DR. JOHN M WINTERTON M.D.
NPI 1114018819
Internal Medicine - Cardiovascular Disease in Lake Charles, LA

Q: What is John Winterton's NPI number?

The NPI number for John Winterton is 1114018819. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Q: What is John Winterton's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for John Winterton was last updated on March 4, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 27, 2006PECOS EnrolledAccepts Medicare Assignment

63.17/100

CMS Quality Rating

1717 OAK PARK BLVD, SECOND FLOOR, LAKE CHARLES, LA 70601(337) 494-3278(337) 494-3240 Get Directions Write a Review

NPPES record last updated: March 4, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. John M Winterton M.d. NPPES

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

DR. JOHN M WINTERTON M.D. (NPI 1114018819) is an individual cardiovascular disease provider in Lake Charles, Louisiana, licensed in Louisiana (20942) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Willis Knighton Medical Center, and is a graduate of Louisiana State University School Of Medicine In Shreveport (1990).

NPPES Registry Identity

NPI1114018819

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameDR. JOHN M WINTERTONCredential: M.D.

Location Address1717 OAK PARK BLVD, SECOND FLOORLake Charles, LA 70601-8991

Mailing Address1717 Oak Park Blvd, Second FloorLake Charles, LA 70601-8991 · (337) 494-3278 · Fax (337) 494-3240

Phone(337) 494-3278

Fax(337) 494-3240

Sole ProprietorNo

Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 1990

Enumeration DateSeptember 27, 2006

Last NPPES UpdateMarch 4, 2009

✔ NPI 1114018819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in LA · 20942

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

1717 OAK PARK BLVD, Lake Charles, LA 70601

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Other Identifiers 4

Medicaid1915840LA

Medicare UPINF03428LA

Medicare PIN5N737F942LA

Medicare PIN060067071LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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

Dr. John M Winterton 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 ID4587753157

PECOS Enrollment IDI20071204000773

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 18

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

444 services253 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

259 services182 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

185 services178 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

145 services122 patients

Injection, regadenoson, 0.1 mg J2785

Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.

124 services31 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

116 services52 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

111 services111 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

53 services53 patients

Technetium tc-99m tetrofosmin, diagnostic, per study dose A9502

Technetium Tc-99m Tetrofosmin is a radiopharmaceutical used in diagnostic imaging. It helps highlight areas of concern in the heart by emitting signals captured by a special camera. This assists doctors in detecting heart conditions.

49 services48 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015

An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.

45 services45 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

37 services37 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

36 services36 patients

Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional 93228

An Electrocardiogram (ECG) is a non-invasive test that records the electrical signals in your heart. For up to 30 days, a small device will continuously monitor your heart's activity. A healthcare professional will then review the data and provide a report on your heart's function.

24 services24 patients

Smoking and tobacco use intensive counseling, 4-10 minutes 99406

This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.

20 services16 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296

This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.

18 services11 patients

Electrocardiogram (ecg) 2-day continuous 93225

An Electrocardiogram (ECG) 2-day continuous is a non-invasive test that records the electrical activity of your heart over 48 hours. It helps to detect irregular heart rhythms, heart disease, or other cardiac conditions. You wear a portable device that records heart activity as you go about your daily activities.

17 services16 patients

Electrocardiogram (ecg) 2-day continuous with review by health care professional 93227

An Electrocardiogram (ECG) is a test that checks your heart's activity. The 2-day continuous ECG records your heart's rhythm non-stop for 48 hours. It helps to detect irregularities that may not occur during a shorter test. A healthcare professional will review the results to identify any issues.

17 services16 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

14 services14 patients

Hospital Affiliations CMS Care Compare

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

Willis Knighton Medical Center

Acute Care Hospitals · Shreveport, LA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190111

Location2600 Greenwood RoadShreveport, LA 71103 · Caddo County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70601 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

$124.60 typical visit price

range $53.43 – $164.73

Typical copayment $31.15 (range $13.35 – $41.18)

Most-billed visit code 99204

Established Patient

$67.06 typical visit price

range $16.64 – $133.62

Typical copayment $16.76 (range $4.16 – $33.40)

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.

63.17/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.62

Promoting Interoperability

Improvement Activities

Reported Quality Measures

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

100%1,733 patients5/55-star benchmark: 100%

Health Information Exchange

The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…

39%135 patients2/55-star benchmark: 96%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

94%287 patients4/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

93%1,539 patients4/55-star benchmark: 99%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

73%1,539 patients3/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

27%1,539 patients2/55-star benchmark: 59%

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.

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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.

LAKE CHARLES MEDICAL SERVICES, INC

Internal Medicine

1717 OAK PARK BLVD
LAKE CHARLES, LA 70601

Calcasieu Parish (337) 582-7632

DR. WILLIAM R CONDOS JR. M.D.

Internal Medicine (Cardiovascular Disease)

1717 OAK PARK BLVD, FL 2
LAKE CHARLES, LA 70601

Calcasieu Parish (337) 494-3278

MRS. AMANDA JOINER SALTZMAN PHARMD

Pharmacist

1717 OAK PARK BLVD, SUITE 110
LAKE CHARLES, LA 70601

Calcasieu Parish (337) 494-2990

MARGARET YOUNG CARTER M.D.

Ophthalmology

1717 OAK PARK BLVD, #1
LAKE CHARLES, LA 70601

Calcasieu Parish (337) 478-3810

DR. HARPAL S BENIPAL M.D.

Internal Medicine

1717 OAK PARK BLVD, 3RD FL
LAKE CHARLES, LA 70601

Calcasieu Parish (337) 475-8100

DR. DENNIS MARTIN WALKER M.D.

Orthopaedic Surgery

1717 OAK PARK BLVD, 3RD FLOOR
LAKE CHARLES, LA 70601

Calcasieu Parish (337) 494-4941

STEVEN C. EAST O.D.

Optometrist

1717 OAK PARK BLVD, 1
LAKE CHARLES, LA 70601

Calcasieu Parish (337) 478-3810

DR. NATHAN PHILLIP COHEN M.D.

Orthopaedic Surgery

1717 OAK PARK BLVD, 3RD FLOOR
LAKE CHARLES, LA 70601

Calcasieu Parish (337) 494-4900

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 John Winterton's NPI number?

The NPI number for John Winterton is 1114018819. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is John Winterton located?

John Winterton practices at 1717 Oak Park Blvd Second Floor, Lake Charles, LA 70601. The listed phone number is (337) 494-3278.

What is John Winterton's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is John Winterton enrolled in Medicare?

Yes. John Winterton 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 John Winterton accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list John Winterton 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 John Winterton affiliated with any hospitals?

According to CMS data, John Winterton is affiliated with Willis Knighton Medical Center.

When was this NPI record last updated?

The NPPES record for John Winterton was last updated on March 4, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.