Active NPI 1003195454 Individual Practitioner Male Practitioner

Dr. Michael Allen Van Winkle , DO

Internal Medicine • Youngstown, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Van Winkle, DO is a certified Internal Medicine practicing in Youngstown, OH. With approximately 15 years of clinical experience since graduating from Ohio University, College Of Osteopathic Medicine in 2011, Dr. Van Winkle delivers high-quality medical care to the local community at 1044 BELMONT AVE.

Dr. Van Winkle is affiliated with Monument Health Network Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, initial hospital care with moderate level of 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

1044 Belmont Ave

Youngstown, OH 445041006

Telephone 3304803676

Fax 3304807979

Associated Practice Facility / Clinic

🏢 Select Specialty Hospital - Youngstown Inc Facility NPI 1043210495

Medicare Profile & Education

Medical School

Ohio University, College Of Osteopathic Medicine

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Youngstown, OH

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs -6.3 yrs vs City Avg

City Avg: 21.3 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

134 Specialists

Practicing in Youngstown, OH (5516 Statewide)

Telehealth Adoption Rate

5.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Van Winkle (15 Years) 15 Yrs

Youngstown Specialty Average (21.3 Years) 21.3 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	150	85	$207.00	$73.22
99239 Hospital discharge day management, more than 30 minutes	126	118	$307.00	$105.28
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	90	70	$298.00	$107.72
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	57	57	$575.00	$161.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	294	119	$207.00	$74.60
99239 Hospital discharge day management, more than 30 minutes	134	121	$307.00	$109.97
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	97	84	$298.00	$114.99
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	66	60	$575.00	$165.12
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$391.00	$125.26
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	11	$112.00	$47.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	272	112	$186.00	$68.37
99239 Hospital discharge day management, more than 30 minutes	129	121	$276.00	$101.49
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	101	79	$268.00	$98.40
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	57	55	$519.00	$189.75
99217 Hospital observation care on day of discharge	35	34	$187.00	$66.90
99225 Subsequent observation care, typically 25 minutes per day	34	21	$187.00	$67.82
99220 Hospital observation care, typically 70 minutes	23	23	$474.00	$171.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	365	114	$216.97	$71.93
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	263	130	$314.96	$103.68
99239 Hospital discharge day management, more than 30 minutes	76	75	$308.08	$105.73
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	45	45	$576.22	$198.11
99291 Critical care, first 30-74 minutes	23	17	$693.91	$221.26
99220 Hospital observation care, typically 70 minutes	20	20	$525.70	$171.92
99217 Hospital observation care on day of discharge	20	20	$212.90	$71.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	485	192	$309.22	$106.60
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	347	112	$217.97	$74.13
99239 Hospital discharge day management, more than 30 minutes	74	74	$320.35	$109.67
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	61	61	$600.85	$206.57
99291 Critical care, first 30-74 minutes	56	31	$671.71	$227.81
99220 Hospital observation care, typically 70 minutes	51	49	$551.61	$189.06
99226 Subsequent observation care, typically 35 minutes per day	36	27	$311.17	$106.87
99217 Hospital observation care on day of discharge	32	32	$216.09	$74.17
99238 Hospital discharge day management, 30 minutes or less	18	18	$215.06	$74.62
99225 Subsequent observation care, typically 25 minutes per day	17	11	$214.94	$74.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	395	110	$302.61	$105.51
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	203	88	$197.17	$73.50
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	50	48	$573.94	$204.87
99239 Hospital discharge day management, more than 30 minutes	43	41	$313.00	$108.75
99213 Established patient office or other outpatient visit, typically 15 minutes	40	39	$96.00	$40.41
99231 Follow-up hospital inpatient care per day, typically 15 minutes	35	15	$104.74	$39.75
99238 Hospital discharge day management, 30 minutes or less	29	29	$191.10	$73.55
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	23	17	$18.00	$8.34
99217 Hospital observation care on day of discharge	16	16	$206.38	$74.01
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	11	$248.50	$135.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	139	100	$96.00	$37.76
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	74	36	$103.00	$71.34
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	44	42	$18.00	$8.32
99231 Follow-up hospital inpatient care per day, typically 15 minutes	23	13	$56.00	$38.47
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$241.01	$134.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$115.00	$54.93
99238 Hospital discharge day management, 30 minutes or less	16	15	$104.00	$71.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	161	114	$96.00	$47.92
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	44	29	$130.67	$70.38
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	23	$294.18	$133.56
99231 Follow-up hospital inpatient care per day, typically 15 minutes	24	13	$56.00	$38.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	21	$115.00	$74.36
99238 Hospital discharge day management, 30 minutes or less	16	15	$104.00	$70.45

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 34.011870

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0122991 (OH)

Commercial Insurance / Payer ID Medicare Ptan

H363680 (OH)

Hospital & Practice Group Affiliations

Monument Health Network Inc

1440 N Main St, Spearfish, SD 577831505

Phone: 6056444000

Practice Associates & Co-Workers

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

21 Associated Practitioners

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Doctor of Medicine (M.D.)

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Internal Medicine

NPI 1073618450

Doctor of Medicine (M.D.)

Dr. Gerard Cerimele , PhD

Clinical Neuropsychologist

NPI 1295920304

Doctor of Philosophy (Ph.D.)

Dr. James Kravec , MD

Internal Medicine

NPI 1316052590

Doctor of Medicine (M.D.)

Dr. Jung Kim , MD

Internal Medicine

NPI 1356423206

Doctor of Medicine (M.D.)

Dr. Nene Azubuike , MD

Internal Medicine

NPI 1427579325

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active February 06, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address February 06, 2017

Registered at 1044 BELMONT AVE, YOUNGSTOWN, OH 445041006 (Tel: 3304803676)

📍

Updated Practice Location February 06, 2017

Registered at 1044 BELMONT AVE, YOUNGSTOWN, OH 445041006 (Tel: 3304803676)

👤

Provider Name / Credentials Updated February 06, 2017

Recorded as MICHAEL VAN WINKLE, D.O

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 06, 2017

Internal Medicine (License #34.011870 in OH)

✅

NPI Profile Active May 03, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location May 03, 2016

Registered at 1044 BELMONT AVE, YOUNGSTOWN, OH 445041006 (Tel: 3304803676)

📍

Updated Business Mailing Address May 03, 2016

Registered at PO BOX 636988, CINCINNATI, OH 452636988 (Tel: 8889402722)

👤

Provider Name / Credentials Updated May 03, 2016

Recorded as MICHAEL VAN WINKLE, D.O

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 03, 2016

Internal Medicine (License #34.011870 in OH)

🟢

Initial NPI Registration & Enumeration August 16, 2011

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: 1003195454

Entity Type:

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

Enumeration Date: August 16, 2011

Last Update: February 06, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1044 Belmont Ave

Youngstown, OH 445041006

Phone: 3304803676

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.