SETH WINTERTON M.D.
NPI 1093195331
Family Medicine in Sanford, FL

Q: What is Seth Winterton's NPI number?

The NPI number for Seth Winterton is 1093195331. It was assigned to this individual provider in the NPPES registry on June 2, 2015.

Q: What is Seth Winterton's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: Is Seth Winterton enrolled in Medicare?

No. Seth Winterton has opted out of Medicare through April 15, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Seth Winterton was last updated on October 14, 2022. 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.

Active since June 02, 2015Opted out of Medicare · through Apr 15, 2028

2209 S FRENCH AVE, SANFORD, FL 32771(407) 321-4230(407) 324-7642 Get Directions Write a Review

NPPES record last updated: October 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 14, 2022, Jul 31, 2018 (2 updates tracked since 2018).

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About Seth Winterton M.d. NPPES

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

SETH WINTERTON M.D. (NPI 1093195331) is an individual family medicine provider in Sanford, Florida, licensed in Florida (ME152985) and active in the NPI registry since June 2015. He has opted out of Medicare through April 15, 2028 and remains eligible to order and refer, maintains a secondary practice location in Cherokee, and is a graduate of University Of Nevada School Of Medicine (2015).

NPPES Registry Identity

NPI1093195331

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameSETH WINTERTONCredential: M.D.

Location Address2209 S FRENCH AVESanford, FL 32771

Mailing Address2209 S French AveSanford, FL 32771-4245 · (407) 321-4230 · Fax (407) 324-7642

Phone(407) 321-4230

Fax(407) 324-7642

Sole ProprietorNo

Medical School CMSUniversity Of Nevada School Of MedicineGraduated 2015

Enumeration DateJune 2, 2015

Last NPPES UpdateOctober 14, 20222 updates tracked since enumeration

NPPES CertifiedOctober 14, 2022

✔ NPI 1093195331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in FL · ME152985✔ Licensed in UT · 6501740-1205

Definition

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.

2209 S FRENCH AVE, Sanford, FL 32771

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Secondary Practice Location 1

Location 1300 Sioux Valley DrCherokee, IA 51012 · Phone (712) 225-6265

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Seth Winterton M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 15, 2024 through April 15, 2028.

Opt-Out Effective DateApril 15, 2024

Opt-Out In Effect ThroughApril 15, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32771 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

2 suppliers20 claims34 services$5.47 avg. paid by Medicare

Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each A4340

DME-Orthotic Devices · category DF000N

1 supplier11 claims11 services$27.88 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier11 claims11 services$875.00 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

3 suppliers11 claims11 services$7.59 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers30 claims30 services$45.45 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers38 claims38 services$108.56 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 5

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

HEATHROW INTERNAL MEDICINE LLC

Family Medicine