JANET WINIKOFF MD NPI 1013077569
Internal Medicine - Endocrinology, Diabetes & Metabolism in Santa Monica, CA

About JANET WINIKOFF MD

Janet Winikoff is an internist established in Santa Monica, California and her medical specialization is Internal Medicine with a focus in endocrinology, diabetes & metabolism . The NPI number of Janet Winikoff is 1013077569 and was assigned on December 2006. The practitioner's primary taxonomy code is 207RE0101X with license number G44560 (CA). The provider is registered as an individual and her NPI record was last updated 11 years ago.

NPI
1013077569
Provider Name JANET WINIKOFF MD
Location Address2001 SANTA MONICA BLVD STE 860 SANTA MONICA, CA 90404
Location Phone(310) 828-3209
Mailing Address6029 BRISTOL PKWY SUITE 100 CULVER CITY, CA 90230
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Enumeration Date12-12-2006
Last Update Date09-19-2011

An internist like Janet Winikoff Md is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.Janet Winikoff is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices..

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 87.7, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code207RE0101X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationEndocrinology, Diabetes & Metabolism
License No.G44560
License StateCA
Taxonomy DescriptionAn internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

JANET WINIKOFF MD
2001 SANTA MONICA BLVD STE 860
SANTA MONICA, CA
ZIP 90404
Phone: (310) 828-3209
Fax: (310) 828-5165

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Mailing Address

JANET WINIKOFF MD
6029 BRISTOL PKWY
SUITE 100
CULVER CITY, CA
ZIP 90230
Phone: (310) 417-5900
Fax: (310) 410-1001


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
Eligible order / refer Part B Clinical Laboratory and ImagingNo
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)No
Eligible order / refer Power Mobility DevicesYes

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 94
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% 67
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% 73.9
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 87.7
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 275Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • 27Blood glucose (sugar) test performed by hand-held instrument (HCPCS:82962)
  • 26Diabetes outpatient self-management training services, individual, per 30 minutes (HCPCS:G0108)
  • 21Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineG44560CANo

Taxonomy Description: family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
CK689ZMEDICARE PIN (08)CA
W14560MEDICARE PIN (08)CA
A49863MEDICARE UPIN (02)CA
1013077569MEDICAID (05)CA
CK689XMEDICARE PIN (08)CA

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013077569
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20230714512
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 7 + 1 + 4 + 5 + 1 + 2 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1013077569 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1710197140JAMES P ZALEZ, MD A MEDICAL CORPORATION
Organization
Thoracic Surgery (Cardiothoracic Vascular Surgery)2001 SANTA MONICA BLVD STE 860
SANTA MONICA, CA 90404
(310) 828-3209
1316507262MS. SAMANTHA BRETT STRONG LCSW, ACM-SW
Individual
Social Worker (Clinical)2001 SANTA MONICA BLVD STE 860
SANTA MONICA, CA 90404
(646) 593-9910

Frequently Asked Questions

What is Janet Winikoff MD NPI number?

The NPI number assigned to Janet Winikoff MD is 1013077569, registered as an "individual" on December 12, 2006

Where is Janet Winikoff MD located?

The provider is located at 2001 Santa Monica Blvd Ste 860 Santa Monica, Ca 90404 and the phone number is (310) 828-3209

Which is Janet Winikoff MD specialty?

The provider's speciality is Internal Medicine with a focus in Endocrinology, Diabetes & Metabolism

What insurance does Janet Winikoff MD accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Janet Winikoff MD registered in PECOS?

Yes, as of November 14, 2022 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

How much is a visit to Janet Winikoff MD?

Medicare beneficiaries should expect a typical cost of $147.83 with an average copayment of $36.95 for new patient appointments. Established patients should expect a typical charge of $114.88 and an average copayment of 28.72. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Janet Winikoff MD?

The most common procedures or services performed by this practitioner are: Insertion of needle into vein for collection of blood sample, Blood glucose (sugar) test performed by hand-held instrument, Diabetes outpatient self-management training services, individual, per 30 minutes and Injection beneath the skin or into muscle for therapy, diagnosis, or prevention.

How do I update my NPI information?

The NPI record of Janet Winikoff MD was last updated on December 12, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]