Active NPI 1720269616 Individual Practitioner Male Practitioner

Dr. James Darrell Vanwinkle , MD

Surgery • Manchester, TN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Vanwinkle, MD is a certified Surgery practicing in Manchester, TN. With approximately 20 years of clinical experience since graduating from East Tennessee State University Quillen College Of Medicine in 2006, Dr. Vanwinkle delivers high-quality medical care to the local community at 1030 MCARTHUR ST.

Dr. Vanwinkle maintains professional affiliations with Coffee County Hospital Group Inc, Coffee Medical Group Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope, new 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

1030 Mcarthur St

Manchester, TN 373552453

Telephone 9319545125

Fax 9319545127

Associated Practice Facility / Clinic

🏢 Banyan Healthcare & Wellness Center, Llc Facility NPI 1942381207

Medicare Profile & Education

Medical School

East Tennessee State University Quillen College Of Medicine

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Manchester, TN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs Matches City Avg

City Avg: 20.0 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

4 Specialists

Practicing in Manchester, TN (682 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Vanwinkle (20 Years) 20 Yrs

Manchester Specialty Average (20.0 Years) 20.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	71	65	$231.00	$80.95
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	24	24	$425.00	$85.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$343.00	$98.90
43450 Dilation of esophagus	17	16	$214.48	$34.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$344.00	$114.32
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$138.00	$49.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$529.00	$149.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	204	147	$231.00	$83.74
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	77	71	$425.00	$85.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	67	67	$343.00	$103.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	54	$344.00	$118.71
45380 Biopsy of large bowel using an endoscope	58	56	$625.00	$157.31
43450 Dilation of esophagus	48	44	$214.48	$36.56
17000 Destruction of skin growth	37	23	$264.00	$60.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	28	$138.00	$52.09
17003 Destruction of precancer skin growth, 2-14 growths	32	20	$24.00	$6.14
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$467.00	$162.97
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	14	13	$741.00	$232.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$529.00	$154.66
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	12	12	$2415.00	$623.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	194	140	$231.00	$85.07
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	86	84	$425.00	$102.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	72	61	$344.00	$120.83
43450 Dilation of esophagus	68	67	$214.48	$37.03
17000 Destruction of skin growth	49	27	$264.00	$59.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	49	35	$138.00	$52.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$343.00	$104.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$529.00	$156.97
45380 Biopsy of large bowel using an endoscope	35	35	$625.00	$154.81
17003 Destruction of precancer skin growth, 2-14 growths	34	21	$24.00	$6.28
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	24	23	$741.00	$238.86
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	19	$467.00	$186.72
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	11	$93.00	$36.31
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	17	$463.00	$171.17
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	15	15	$950.00	$166.36
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	12	12	$2415.00	$638.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	117	94	$231.00	$86.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	109	80	$344.00	$123.67
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	93	85	$425.00	$100.91
43450 Dilation of esophagus	71	62	$214.48	$37.78
17003 Destruction of precancer skin growth, 2-14 growths	63	16	$24.00	$6.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$529.00	$160.06
99231 Follow-up hospital inpatient care per day, typically 15 minutes	39	22	$93.00	$36.85
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	35	33	$463.00	$173.04
45380 Biopsy of large bowel using an endoscope	33	33	$625.00	$188.10
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	32	30	$467.00	$191.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	22	$138.00	$53.22
17000 Destruction of skin growth	29	18	$264.00	$61.34
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	28	28	$741.00	$236.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$343.00	$106.65
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	20	20	$660.00	$211.60
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	15	15	$950.00	$177.54
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	11	11	$2415.00	$585.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	134	106	$231.00	$70.87
99231 Follow-up hospital inpatient care per day, typically 15 minutes	75	38	$93.00	$37.79
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	74	74	$425.00	$101.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	58	$344.00	$103.27
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	66	63	$467.00	$195.31
45380 Biopsy of large bowel using an endoscope	46	44	$625.00	$171.44
43450 Dilation of esophagus	45	45	$214.48	$38.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$343.00	$101.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$529.00	$156.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	15	$138.00	$42.51
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	15	15	$2415.00	$659.13
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	13	13	$741.00	$247.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	208	134	$230.30	$69.34
99231 Follow-up hospital inpatient care per day, typically 15 minutes	106	51	$93.00	$37.33
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	88	84	$425.00	$101.73
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	84	80	$467.00	$190.44
17003 Destruction of precancer skin growth, 2-14 growths	83	14	$24.00	$5.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	83	68	$344.00	$101.81
45380 Biopsy of large bowel using an endoscope	56	54	$625.00	$136.72
43450 Dilation of esophagus	48	46	$214.48	$38.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$343.00	$100.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	30	$138.00	$41.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$529.00	$153.74
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	27	25	$741.00	$246.17
17000 Destruction of skin growth	27	17	$264.00	$60.36
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	15	15	$950.00	$177.46
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	14	14	$2415.00	$643.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	457	250	$231.00	$68.23
17003 Destruction of precancer skin growth, 2-14 growths	206	24	$24.00	$4.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	114	114	$343.00	$100.39
99231 Follow-up hospital inpatient care per day, typically 15 minutes	111	52	$93.00	$37.20
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	108	98	$467.00	$192.62
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	101	96	$425.00	$108.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	71	63	$138.00	$40.80
45380 Biopsy of large bowel using an endoscope	62	60	$625.00	$168.85
17000 Destruction of skin growth	60	34	$264.00	$61.17
43450 Dilation of esophagus	40	40	$214.48	$38.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	32	$344.00	$100.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$529.00	$153.93
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	15	15	$2415.00	$661.77
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	15	15	$950.00	$177.91
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	15	15	$741.00	$246.14
11100 Biopsy of single growth of skin and/or tissue	13	13	$339.00	$97.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	605	315	$231.00	$67.64
17003 Destruction of precancer skin growth, 2-14 growths	274	27	$24.00	$5.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	193	193	$343.00	$98.26
99231 Follow-up hospital inpatient care per day, typically 15 minutes	117	54	$93.00	$37.18
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	107	104	$425.00	$102.03
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	102	95	$467.00	$191.96
17000 Destruction of skin growth	75	37	$264.00	$61.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	58	48	$138.00	$40.30
45380 Biopsy of large bowel using an endoscope	55	52	$625.00	$143.46
43450 Dilation of esophagus	42	40	$214.48	$37.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	25	$344.00	$100.40
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	27	27	$950.00	$168.45
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	22	19	$741.00	$240.40
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	20	20	$2415.00	$611.12
11100 Biopsy of single growth of skin and/or tissue	14	14	$339.00	$94.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$529.00	$153.00

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TN 43715

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Coffee County Hospital Group Inc

482 Interstate Dr, Manchester, TN 373553109

Phone: 9317284718

Coffee Medical Group Llc

481 Interstate Dr, Manchester, TN 373553108

Phone: 9317286354

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 21, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location March 21, 2012

Registered at 1030 MCARTHUR ST, MANCHESTER, TN 373552453 (Tel: 9319545125)

📍

Updated Business Mailing Address March 21, 2012

Registered at 2166 JACKSBORO RD, MORRISON, TN 373575603 (Tel: 4232021406)

👤

Provider Name / Credentials Updated March 21, 2012

Recorded as JAMES VANWINKLE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2012

Surgery (License #43715 in TN)

🟢

Initial NPI Registration & Enumeration November 19, 2007

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: 1720269616

Entity Type:

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

Enumeration Date: November 19, 2007

Last Update: March 21, 2012

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

2166 Jacksboro Rd

Morrison, TN 373575603

Phone: 4232021406

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.