BLAINE MICHAEL WINTERTON DO
NPI 1154983237
Internal Medicine - Pulmonary Disease in Fort Smith, AR

Active since June 28, 2019PECOS EnrolledAccepts Medicare Assignment
2713 S 74TH ST STE 301, FORT SMITH, AR 72903(479) 314-4620(479) 314-4630 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Blaine Michael Winterton Do NPPES

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

BLAINE MICHAEL WINTERTON DO (NPI 1154983237) is an individual pulmonary disease provider in Fort Smith, Arkansas, licensed in Arkansas (E-19090) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Columbia, and is a graduate of Lincoln Mem Univ, Debusk Col Of Osteopathic Med (2019).

NPPES Registry Identity

NPI1154983237
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameBLAINE MICHAEL WINTERTONCredential: DO
Location Address2713 S 74TH ST STE 301Fort Smith, AR 72903-5155
Mailing AddressPo Box 776084Chicago, IL 60677-6084 · (479) 314-4620 · Fax (479) 314-4630
Fax(479) 314-4630
Sole ProprietorNo
Medical School CMSLincoln Mem Univ, Debusk Col Of Osteopathic MedGraduated 2019
Enumeration DateJune 28, 2019
Last NPPES UpdateJuly 30, 2025
NPPES CertifiedJuly 30, 2025
✔ NPI 1154983237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses✔ Licensed in AR · E-19090✔ Licensed in MO · 2022021013
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2019021801 (MO)
2713 S 74TH ST STE 301, Fort Smith, AR 72903

Secondary Practice Location 1

Location 11 Hospital Dr # Dc043.00Columbia, MO 65212-1000 · Phone (573) 884-1606 · Fax (573) 884-4533

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Blaine Michael Winterton Do 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 ID4587992318
PECOS Enrollment IDI20250729004644
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Blaine Winterton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
2901 S 74TH ST
Fort Smith, AR 72903
  • Reassigned Medicare billing, Arkansas enrollment
  • 658 clinicians in this Medicare group
Multi-Specialty
1600 E BROADWAY
Columbia, MO 65201
  • Reassigned Medicare billing, Missouri enrollment
  • 302 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.
17 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72903 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
$119.36 typical visit price
range $51.36 – $157.74
Typical copayment $29.84 (range $12.84 – $39.43)
Most-billed visit code 99204
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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 4

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

Internal Medicine (Pulmonary Disease)
2713 S 74TH ST STE 301
FORT SMITH, AR 72903
Internal Medicine (Pulmonary Disease)
2713 S 74TH ST STE 301
FORT SMITH, AR 72903
Clinic/Center
2713 S 74TH ST STE 301, MERCY TOWER
FORT SMITH, AR 72903
Nurse Practitioner (Family)
2713 S 74TH ST STE 301
FORT SMITH, AR 72903

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 Blaine Winterton's NPI number?

The NPI number for Blaine Winterton is 1154983237. It was assigned to this individual provider in the NPPES registry on June 28, 2019.

Where is Blaine Winterton located?

Blaine Winterton practices at 2713 S 74th St Ste 301, Fort Smith, AR 72903. The listed phone number is (479) 314-4620.

What is Blaine Winterton's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Blaine Winterton enrolled in Medicare?

Yes. Blaine 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.

Which organizations bill Medicare for Blaine Winterton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Blaine Winterton reassigns Medicare benefits to 2 organizations: Mercy Clinic Fort Smith Communities (Fort Smith, AR) and Boone Physician Services, LLC (Columbia, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Blaine Winterton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Blaine Winterton was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.