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ROBERT L WINSTON M.D.
NPI 1104890201
Internal Medicine in Lexington, TN

Active since February 15, 2006PECOS EnrolledAccepts Medicare Assignment
48.71/100
CMS Quality Rating
200 W CHURCH ST, LEXINGTON, TN 38351(731) 968-3646 Get Directions Write a Review

NPPES record last updated: June 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 14, 2024, Jun 7, 2024, Jul 7, 2022 (3 updates tracked since 2022).

About Robert L Winston M.d. NPPES

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

ROBERT L WINSTON M.D. (NPI 1104890201) is an individual internal medicine provider in Lexington, Tennessee, licensed in Tennessee (10713) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Henderson County Community Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1104890201
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameROBERT L WINSTONCredential: M.D.
Location Address200 W CHURCH STLexington, TN 38351-2038
Mailing Address200 W Church StLexington, TN 38351-2038 · (336) 944-6420 · Fax (731) 668-6957
Phone(731) 968-3646
Sole ProprietorNo
Medical School CMSMeharry Medical College School Of MedicineGraduated 1976
Enumeration DateFebruary 15, 2006
Last NPPES UpdateJune 14, 20243 updates tracked since enumeration
NPPES CertifiedJune 14, 2024
✔ NPI 1104890201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TN · 10713
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 10713 (TN)
Also ListedFamily MedicineTaxonomy 207Q00000X · License 10713 (TN)
Also ListedPediatricsTaxonomy 208000000X · License 10713 (TN)
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 10713 (TN)
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 10713 (TN)
Also ListedSurgeryTaxonomy 208600000X · License 10713 (TN)
200 W CHURCH ST, Lexington, TN 38351
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1270 W Church St Ste ALexington, TN 38351-2077 · Phone (731) 968-3646
Location 22545 N Washington AveBrownsville, TN 38012-1610 · Phone (931) 289-4211
Location 35001 E Main StErin, TN 37061-4115 · Phone (931) 289-4211
Location 461 Huntington PlJackson, TN 38305-9665 · Phone (731) 664-4702 · Fax (731) 668-6957

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

Robert L Winston 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 ID8123920196
PECOS Enrollment IDI20060912000044
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

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 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Henderson County Community Hospital

Acute Care Hospitals · Lexington, TN
OwnershipProprietary
CMS Certification Number440008
Location200 W Church StLexington, TN 38351 · Henderson County
Emergency services

Haywood County Community Hospital

Acute Care Hospitals · Brownsville, TN
OwnershipProprietary
CMS Certification Number440238
Location2545 North Washington AvenueBrownsville, TN 38012 · Haywood County
Emergency services

Houston County Community Hospital

Critical Access Hospitals · Erin, TN
OwnershipGovernment - Local
CMS Certification Number441322
Location5001 East Main StreetErin, TN 37061 · Houston County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38351 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

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.

48.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality0
Improvement Activities20
Cost96.71

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%76 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

LEXINGTON HOSPITAL CORPORATION
Family Medicine
200 W CHURCH ST
LEXINGTON, TN 38351
Henderson County (731) 968-3646
LEXINGTON CLINIC CORP
Clinic/Center (Rural Health)
200 W CHURCH ST
LEXINGTON, TN 38351
Henderson County (731) 968-3646
LEXINGTON HOSPITAL CORPORATION
Medicare Defined Swing Bed Unit
200 W CHURCH ST
LEXINGTON, TN 38351
Henderson County (731) 968-3646
WILLOW EMERGENCY PHYSICIANS, LLC
Emergency Medicine
200 W CHURCH ST
LEXINGTON, TN 38351
Henderson County (973) 251-1132
AMBULANCE SERVICES OF LEXINGTON, INC.
Ambulance (Land Transport)
200 W CHURCH ST
LEXINGTON, TN 38351
Henderson County (731) 968-1845
BEECHLAKE EMERGENCY PHYSICIANS
Emergency Medicine
200 W CHURCH ST
LEXINGTON, TN 38351
Henderson County (731) 968-3646
THOMAS C MCDONALD MD
Internal Medicine
200 W CHURCH ST
LEXINGTON, TN 38351
Henderson County (731) 968-3646
CHAD C SCOTT FNP MSN
Nurse Practitioner (Family)
200 W CHURCH ST
LEXINGTON, TN 38351
Henderson County (731) 968-3646

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 Robert Winston's NPI number?

The NPI number for Robert Winston is 1104890201. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Where is Robert Winston located?

Robert Winston practices at 200 W Church St, Lexington, TN 38351. The listed phone number is (731) 968-3646.

What is Robert Winston's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Robert Winston enrolled in Medicare?

Yes. Robert Winston 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.

Is Robert Winston affiliated with any hospitals?

According to CMS data, Robert Winston is affiliated with Henderson County Community Hospital, Haywood County Community Hospital and Houston County Community Hospital.

When was this NPI record last updated?

The NPPES record for Robert Winston was last updated on June 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.