DERRICK JOHN WINCKLER PAC
NPI 1285076661
Physician Assistant - Surgical in Lone Tree, CO

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

Active since July 25, 2013PECOS EnrolledAccepts Medicare Assignment

10099 RIDGEGATE PKWY, SUITE 310, LONE TREE, CO 80124(303) 790-1800(303) 790-1809 Get Directions Write a Review

NPPES record last updated: October 27, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Derrick John Winckler Pac NPPES

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

DERRICK JOHN WINCKLER PAC (NPI 1285076661) is an individual surgical provider in Lone Tree, Colorado, licensed in Colorado (0003752) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1285076661

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameDERRICK JOHN WINCKLERCredential: PAC

Location Address10099 RIDGEGATE PKWY, SUITE 310Lone Tree, CO 80124-5531

Mailing Address10099 Ridgegate Pkwy, Suite 310Lone Tree, CO 80124-5531 · (303) 790-1800 · Fax (303) 790-1809

Phone(303) 790-1800

Fax(303) 790-1809

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateJuly 25, 2013

Last NPPES UpdateOctober 27, 2014

✔ NPI 1285076661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in CO · 0003752

10099 RIDGEGATE PKWY, Lone Tree, CO 80124

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Other Identifiers 1

Other0003752CO · Co State License

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

Derrick John Winckler Pac 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 ID3577798974

PECOS Enrollment IDI20131019000054

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 12

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853

Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.

66 services30 patients

Fusion of additional segment of spine 22614

Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.

55 services21 patients

Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048

This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.

45 services28 patients

Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047

This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.

28 services26 patients

Placement of stabilizing device to back, 3-6 spine bone segments 22842

This procedure involves placing a device on your back to stabilize 3-6 spine bone segments. It aids in maintaining spine alignment and reducing pain. The device is secured to the bones, providing support and promoting healing.

26 services25 patients

Fusion of spine in lower back 22612

Fusion of the spine in the lower back, also known as lumbar spinal fusion, is a surgery aimed to join, or fuse, two or more vertebrae in your lower back. This procedure can help alleviate pain and improve stability by reducing movement between the vertebrae.

22 services20 patients

Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc 22551

This procedure involves fusing together the bones in the upper spine to stabilize it. A disc is removed to ease pressure on the spinal cord or nerve. This helps reduce pain and improve mobility. This is a common treatment for certain spinal conditions.

20 services20 patients

Placement of stabilizing device to front, 2-3 spine bone segments 22845

This procedure involves positioning a stabilizing device on the front of 2-3 segments of your spine. It's designed to provide support and stability to your spine, potentially alleviating discomfort and improving mobility.

20 services20 patients

Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc 22552

This is a surgical procedure where the upper spine bones are joined together after removing a disc. This helps to relieve pressure on the spinal cord or nerves. If more discs need to be removed, the same process is repeated for each additional disc.

19 services13 patients

Exploration of spine fusion 22830

Exploration of spine fusion is a procedure to examine a previously performed spinal fusion surgery. The process checks the success of the fusion or finds potential issues, such as hardware failure or non-union of the fused vertebrae. It's a diagnostic tool to ensure healing.

15 services15 patients

Fusion of spine in neck by posterior approach 22600

Fusion of the spine in the neck by a posterior approach is a surgery to stabilize the neck. It involves connecting two or more vertebrae in the neck from the back side. This can reduce pain and improve stability by limiting movement of the neck.

13 services13 patients

Spinal fusion NAN02

Spinal fusion is a surgical procedure aimed at connecting two or more vertebrae in your spine to reduce pain and improve stability. It involves using a bone graft to cause the vertebrae to grow together, limiting the movement between them. This procedure is often performed to treat conditions like herniated discs or spinal stenosis.

0 services1 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.

DR. CYNTHIA G KRISTENSEN MD

Internal Medicine (Nephrology)

10099 RIDGEGATE PKWY, STE 310
LONE TREE, CO 80124

Douglas County (303) 327-4700

DR. SUSAN L PASH-LOHR DO

Family Medicine

10099 RIDGEGATE PKWY, SUITE 340
LONE TREE, CO 80124

Douglas County (303) 706-0400

DR. ROBERT MARK LOHR DO

Family Medicine

10099 RIDGEGATE PKWY, SUITE 340
LONE TREE, CO 80124

Douglas County (303) 706-0400

DR. REGINALD LOUIS WASHINGTON M.D.

Pediatrics (Pediatric Cardiology)

10099 RIDGEGATE PKWY, SUITE 300
LONE TREE, CO 80124

Douglas County (303) 860-9933

DR. HENRY PATRICK CARR M.D.

Otolaryngology (Plastic Surgery within the Head & Neck)

10099 RIDGEGATE PKWY, SUITE 230
LONE TREE, CO 80124

Douglas County (303) 706-1616

SOUTHEAST FAMILY PHYSICIANS

Family Medicine

10099 RIDGEGATE PKWY, SUITE 340
LONE TREE, CO 80124

Douglas County (303) 706-0400

DR. CHRISTOPHER K. BLICHARSKI M.D.

Internal Medicine

10099 RIDGEGATE PKWY, CONIFER BUILDING, SUITE 210
LONE TREE, CO 80124

Douglas County (803) 431-9093

MRS. TANYA AYA ATAGI M.D.

Specialist

10099 RIDGEGATE PKWY, SUITE 430
LONE TREE, CO 80124

Douglas County (303) 327-7300

DERRICK JOHN WINCKLER PAC
NPI 1285076661
Physician Assistant - Surgical in Lone Tree, CO

About Derrick John Winckler Pac NPPES

NPPES Registry Identity

Specialties & Licenses

Other Identifiers 1

Medicare Participation & PECOS CMS

Medicare Enrollment Status

Areas of Expertise CMS Part B claims 12

Other Providers at the Same Location NPPES 20

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