THOMAS WINTER MD
NPI 1053511527
Emergency Medicine in Royal Oak, MI

Active since July 23, 2007PECOS EnrolledAccepts Medicare Assignment
3601 W. 13 MILE RD, ROYAL OAK, MI 48073(248) 423-2481 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thomas Winter Md NPPES

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

THOMAS WINTER MD (NPI 1053511527) is an individual emergency medicine provider in Royal Oak, Michigan, licensed in Arizona (43089) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Missouri, Kansas City, School Of Medicine (2006).

NPPES Registry Identity

NPI1053511527
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameTHOMAS WINTERCredential: MD
Location Address3601 W. 13 MILE RDRoyal Oak, MI 48073-6769
Mailing Address3601 W. 13 Mile RdRoyal Oak, MI 48073-6769 · (248) 423-2481
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 2006
Enumeration DateJuly 23, 2007
Last NPPES UpdateJuly 24, 2023
NPPES CertifiedJuly 24, 2023
NPI 1053511527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in AZ · 43089 Licensed in MI · 4301090830
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
3601 W. 13 MILE RD, Royal Oak, MI 48073

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

Thomas Winter 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.

PECOS PAC ID8022132067
PECOS Enrollment IDI20100827000850
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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
204 services201 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
178 services150 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
61 services61 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
59 services58 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48073 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

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
3601 W. 13 MILE RD, 400 FSC-PCS
ROYAL OAK, MI 48073
Nurse Anesthetist, Certified Registered
3601 W. 13 MILE RD, 400 FSC-PCS
ROYAL OAK, MI 48073
Nurse Anesthetist, Certified Registered
3601 W. 13 MILE RD, 400 FSC-PCS
ROYAL OAK, MI 48073
Nurse Anesthetist, Certified Registered
3601 W. 13 MILE RD, 400 FSC-PCS
ROYAL OAK, MI 48073
Nurse Anesthetist, Certified Registered
3601 W. 13 MILE RD, 400 FSC-PCS
ROYAL OAK, MI 48073
Nurse Anesthetist, Certified Registered
3601 W. 13 MILE RD, 400 FSC-PCS
ROYAL OAK, MI 48073
Nurse Anesthetist, Certified Registered
3601 W. 13 MILE RD, 400 FSC-PCS
ROYAL OAK, MI 48073
Internal Medicine
3601 W. 13 MILE RD
ROYAL OAK, MI 48073

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 Winter's NPI number?

The NPI number for Thomas Winter is 1053511527. It was assigned to this individual provider in the NPPES registry on July 23, 2007.

Where is Thomas Winter located?

Thomas Winter practices at 3601 W. 13 Mile Rd, Royal Oak, MI 48073. The listed phone number is (248) 423-2481.

What is Thomas Winter's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Thomas Winter enrolled in Medicare?

Yes. Thomas Winter 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 Thomas Winter accept?

Health plans from Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Thomas Winter 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.

When was this NPI record last updated?

The NPPES record for Thomas Winter was last updated on July 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.