DR. JERALD LUKE WINTER M.D.
NPI 1245297316
Pathology - Anatomic Pathology & Clinical Pathology in Winston Salem, NC

Active since May 01, 2006PECOS EnrolledAccepts Medicare Assignment
86.48/100
CMS Quality Rating
195 KIMEL PARK DR STE 200, WINSTON SALEM, NC 27103(336) 768-6211 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 7, 2024, Nov 8, 2018 (2 updates tracked since 2018).

About Dr. Jerald Luke Winter M.d. NPPES

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

DR. JERALD LUKE WINTER M.D. (NPI 1245297316) is an individual anatomic pathology & clinical pathology provider in Winston Salem, North Carolina, licensed in North Carolina (9701660) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Wake Forest University School Of Medicine (1995).

NPPES Registry Identity

NPI1245297316
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. JERALD LUKE WINTERCredential: M.D.
Location Address195 KIMEL PARK DR STE 200Winston Salem, NC 27103-6967
Mailing Address513 Eagles Nest CtWinston-salem, NC 27127-6787 · (336) 784-8285
Sole ProprietorNo
Medical School CMSWake Forest University School Of MedicineGraduated 1995
Enumeration DateMay 1, 2006
Last NPPES UpdateAugust 7, 20242 updates tracked since enumeration
NPPES CertifiedAugust 7, 2024
NPI 1245297316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in NC · 9701660
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.

195 KIMEL PARK DR STE 200, Winston Salem, NC 27103

Other Identifiers 1

Medicaid891340ENC

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. Jerald Luke 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 ID1658342340
PECOS Enrollment IDI20040805000087
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 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.

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.
1,839 services1,093 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.
163 services162 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27103 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.

86.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.58
Promoting Interoperability100
Improvement Activities40
Cost67.37

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.

Internal Medicine (Gastroenterology)
195 KIMEL PARK DR STE 200
WINSTON SALEM, NC 27103
Internal Medicine
195 KIMEL PARK DR STE 200
WINSTON SALEM, NC 27103
Internal Medicine (Gastroenterology)
195 KIMEL PARK DR STE 200
WINSTON SALEM, NC 27103
Internal Medicine (Gastroenterology)
195 KIMEL PARK DR STE 200
WINSTON SALEM, NC 27103
Physician Assistant
195 KIMEL PARK DR STE 200
WINSTON SALEM, NC 27103
Internal Medicine (Gastroenterology)
195 KIMEL PARK DR STE 200
WINSTON SALEM, NC 27103
Internal Medicine
195 KIMEL PARK DR STE 200
WINSTON SALEM, NC 27103
Physician Assistant
195 KIMEL PARK DR STE 200
WINSTON SALEM, NC 27103

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 Jerald Winter's NPI number?

The NPI number for Jerald Winter is 1245297316. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Where is Jerald Winter located?

Jerald Winter practices at 195 Kimel Park Dr Ste 200, Winston Salem, NC 27103. The listed phone number is (336) 768-6211.

What is Jerald Winter's specialty?

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

Is Jerald Winter enrolled in Medicare?

Yes. Jerald 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.

What insurance does Jerald Winter accept?

Health plans from Blue Cross and Blue Shield of NC list Jerald Winter 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 Jerald Winter was last updated on August 7, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.