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DR. MATTHEW C WINKLEMAN MD
NPI 1225018153
Family Medicine in Harrisburg, IL

Active since January 18, 2006PECOS EnrolledAccepts Medicare Assignment
117 E CLARK ST, HARRISBURG, IL 62946(618) 252-8625(618) 252-2540 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 10, 2025, Sep 30, 2021, Feb 2, 2021 and 1 more (4 updates tracked since 2019).

About Dr. Matthew C Winkleman Md NPPES

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

DR. MATTHEW C WINKLEMAN MD (NPI 1225018153) is an individual family medicine provider in Harrisburg, Illinois, licensed in Illinois (036112963) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Herrin Hospital, and maintains a secondary practice location in Marion.

NPPES Registry Identity

NPI1225018153
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MATTHEW C WINKLEMANCredential: MD
Location Address117 E CLARK STHarrisburg, IL 62946-2702
Mailing AddressPo Box 3988Carbondale, IL 62902-3988 · (618) 457-5200
Phone(618) 252-8625
Fax(618) 252-2540
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 2002
Enumeration DateJanuary 18, 2006
Last NPPES UpdateJune 10, 20254 updates tracked since enumeration
NPPES CertifiedJune 10, 2025
✔ NPI 1225018153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036112963
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
117 E CLARK ST, Harrisburg, IL 62946
Open in Google Maps ↗

Secondary Practice Location 1

Location 13106 Outer DrMarion, IL 62959-5270 · Phone (618) 997-4332 · Fax (618) 351-4857

Other Identifiers 1

Medicaid036112963IL

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

Dr. Matthew C Winkleman 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 ID9335118249
PECOS Enrollment IDI20040928000682, I20050817000120
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 Matthew Winkleman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Harrisburg Medical Center Inc
2.1 mi
General Acute Care Hospital
100 DR WARREN TUTTLE DRIVE
Harrisburg, IL 62946
  • Reassigned Medicare billing, Illinois enrollment
  • 44 clinicians in this Medicare group
NPI 1396878658 (618) 253-7671
Southern Illinois Medical Services, Nfp
36 mi
Internal Medicine
1239 E MAIN ST
Carbondale, IL 62901
  • Reassigned Medicare billing, Illinois enrollment
  • 702 clinicians in this Medicare group
NPI 1770656837 (618) 457-5200

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 3

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.

Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
29 services25 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
24 services12 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
22 services18 patients

Hospital Affiliations CMS Care Compare 5

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

Herrin Hospital

Acute Care Hospitals · Herrin, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140011
Location201 S 14th StHerrin, IL 62948 · Williamson County
Emergency services

Memorial Hospital Of Carbondale

Acute Care Hospitals · Carbondale, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140164
Location405 W JacksonCarbondale, IL 62901 · Jackson County
Emergency services Birthing friendly

Heartland Regional Medical Center

Acute Care Hospitals · Marion, IL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number140184
Location3333 W DeyoungMarion, IL 62959 · Williamson County
Emergency services

Harrisburg Medical Center

Acute Care Hospitals · Harrisburg, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140210
Location100 Doctor Warren Tuttle DrHarrisburg, IL 62946 · Saline County
Emergency services

Hamilton Memorial Hospital

Critical Access Hospitals · Mcleansboro, IL
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141326
Location611 S Marshall AvenueMcleansboro, IL 62859 · Hamilton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62946 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Referred Medical Equipment & Supplies CMS DME claims 26

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers34 claims77 services$6.14 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers13 claims16 services$1.12 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
2 suppliers15 claims3,480 services$1.70 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers21 claims21 services$42.12 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers20 claims20 services$100.47 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers12 claims19 services$36.98 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.

MRS. KRYSTA ANN MITCHELL FNP-C
Nurse Practitioner
117 E CLARK ST
HARRISBURG, IL 62946
Saline County (618) 252-8625
DR. JENNIFER MARIE SCAGLIOLA D.O.
Surgery
117 E CLARK ST, SIH MEDICAL GROUP PRIMARY CARE HARRISBURG
HARRISBURG, IL 62946
Saline County (618) 252-8625
JOSEPH BAXTER DPT
Physical Therapist
117 E CLARK ST
HARRISBURG, IL 62946
Saline County (618) 294-9326
KIMBERLY ANN KESER CS-FNP
Nurse Practitioner
117 E CLARK ST
HARRISBURG, IL 62946
Saline County (618) 252-8625
BRENT M JONES MD
Family Medicine
117 E CLARK ST
HARRISBURG, IL 62946
Saline County (618) 252-8625
DIANNA QUESTELLE
Massage Therapist
117 E CLARK ST
HARRISBURG, IL 62946
Saline County (618) 252-8625
MRS. KATHERINE EMILY JONES LCSW
Social Worker (Clinical)
117 E CLARK ST
HARRISBURG, IL 62946
Saline County (618) 927-8942
TURENNE M METAYER DPM
Podiatrist (Foot & Ankle Surgery)
117 E CLARK ST
HARRISBURG, IL 62946
Saline County (618) 294-9300

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 Matthew Winkleman's NPI number?

The NPI number for Matthew Winkleman is 1225018153. It was assigned to this individual provider in the NPPES registry on January 18, 2006.

Where is Matthew Winkleman located?

Matthew Winkleman practices at 117 E Clark St, Harrisburg, IL 62946. The listed phone number is (618) 252-8625.

What is Matthew Winkleman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Matthew Winkleman enrolled in Medicare?

Yes. Matthew Winkleman 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 Matthew Winkleman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Winkleman reassigns Medicare benefits to 2 organizations: Harrisburg Medical Center Inc (Harrisburg, IL) and Southern Illinois Medical Services, Nfp (Carbondale, IL). 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 Matthew Winkleman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Matthew Winkleman affiliated with any hospitals?

According to CMS data, Matthew Winkleman is affiliated with Herrin Hospital, Memorial Hospital Of Carbondale, Heartland Regional Medical Center, Harrisburg Medical Center and Hamilton Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Winkleman was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.