THOMAS P WINKLER M.D.
NPI 1023163706
Otolaryngology in Chevy Chase, MD

Active since January 24, 2007PECOS EnrolledAccepts Medicare Assignment
81.66/100
CMS Quality Rating
5530 WISCONSIN AVE, SUITE #1455, CHEVY CHASE, MD 20815(301) 656-8630(301) 656-8631 Get Directions Write a Review

NPPES record last updated: February 14, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Thomas P Winkler M.d. NPPES

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

THOMAS P WINKLER M.D. (NPI 1023163706) is an individual otolaryngology provider in Chevy Chase, Maryland, licensed in Maryland (D0052876) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1023163706
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameTHOMAS P WINKLERCredential: M.D.
Location Address5530 WISCONSIN AVE, SUITE #1455Chevy Chase, MD 20815-4404
Mailing Address5530 Wisconsin Ave, Suite #1455Chevy Chase, MD 20815-4404 · (301) 656-8630 · Fax (301) 656-8631
Fax(301) 656-8631
Sole ProprietorYes
Medical School CMSOtherGraduated 1987
Enumeration DateJanuary 24, 2007
Last NPPES UpdateFebruary 14, 2008
NPI 1023163706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses Licensed in MD · D0052876 Licensed in DC · MD18350
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

5530 WISCONSIN AVE, Chevy Chase, MD 20815

Other Identifiers 2

Other0W54TPBlue Cross
Medicare PING02039C01

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

Thomas P Winkler M.d. 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 ID345276218
PECOS Enrollment IDI20050712000733
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 11

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.

Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
970 services744 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
951 services665 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
837 services727 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
403 services403 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
369 services321 patients
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing G0268
This procedure involves a doctor removing impacted earwax (cerumen) from one or both ears. This is often done on the same day as hearing function tests. The process helps to clear the ear canal, improving hearing and ensuring accurate test results.
249 services243 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20815 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
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.

81.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.33
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 5

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
7 suppliers13 claims13 services$33.51 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
8 suppliers14 claims14 services$40.93 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
8 suppliers16 claims16 services$12.93 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
9 suppliers20 claims111 services$1.43 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
5 suppliers19 claims19 services$32.73 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.

Nurse Anesthetist, Certified Registered
5530 WISCONSIN AVE, STE 1550
CHEVY CHASE, MD 20815
Specialist
5530 WISCONSIN AVE, #1510
CHEVY CHASE, MD 20815
Physical Therapist
5530 WISCONSIN AVE, SUITE 604
CHEVY CHASE, MD 20815
Internal Medicine
5530 WISCONSIN AVE, SUITE 550
CHEVY CHASE, MD 20815
Dentist (General Practice)
5530 WISCONSIN AVE, STE 1535
CHEVY CHASE, MD 20815
Specialist
5530 WISCONSIN AVE, SUITE # 1660
CHEVY CHASE, MD 20815
Anesthesiology
5530 WISCONSIN AVE, SUITE 1620
CHEVY CHASE, MD 20815
Nurse Anesthetist, Certified Registered
5530 WISCONSIN AVE, SUITE 1620
CHEVY CHASE, MD 20815

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 Thomas Winkler's NPI number?

The NPI number for Thomas Winkler is 1023163706. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Where is Thomas Winkler located?

Thomas Winkler practices at 5530 Wisconsin Ave Suite #1455, Chevy Chase, MD 20815. The listed phone number is (301) 656-8630.

What is Thomas Winkler's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Thomas Winkler enrolled in Medicare?

Yes. Thomas Winkler 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.

When was this NPI record last updated?

The NPPES record for Thomas Winkler was last updated on February 14, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.