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Active NPI 1730561796 Individual Practitioner Male Practitioner

Dr. James Winters , MD

Surgery - Plastic and Reconstructive Surgery • Springfield, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Winters, MD is a certified Surgery - Plastic and Reconstructive Surgery practicing in Springfield, IL. With approximately 11 years of clinical experience since graduating from Southern Illinois University School Of Medicine in 2015, Dr. Winters delivers high-quality medical care to the local community at 747 N RUTLEDGE ST.

Dr. Winters is affiliated with Siu Physicians And Surgeons Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

747 N Rutledge St

Springfield, IL 627026700

Telephone 2175456112
Fax 2175452588
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Southern Illinois University School Of Medicine

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Springfield, IL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs -7.2 yrs vs City Avg
City Avg: 18.2 Yrs
State Avg: 24.1 Yrs
Regional Practice Density
10 Specialists

Practicing in Springfield, IL (138 Statewide)

Telehealth Adoption Rate
10.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
66.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Winters (11 Years) 11 Yrs
Springfield Specialty Average (18.2 Years) 18.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
91 47 $157.01 $53.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
34 34 $310.71 $107.01
99213 Established patient office or other outpatient visit, typically 15 minutes
28 22 $254.32 $84.96

Medical Specialties & State Licenses

CMS Verified: 2022-07-25
Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License IL 036.161048

A surgeon who specializes in plastic and reconstructive surgery.

Surgery - Plastic and Reconstructive Surgery

NUCC Taxonomy Code: 2086S0122X

State License IL 125.066536

A surgeon who specializes in plastic and reconstructive surgery.

Hospital & Practice Group Affiliations

Siu Physicians And Surgeons Inc

747 N Rutledge St, Springfield, IL 627026700

Phone: 2175458000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

27 Associated Practitioners
NPI 1043988306

Doctor of Medicine (M.D.), MSCR

Dr. Katie Mcglone , MD

Plastic Surgery

NPI 1053044511

Doctor of Medicine (M.D.)

NPI 1063263176

Doctor of Medicine (M.D.)

NPI 1174016950

Doctor of Medicine (M.D.)

Kristin Blankenship , PA

Physician Assistant - Surgical

NPI 1174634562

Physician Assistant

Danielle Oros , FNP-BC

Nurse Practitioner - Family

NPI 1265927313

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address July 25, 2022

Registered at 201 E MADISON ST STE 328, SPRINGFIELD, IL 627025131 (Tel: 2175458000)

NPI Profile Active June 25, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 25, 2015

Registered at 747 N RUTLEDGE ST, SPRINGFIELD, IL 627026700 (Tel: 2175456112)

📍
Updated Business Mailing Address June 25, 2015

Registered at PO BOX 19653, SPRINGFIELD, IL 627949653 (Tel: 2175456112)

👤
Provider Name / Credentials Updated June 25, 2015

Recorded as JAMES WINTERS, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2015

Surgery (License #125.066536 in IL)

🟢
Initial NPI Registration & Enumeration June 25, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730561796
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 25, 2015
Last Update: July 25, 2022
Sole Proprietor: No

Mailing Address

201 E Madison St Ste 328

Springfield, IL 627025131

Phone: 2175458000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.