DR. WINTER B WILSON D.O.
NPI 1225034770
Specialist in Guntersville, AL

Q: What is Winter Wilson's NPI number?

The NPI number for Winter Wilson is 1225034770. It was assigned to this individual provider in the NPPES registry on June 21, 2005.

Q: What is Winter Wilson's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Winter Wilson was last updated on July 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since June 21, 2005PECOS EnrolledAccepts Medicare Assignment

84.33/100

CMS Quality Rating

55 ROWE DR, STE C, GUNTERSVILLE, AL 35976(256) 753-8810(256) 753-8880 Get Directions Write a Review

NPPES record last updated: July 18, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Dr. Winter B Wilson D.o. NPPES

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

DR. WINTER B WILSON D.O. (NPI 1225034770) is an individual specialist in Guntersville, Alabama, licensed in Alabama (DO382) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of West Virginia School Of Osteopathic Medicine (1984).

NPPES Registry Identity

NPI1225034770

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. WINTER B WILSONCredential: D.O.

Location Address55 ROWE DR, STE CGuntersville, AL 35976-7366

Mailing Address55 Rowe Dr, Ste CGuntersville, AL 35976-7366 · (256) 753-8810 · Fax (256) 753-8880

Phone(256) 753-8810

Fax(256) 753-8880

Sole ProprietorNo

Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 1984

Enumeration DateJune 21, 2005

Last NPPES UpdateJuly 18, 2007

✔ NPI 1225034770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in AL · DO382

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

55 ROWE DR, Guntersville, AL 35976

Open in Google Maps ↗

Other Identifiers 2

Medicare PIND966AL

Medicare UPINC42410AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and more.Insurance ›

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. Winter B Wilson D.o. 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 ID7416842646

PECOS Enrollment IDI20100809000526

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 Reassignment

Medicare enrollment records show Winter Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Marshall Medical Center South Medical Specialists Of North Alabama

Same address

Gastroenterology

55 ROWE DR STE C
Guntersville, AL 35976

Reassigned Medicare billing, Alabama enrollment
5 clinicians in this Medicare group

NPI 1760998223 (256) 571-8810

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 14

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

158 services150 patients

Dilation of esophagus 43450

Dilation of the esophagus is a procedure aimed to stretch or open up your esophagus (the tube connecting your mouth to your stomach) when it's narrow. It helps to improve swallowing and alleviate discomfort. It's typically performed using a flexible tube or balloon, under sedation.

121 services89 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

82 services65 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

66 services65 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.

61 services36 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

58 services58 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

37 services36 patients

Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery 45384

This procedure involves using a flexible tube with a camera, called an endoscope, to view the large intestine. If any abnormal growths or polyps are found, they are removed with an electrically-heated instrument. This is a common way to prevent bowel issues.

34 services34 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

31 services31 patients

Destruction of polyp or growth of large bowel using a flexible endoscope 45388

This procedure involves the removal of a polyp or growth in the large bowel. A flexible endoscope, a thin tube with a camera, is inserted through the rectum to visualize and remove the growth. This helps maintain bowel health and prevent complications.

29 services29 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

28 services28 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

28 services28 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.

15 services14 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.

12 services12 patients

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.

84.33/100

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

Scored through an Alternative Payment Model

Quality

76.96

Improvement Activities

Other Providers at the Same Location NPPES 3

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

MARSHALL MEDICAL CENTER SOUTH MANGANARIS PULMONOLOGY

Internal Medicine (Pulmonary Disease)

55 ROWE DR, SUITE C
GUNTERSVILLE, AL 35976

Marshall County (256) 753-8810

MRS. JESSICA WALLACE HOWARD MSN, AGNP-C

Nurse Practitioner

55 ROWE DR, SUITE C
GUNTERSVILLE, AL 35976

Marshall County (256) 571-8807

MEDICAL SPECIALISTS OF N AL, PC

Clinic/Center

55 ROWE DR, SUITE C
GUNTERSVILLE, AL 35976

Marshall County (256) 753-8880

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 Winter Wilson's NPI number?

The NPI number for Winter Wilson is 1225034770. It was assigned to this individual provider in the NPPES registry on June 21, 2005.

Where is Winter Wilson located?

Winter Wilson practices at 55 Rowe Dr Ste C, Guntersville, AL 35976. The listed phone number is (256) 753-8810.

What is Winter Wilson's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Winter Wilson enrolled in Medicare?

Yes. Winter Wilson 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 organization bills Medicare for Winter Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Winter Wilson reassigns Medicare benefits to Marshall Medical Center South Medical Specialists Of North Alabama (Guntersville, AL). The 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 Winter Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Winter Wilson accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, Blue Cross and Blue Shield of Alabama and Oscar Insurance Company and 1 other insurer list Winter Wilson 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.

When was this NPI record last updated?

The NPPES record for Winter Wilson was last updated on July 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.