DR. JAMES ANDREW WINTER M.D.
NPI 1205890795
Pathology - Anatomic Pathology & Clinical Pathology in Pinehurst, NC

Active since April 13, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
155 MEMORIAL DR, PINEHURST, NC 28374(910) 215-1156(910) 215-1944 Get Directions Write a Review

NPPES record last updated: January 24, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. James Andrew Winter M.d. NPPES

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

DR. JAMES ANDREW WINTER M.D. (NPI 1205890795) is an individual anatomic pathology & clinical pathology provider in Pinehurst, North Carolina, licensed in North Carolina (9500478) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Firsthealth Moore Regional Hospital, and is a graduate of Ohio State University College Of Medicine (1991).

NPPES Registry Identity

NPI1205890795
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. JAMES ANDREW WINTERCredential: M.D.
Location Address155 MEMORIAL DRPinehurst, NC 28374-8710
Mailing AddressPo Box 100559Florence, SC 29501-0559 · (843) 664-4300 · Fax (843) 664-4308
Fax(910) 215-1944
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1991
Enumeration DateApril 13, 2006
Last NPPES UpdateJanuary 24, 2008
NPI 1205890795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in NC · 9500478
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedPathology · DermatopathologyTaxonomy 207ZD0900X · License 9500478 (NC)
155 MEMORIAL DR, Pinehurst, NC 28374

Other Identifiers 4

Medicare UPING24707
Medicaid8988251NC
Medicare PIN2222000ANC
Other88251NC · Bcbs

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. James Andrew Winter 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 ID8820900434
PECOS Enrollment IDI20100506000442
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 28

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
767 services407 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
443 services117 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
238 services203 patients
Protein measurement, serum 84165
A serum protein measurement is a blood test that determines the levels of proteins in your blood. It is used to evaluate your overall health, and diagnose nutritional problems, kidney disease, liver disease, or immune disorders.
136 services118 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
136 services94 patients
Pathology cytologic examination of specimen during surgery, each additional site 88334
A Pathology Cytologic Examination is a test performed during surgery to examine cells from an additional site in your body. This helps identify any abnormal or diseased cells. It's an important tool in diagnosing and managing various conditions.
136 services58 patients

Hospital Affiliations CMS Care Compare

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

Firsthealth Moore Regional Hospital

Acute Care Hospitals · Pinehurst, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340115
Location155 Memorial DrivePinehurst, NC 28374 · Moore County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28374 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost96.06

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.

Dietitian, Registered
155 MEMORIAL DR
PINEHURST, NC 28374
Emergency Medicine (Emergency Medical Services)
155 MEMORIAL DR
PINEHURST, NC 28374
Emergency Medicine (Emergency Medical Services)
155 MEMORIAL DR
PINEHURST, NC 28374
Nurse Anesthetist, Certified Registered
155 MEMORIAL DR
PINEHURST, NC 28374
Nurse Anesthetist, Certified Registered
155 MEMORIAL DR
PINEHURST, NC 28374
Psychiatry & Neurology (Neurology)
155 MEMORIAL DR
PINEHURST, NC 28374
Nurse Anesthetist, Certified Registered
155 MEMORIAL DR
PINEHURST, NC 28374
Anesthesiology
155 MEMORIAL DR
PINEHURST, NC 28374

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 James Winter's NPI number?

The NPI number for James Winter is 1205890795. It was assigned to this individual provider in the NPPES registry on April 13, 2006.

Where is James Winter located?

James Winter practices at 155 Memorial Dr, Pinehurst, NC 28374. The listed phone number is (910) 215-1156.

What is James Winter's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is James Winter enrolled in Medicare?

Yes. James Winter 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 James Winter affiliated with any hospitals?

According to CMS data, James Winter is affiliated with Firsthealth Moore Regional Hospital.

When was this NPI record last updated?

The NPPES record for James Winter was last updated on January 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.