DOUGLAS J WINJUM MD
NPI 1063466217
Radiology - Diagnostic Radiology in Lincoln, NE

Active since May 20, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
7121 STEPHANIE LN, STE 100, LINCOLN, NE 68516(402) 420-3500 Get Directions Write a Review

NPPES record last updated: October 19, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Douglas J Winjum Md NPPES

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

DOUGLAS J WINJUM MD (NPI 1063466217) is an individual diagnostic radiology provider in Lincoln, Nebraska, licensed in Nebraska (20719) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Bryan Medical Center, and is a graduate of Creighton University School Of Medicine (1991).

NPPES Registry Identity

NPI1063466217
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDOUGLAS J WINJUMCredential: MD
Location Address7121 STEPHANIE LN, STE 100Lincoln, NE 68516-5359
Mailing AddressPo Box 7239Loveland, CO 80537-0239 · (402) 489-9400
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 1991
Enumeration DateMay 20, 2006
Last NPPES UpdateOctober 19, 2011
NPI 1063466217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in NE · 20719
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

7121 STEPHANIE LN, Lincoln, NE 68516

Other Identifiers 7

Medicare UPING29957
Medicaid0521021IA
Medicare PIN270453NE
Other300086696NE · Rr Medicare
Medicaid7783110SD
Medicaid100313450AKS
Other32295NE · Blue Cross Blue Shield

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

Douglas J Winjum 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 ID9032214713
PECOS Enrollment IDI20070619000272
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 68

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
1,271 services963 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
381 services360 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
256 services256 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
256 services256 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
234 services225 patients
X-ray of abdomen, 1 view 74018
An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.
222 services196 patients

Hospital Affiliations CMS Care Compare 5

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

Bryan Medical Center

Acute Care Hospitals · Lincoln, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280003
Location1600 South 48th StLincoln, NE 68506 · Lancaster County
Emergency services Birthing friendly

Chi Health St. Elizabeth

Acute Care Hospitals · Lincoln, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280020
Location555 South 70th StLincoln, NE 68510 · Lancaster County
Emergency services Birthing friendly

Kearney Regional Medical Center

Acute Care Hospitals · Kearney, NE
4/5 CMS rating
OwnershipProprietary
CMS Certification Number280134
Location804 22nd AvenueKearney, NE 68845 · Buffalo County
Emergency services Birthing friendly

Crete Area Medical Center

Critical Access Hospitals · Crete, NE
OwnershipVoluntary non-profit - Private
CMS Certification Number281354
LocationP O Box 220, 2910 Betten DrCrete, NE 68333 · Saline County
Emergency services Birthing friendly

Beatrice Community Hospital & Health Center, Inc

Critical Access Hospitals · Beatrice, NE
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number281364
LocationP O Box 278, 4800 Hospital ParkwayBeatrice, NE 68310 · Gage County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68516 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 18

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

Chiropractor
7121 STEPHANIE LN, SUITE 108
LINCOLN, NE 68516
Chiropractor
7121 STEPHANIE LN, SUITE 108
LINCOLN, NE 68516
Family Medicine
7121 STEPHANIE LN, SUITE 105
LINCOLN, NE 68516
Chiropractor
7121 STEPHANIE LN, SUITE 108
LINCOLN, NE 68516
Radiology (Diagnostic Radiology)
7121 STEPHANIE LN, STE 100
LINCOLN, NE 68516
Dentist
7121 STEPHANIE LN
LINCOLN, NE 68516
Chiropractor
7121 STEPHANIE LN, SUITE 108
LINCOLN, NE 68516
Radiology (Diagnostic Radiology)
7121 STEPHANIE LN, STE 100
LINCOLN, NE 68516

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 Douglas Winjum's NPI number?

The NPI number for Douglas Winjum is 1063466217. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Where is Douglas Winjum located?

Douglas Winjum practices at 7121 Stephanie Ln Ste 100, Lincoln, NE 68516. The listed phone number is (402) 420-3500.

What is Douglas Winjum's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Douglas Winjum enrolled in Medicare?

Yes. Douglas Winjum 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 Douglas Winjum accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Douglas Winjum 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 Douglas Winjum affiliated with any hospitals?

According to CMS data, Douglas Winjum is affiliated with Bryan Medical Center, Chi Health St. Elizabeth, Kearney Regional Medical Center, Crete Area Medical Center and Beatrice Community Hospital & Health Center, Inc.

When was this NPI record last updated?

The NPPES record for Douglas Winjum was last updated on October 19, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.