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SETH WINKLER M.D.
NPI 1265759831
Pediatrics in Summerville, SC

Active since April 22, 2010PECOS Enrolled
312 MIDLAND PKWY, SUMMERVILLE, SC 29485(843) 875-6262 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 24, 2026, May 20, 2022 (2 updates tracked since 2022).

About Seth Winkler M.d. NPPES

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

SETH WINKLER M.D. (NPI 1265759831) is an individual pediatrics provider in Summerville, South Carolina, licensed in South Carolina (82146) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, maintains a secondary practice location in Charleston, and is a graduate of Drexel University College Of Medicine (2010).

NPPES Registry Identity

NPI1265759831
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameSETH WINKLERCredential: M.D.
Location Address312 MIDLAND PKWYSummerville, SC 29485-8102
Mailing Address2214 Old Cherokee RdLexington, SC 29072-9725
Phone(843) 875-6262
Sole ProprietorNo
Medical School CMSDrexel University College Of MedicineGraduated 2010
Enumeration DateApril 22, 2010
Last NPPES UpdateMarch 24, 20262 updates tracked since enumeration
NPPES CertifiedMarch 24, 2026
✔ NPI 1265759831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in SC · 82146✔ Licensed in NY · 267976
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
312 MIDLAND PKWY, Summerville, SC 29485
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Secondary Practice Location 1

Location 1171 Ashley AveCharleston, SC 29425-0100 · Phone (843) 792-1414

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, First Choice Next, Molina Healthcare 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 (PECOS)

Seth Winkler M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325511496
PECOS Enrollment IDI20260622001190
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 Seth Winkler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Medical Associates
12 mi
Multi-Specialty
2125 CHARLIE HALL BLVD, SUITE 100
Charleston, SC 29414
  • Reassigned Medicare billing, South Carolina enrollment
  • Medicare enrollment name: University Medical Associates Of The Medical University Of South Carol
  • 2,594 clinicians in this Medicare group
NPI 1760413835 (843) 792-1414

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29485 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

Other Providers at the Same Location NPPES 4

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

RHONDA BASHEBA FORD
Counselor (Professional)
312 MIDLAND PKWY
SUMMERVILLE, SC 29485
Dorchester County (843) 376-3700
MR. MARK JEFFREY MCCALL MD
Pediatrics
312 MIDLAND PKWY
SUMMERVILLE, SC 29485
Dorchester County (843) 875-6262
MRS. HAZEL GRAMLING SEGELKEN CPNP
Nurse Practitioner (Pediatrics)
312 MIDLAND PKWY
SUMMERVILLE, SC 29485
Dorchester County (843) 875-6262
MRS. LEA TORBETT SCHWAB MD
Pediatrics
312 MIDLAND PKWY
SUMMERVILLE, SC 29485
Dorchester County (843) 875-6262

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 Seth Winkler's NPI number?

The NPI number for Seth Winkler is 1265759831. It was assigned to this individual provider in the NPPES registry on April 22, 2010.

Where is Seth Winkler located?

Seth Winkler practices at 312 Midland Pkwy, Summerville, SC 29485. The listed phone number is (843) 875-6262.

What is Seth Winkler's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Seth Winkler enrolled in Medicare?

Yes. Seth Winkler is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Seth Winkler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Seth Winkler reassigns Medicare benefits to University Medical Associates (Charleston, SC). 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 Seth Winkler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Seth Winkler accept?

Health plans from BlueCross BlueShield of South Carolina, First Choice Next, Molina Healthcare and UnitedHealthcare list Seth Winkler 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 Seth Winkler was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.