DR. MICHAEL ALLEN VAN WINKLE D.O
NPI 1003195454
Internal Medicine in Youngstown, OH

Active since August 16, 2011PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
1044 BELMONT AVE, YOUNGSTOWN, OH 44504(330) 480-3676(330) 480-7979 Get Directions Write a Review

NPPES record last updated: February 6, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 6, 2017, Feb 5, 2016, Dec 29, 2015 and 1 more (4 updates tracked since 2015).

About Dr. Michael Allen Van Winkle D.o NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL ALLEN VAN WINKLE D.O (NPI 1003195454) is an individual internal medicine provider in Youngstown, Ohio, licensed in Ohio (34.011870) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS, is affiliated with Monument Health Spearfish Hospital, and is a graduate of Ohio University, College Of Osteopathic Medicine (2011).

NPPES Registry Identity

NPI1003195454
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MICHAEL ALLEN VAN WINKLECredential: D.O
Location Address1044 BELMONT AVEYoungstown, OH 44504-1006
Mailing Address1044 Belmont AveYoungstown, OH 44504-1006 · (330) 480-3676 · Fax (330) 480-7979
Fax(330) 480-7979
Sole ProprietorNo
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2011
Enumeration DateAugust 16, 2011
Last NPPES UpdateFebruary 6, 20174 updates tracked since enumeration
NPI 1003195454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in OH · 34.011870
Definition
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.
1044 BELMONT AVE, Youngstown, OH 44504

Other Identifiers 2

OtherH363680OH · Medicare Ptan
Medicaid0122991OH

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael Allen Van Winkle D.o is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810201332
PECOS Enrollment IDI20210806002802
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
150 services85 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
126 services118 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
90 services70 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
57 services57 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Monument Health Spearfish Hospital

Acute Care Hospitals · Spearfish, SD
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430048
Location1440 N Main StSpearfish, SD 57783 · Lawrence County
Emergency services

Monument Health Rapid City Hospital

Acute Care Hospitals · Rapid City, SD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430077
Location353 Fairmont BlvdRapid City, SD 57701 · Pennington County
Emergency services Birthing friendly

Monument Health Sturgis Hospital

Critical Access Hospitals · Sturgis, SD
OwnershipVoluntary non-profit - Other
CMS Certification Number431321
Location2140 Junction AveSturgis, SD 57785 · Meade County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44504 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers31 claims31 services$19.82 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
6 suppliers47 claims47 services$94.02 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
1044 BELMONT AVE
YOUNGSTOWN, OH 44504
Pharmacist
1044 BELMONT AVE
YOUNGSTOWN, OH 44504
Dietitian, Registered
1044 BELMONT AVE
YOUNGSTOWN, OH 44504
Registered Nurse (Critical Care Medicine)
1044 BELMONT AVE
YOUNGSTOWN, OH 44504
Student in an Organized Health Care Education/Training Program
1044 BELMONT AVE
YOUNGSTOWN, OH 44504
Emergency Medicine
1044 BELMONT AVE
YOUNGSTOWN, OH 44504
Orthopaedic Surgery
1044 BELMONT AVE
YOUNGSTOWN, OH 44504
Physical Therapist
1044 BELMONT AVE
YOUNGSTOWN, OH 44504

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Van Winkle's NPI number?

The NPI number for Michael Van Winkle is 1003195454. It was assigned to this individual provider in the NPPES registry on August 16, 2011.

Where is Michael Van Winkle located?

Michael Van Winkle practices at 1044 Belmont Ave, Youngstown, OH 44504. The listed phone number is (330) 480-3676.

What is Michael Van Winkle's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Michael Van Winkle enrolled in Medicare?

Yes. Michael Van Winkle is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Michael Van Winkle accept?

Health plans from Avera Health Plans and Sanford Health Plan list Michael Van Winkle as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michael Van Winkle affiliated with any hospitals?

According to CMS data, Michael Van Winkle is affiliated with Monument Health Spearfish Hospital, Monument Health Rapid City Hospital and Monument Health Sturgis Hospital.

When was this NPI record last updated?

The NPPES record for Michael Van Winkle was last updated on February 6, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS; the most recent full sync was completed on July 26, 2026. Anyone can also request an on-demand re-check of this record against the live CMS registry, directly from this page.