SURGICAL ONCOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
SURGICAL ONCOLOGYOK19301Partial removal of breast3424
SURGICAL ONCOLOGYOK38900Lymph node imaging during surgery2828

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082507371View full group profile
NameSpecialtyState
Nurse PractitionerCT
Nurse PractitionerCT
Physician AssistantCT
Family PracticeCT
Physician AssistantCT
-CT
Family PracticeCT
Family PracticeCT
Physician AssistantMA
General SurgeryCT

Reviews

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Frequently asked questions

What number should I use to identify DR. KERTRISA R MCWHITE (MD) for billing?
Administrative and clinical systems typically use NPI 1023053485 for DR. KERTRISA R MCWHITE (MD).
Does the public listing show DR. KERTRISA R MCWHITE (MD) as active?
DR. KERTRISA R MCWHITE (MD)'s NPI record reflects an active status in NPPES.
What does the directory say DR. KERTRISA R MCWHITE (MD) does?
Insurance directories may phrase it differently, but here DR. KERTRISA R MCWHITE (MD) maps to Surgical Oncology Physician. Clinical services aligned with this taxonomy classification.
Is DR. KERTRISA R MCWHITE (MD) tied to Middletown, Connecticut?
If you are local to Middletown, Connecticut, DR. KERTRISA R MCWHITE (MD) may be relevant to your search.
Who maintains DR. KERTRISA R MCWHITE (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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