JEFFEREY WINNINGHAM MD
NPI 1043316110
Internal Medicine in Everett, WA
About Jefferey Winningham Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEFFEREY WINNINGHAM MD (NPI 1043316110) is an individual internal medicine provider in Everett, Washington, licensed in Washington (MD00034819) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Providence Regional Medical Center Everett, and maintains a secondary practice location in Everett.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jefferey Winningham Md 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.
Medicare Billing Reassignments
4Medicare enrollment records show Jefferey Winningham reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Everett, WA 98201
- Reassigned Medicare billing, Washington enrollment
- 135 clinicians in this Medicare group
Everett, WA 98201
- Reassigned Medicare billing, Washington enrollment
- 705 clinicians in this Medicare group
Everett, WA 98201
- Reassigned Medicare billing, Washington enrollment
- 57 clinicians in this Medicare group
Everett, WA 98201
- Reassigned Medicare billing, Washington enrollment
- 1,285 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Providence Regional Medical Center Everett
Acute Care Hospitals · Everett, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Jefferey Winningham's NPI number?
The NPI number for Jefferey Winningham is 1043316110. It was assigned to this individual provider in the NPPES registry on September 16, 2006.
Where is Jefferey Winningham located?
Jefferey Winningham practices at 1321 Colby Ave Medical Staff Office, Everett, WA 98201. The listed phone number is (425) 261-2000.
What is Jefferey Winningham's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Jefferey Winningham enrolled in Medicare?
Yes. Jefferey Winningham 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.
Which organizations bill Medicare for Jefferey Winningham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jefferey Winningham reassigns Medicare benefits to 4 organizations: Providence Health & Services-Wa (Everett, WA), Providence Health & Services-Washington (Everett, WA), Vituity-Hm Services PC (Everett, WA) and Optum Care Washington PLLC (Everett, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jefferey Winningham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jefferey Winningham accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Jefferey Winningham 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 Jefferey Winningham affiliated with any hospitals?
According to CMS data, Jefferey Winningham is affiliated with Providence Regional Medical Center Everett.
When was this NPI record last updated?
The NPPES record for Jefferey Winningham was last updated on April 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jefferey Winningham, MD · NPI 1043316110
Internal Medicine physician in Everett, Washington. Individual provider, active in the CMS NPPES registry since September 16, 2006.
## Identity
- **NPI:** 1043316110 (Entity type: Individual)
- **Enumerated:** September 16, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** MD00034819 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 1321 COLBY AVE, MEDICAL STAFF OFFICE, Everett, WA 98201-1665
- **Phone:** (425) 261-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Providence Health & Services-Wa (NPI 1033360144, Everett, WA); Providence Health & Services-Washington (NPI 1114236791, Everett, WA); Vituity-Hm Services PC (NPI 1427974641, Everett, WA); Optum Care Washington PLLC (NPI 1831186766, Everett, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Louisiana State University School Of Medicine In New Orleans, class of 1994
## Record status
- **NPPES last updated:** April 29, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1043316110) · Data from the CMS NPPES public registry.