GERHARDT JULIUS WINKEL III MD
NPI 1184696593
Surgery in Monroe, NC

Active since February 02, 2006PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
1423 E FRANKLIN ST, STE B, MONROE, NC 28112(704) 290-5020 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 24 more (27 updates tracked since 2019).

About Gerhardt Julius Winkel Iii Md NPPES

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

GERHARDT JULIUS WINKEL III MD (NPI 1184696593) is an individual surgery provider in Monroe, North Carolina, licensed in North Carolina (2015-02235) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Rutherford Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1184696593
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameGERHARDT JULIUS WINKEL IIICredential: MD
Location Address1423 E FRANKLIN ST, STE BMonroe, NC 28112-5266
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1997
Enumeration DateFebruary 2, 2006
Last NPPES UpdateJuly 15, 202427 updates tracked since enumeration
NPI 1184696593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in NC · 2015-02235
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1423 E FRANKLIN ST, Monroe, NC 28112

Secondary Practice Locations 2

Location 1130 Forest Glen Rd, Ste BColumbus, NC 28722-3456 · Phone (828) 894-5627
Location 244 Hospital Dr, Ste 1AColumbus, NC 28722-8516 · Phone (828) 894-3300

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

Gerhardt Julius Winkel Iii 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 ID1658268487
PECOS Enrollment IDI20151229001974
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 7

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.

Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
1,495 services204 patients
Removal of tissue from wound, each additional 20.0 sq cm 97598
This procedure involves the careful removal of damaged tissue from a wound, typically beyond an initial 20.0 sq cm. This is done to promote healing, prevent infection, and improve the function and appearance of the area surrounding the wound.
404 services43 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
333 services152 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
268 services73 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
94 services94 patients
Removal of skin and tissue, each additional 20.0 sq cm or less 11045
This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.
76 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Rutherford Regional Medical Center

Acute Care Hospitals · Rutherfordton, NC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number340013
Location288 South Ridgecrest AveRutherfordton, NC 28139 · Rutherford County
Emergency services Birthing friendly

Atrium Health Cleveland

Acute Care Hospitals · Shelby, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340021
Location201 E Grover StShelby, NC 28150 · Cleveland County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28112 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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

Tape, non-waterproof, per 18 square inches A4450
DME-Medical/Surgical Supplies · category DA000N
2 suppliers12 claims1,000 services$0.10 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402
DME-Medical/Surgical Supplies · category DA023N
2 suppliers14 claims1,010 services$0.11 avg. paid by Medicare
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446
DME-Medical/Surgical Supplies · category DA023N
2 suppliers13 claims1,334 services$0.38 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 20

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

Obstetrics & Gynecology
1423 E FRANKLIN ST, SUITE I
MONROE, NC 28112
Surgery
1423 E FRANKLIN ST, STE B
MONROE, NC 28112
Nurse Practitioner (Family)
1423 E FRANKLIN ST, STE D
MONROE, NC 28112
Psychiatry & Neurology (Neurology)
1423 E FRANKLIN ST, SUITE A
MONROE, NC 28112
Emergency Medicine
1423 E FRANKLIN ST, STE B
MONROE, NC 28112
Family Medicine
1423 E FRANKLIN ST, SUITE F
MONROE, NC 28112
Family Medicine
1423 E FRANKLIN ST, STE D
MONROE, NC 28112
Psychiatry & Neurology (Neurology)
1423 E FRANKLIN ST, STE I
MONROE, NC 28112

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 Gerhardt Winkel's NPI number?

The NPI number for Gerhardt Winkel is 1184696593. It was assigned to this individual provider in the NPPES registry on February 2, 2006.

Where is Gerhardt Winkel located?

Gerhardt Winkel practices at 1423 E Franklin St Ste B, Monroe, NC 28112. The listed phone number is (704) 290-5020.

What is Gerhardt Winkel's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Gerhardt Winkel enrolled in Medicare?

Yes. Gerhardt Winkel 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 Gerhardt Winkel accept?

Health plans from Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina, InStil Health and Oscar Health Plan of North Carolina, Inc list Gerhardt Winkel 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 Gerhardt Winkel affiliated with any hospitals?

According to CMS data, Gerhardt Winkel is affiliated with Rutherford Regional Medical Center, Atrium Health Cleveland and Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Gerhardt Winkel was last updated on July 15, 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.