Active NPI 1124021910 Individual Practitioner Male Practitioner

Dr. Mark I Winters , DPM

Podiatrist • Elyria, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Winters, DPM is a certified Podiatrist practicing in Elyria, OH. With approximately 41 years of clinical experience since graduating from Kent State University College Of Podiatric Medicine in 1985, Dr. Winters delivers high-quality medical care to the local community at 1100 N ABBE RD.

Dr. Winters accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of fingernails or toenails, residence visit for established patient with low level of medical decision making, per day, if using time, at least, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1100 N Abbe Rd
Ste D

Elyria, OH 440351667

Telephone 4403652502

Associated Practice Facility / Clinic

🏢 New Sunrise Properties, Inc. Facility NPI 1174592018

Medicare Profile & Education

Medical School

Kent State University College Of Podiatric Medicine

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist in Elyria, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +10.5 yrs vs City Avg

City Avg: 30.5 Yrs

State Avg: 27.2 Yrs

Regional Practice Density

5 Specialists

Practicing in Elyria, OH (595 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

11.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Winters (41 Years) 41 Yrs

Elyria Specialty Average (30.5 Years) 30.5 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
11721 Removal of fingernails or toenails, 6 or more nails	545	162	$47.21	$41.67
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	404	111	$81.50	$72.66
99213 Established patient office or other outpatient visit, typically 15 minutes	85	23	$96.05	$85.58
99342 Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes	30	30	$87.87	$74.57
11730 Simple separation of fingernail or toenail from nail bed, first nail	25	25	$117.16	$106.39
11055 Removal of single thickened skin growth	23	19	$72.83	$63.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$115.00	$105.13
99344 New patient home visit, typically 1 hour	13	13	$153.92	$134.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	524	152	$47.08	$41.96
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	413	110	$81.77	$73.30
99213 Established patient office or other outpatient visit, typically 15 minutes	72	22	$95.64	$85.88
11730 Simple separation of fingernail or toenail from nail bed, first nail	33	29	$122.70	$108.38
99342 Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes	18	18	$92.50	$75.18
11055 Removal of single thickened skin growth	16	12	$73.56	$66.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$119.00	$107.07
99344 New patient home visit, typically 1 hour	13	13	$159.46	$138.58
11732 Simple separation of fingernail or toenail from nail bed, each additional nail	12	11	$38.83	$31.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	532	169	$50.33	$42.46
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	396	117	$89.01	$79.84
99213 Established patient office or other outpatient visit, typically 15 minutes	70	28	$98.74	$87.48
11730 Simple separation of fingernail or toenail from nail bed, first nail	41	30	$123.24	$109.35
11055 Removal of single thickened skin growth	24	15	$72.50	$60.16
99343 New patient home visit, typically 45 minutes	22	22	$140.91	$120.96
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	18	15	$136.72	$123.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$121.75	$106.94
99344 New patient home visit, typically 1 hour	11	11	$195.45	$174.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	580	181	$45.26	$43.25
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	424	127	$84.00	$81.76
99213 Established patient office or other outpatient visit, typically 15 minutes	69	27	$93.57	$87.98
11730 Simple separation of fingernail or toenail from nail bed, first nail	67	39	$116.00	$113.03
99343 New patient home visit, typically 45 minutes	41	41	$133.17	$124.46
11055 Removal of single thickened skin growth	39	24	$68.95	$61.50
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	23	12	$128.00	$125.89
11732 Simple separation of fingernail or toenail from nail bed, each additional nail	22	16	$34.00	$33.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$118.85	$107.60
99344 New patient home visit, typically 1 hour	13	13	$182.00	$176.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	637	202	$45.98	$44.09
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	416	136	$84.75	$83.20
11730 Simple separation of fingernail or toenail from nail bed, first nail	65	39	$110.63	$106.93
99213 Established patient office or other outpatient visit, typically 15 minutes	62	28	$75.08	$68.94
99343 New patient home visit, typically 45 minutes	53	53	$144.72	$127.74
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	48	22	$128.00	$127.18
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	40	16	$69.72	$67.81
11732 Simple separation of fingernail or toenail from nail bed, each additional nail	30	16	$33.00	$32.52
11055 Removal of single thickened skin growth	24	17	$60.00	$57.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$106.00	$104.92
99344 New patient home visit, typically 1 hour	13	13	$203.46	$180.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	600	187	$45.58	$43.74
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	347	97	$84.13	$82.24
11730 Simple separation of fingernail or toenail from nail bed, first nail	112	60	$108.46	$103.97
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	74	23	$69.50	$66.87
99213 Established patient office or other outpatient visit, typically 15 minutes	72	22	$73.00	$71.16
11732 Simple separation of fingernail or toenail from nail bed, each additional nail	58	26	$32.33	$31.49
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	54	20	$128.00	$125.87
99343 New patient home visit, typically 45 minutes	52	52	$140.00	$127.64
11055 Removal of single thickened skin growth	26	14	$53.85	$50.73
99344 New patient home visit, typically 1 hour	11	11	$181.00	$178.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	605	164	$45.53	$41.14
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	381	102	$84.22	$77.75
11730 Simple separation of fingernail or toenail from nail bed, first nail	128	54	$104.67	$95.54
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	83	21	$70.23	$63.62
11732 Simple separation of fingernail or toenail from nail bed, each additional nail	81	34	$31.26	$28.70
99213 Established patient office or other outpatient visit, typically 15 minutes	70	23	$71.56	$66.22
99343 New patient home visit, typically 45 minutes	47	47	$136.91	$121.02
11055 Removal of single thickened skin growth	40	20	$46.98	$40.90
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	32	21	$131.28	$118.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	555	165	$44.33	$40.17
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	316	96	$84.44	$77.01
11730 Simple separation of fingernail or toenail from nail bed, first nail	143	66	$102.37	$93.22
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	89	29	$68.83	$62.62
99213 Established patient office or other outpatient visit, typically 15 minutes	86	28	$71.00	$65.46
11732 Simple separation of fingernail or toenail from nail bed, each additional nail	84	38	$31.23	$28.40
11055 Removal of single thickened skin growth	41	25	$46.59	$39.53
99343 New patient home visit, typically 45 minutes	40	40	$154.45	$119.21
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	25	16	$140.00	$116.98
11056 Removal of noncancer thickened skin growth, 2-4 growths	21	13	$56.00	$44.44

Medical Specialties & State Licenses

Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

State License OH 36002339

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0614937 (OH)

Commercial Insurance / Payer ID Railroad Medicare

P00267792 (OH)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Frederick Prizant , DPM

Podiatrist

NPI 1548339666

Doctor of Podiatric Medicine

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 22, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 22, 2016

Registered at 1100 N ABBE RD, STE D, ELYRIA, OH 440351667 (Tel: 4403652502)

📍

Updated Business Mailing Address March 22, 2016

Registered at 6200 PLEASANT AVE, STE 3, FAIRFIELD, OH 450144671 (Tel: 5138299333)

👤

Provider Name / Credentials Updated March 22, 2016

Recorded as MARK WINTERS, DPM

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2016

Podiatrist (License #36002339 in OH)

🟢

Initial NPI Registration & Enumeration May 24, 2005

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: 1124021910

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 24, 2005

Last Update: March 22, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

6200 Pleasant Ave, Ste 3

Fairfield, OH 450144671

Phone: 5138299333

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

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