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

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: August 09, 2026.

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
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

Other Identifiers 2

Medicare PIND966AL
Medicare UPINC42410AL

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

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.

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

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
Quality76.96
Improvement Activities40

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.

Internal Medicine (Pulmonary Disease)
55 ROWE DR, SUITE C
GUNTERSVILLE, AL 35976
Nurse Practitioner
55 ROWE DR, SUITE C
GUNTERSVILLE, AL 35976
Clinic/Center
55 ROWE DR, SUITE C
GUNTERSVILLE, AL 35976

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.

What insurance does Winter Wilson accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 2 other insurers 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.