DAVID E WINNER MD
NPI 1285627125
Family Medicine in Defiance, OH

Q: What is David Winner's NPI number?

The NPI number for David Winner is 1285627125. It was assigned to this individual provider in the NPPES registry on August 25, 2005.

Q: What is David Winner's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for David Winner was last updated on November 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 August 25, 2005PECOS EnrolledAccepts Medicare Assignment

1250 RALSTON AVE, SUITE 104, DEFIANCE, OH 43512(419) 784-3044(419) 784-1606 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About David E Winner Md NPPES

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

DAVID E WINNER MD (NPI 1285627125) is an individual family medicine provider in Defiance, Ohio, licensed in Ohio (35069202) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Promedica Toledo Hospital, and is a graduate of University Of Cincinnati College Of Medicine (1994).

NPPES Registry Identity

NPI1285627125

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDAVID E WINNERCredential: MD

Location Address1250 RALSTON AVE, SUITE 104Defiance, OH 43512-5311

Mailing Address1250 Ralston Ave, Suite 104Defiance, OH 43512-5311 · (419) 784-3044 · Fax (419) 784-1606

Phone(419) 784-3044

Fax(419) 784-1606

Sole ProprietorNo

Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1994

Enumeration DateAugust 25, 2005

Last NPPES UpdateNovember 3, 2023

✔ NPI 1285627125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OH · 35069202

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1250 RALSTON AVE, Defiance, OH 43512

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Other Identifiers 4

Other000000338204OH · Anthem

Medicaid2039323OH

Other22-18100OH · Uhc

Other03154OH · Phc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

David E Winner Md 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 ID7012983091

PECOS Enrollment IDI20040909001452

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 18

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.

Injection, denosumab, 1 mg J0897

Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.

1,200 services11 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

203 services123 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

182 services93 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.

145 services65 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

114 services114 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

108 services57 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

92 services70 patients

Blood glucose (sugar) test performed by hand-held instrument 82962

A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.

86 services47 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.

68 services63 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

54 services48 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

53 services50 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

49 services49 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

43 services27 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

32 services18 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

20 services19 patients

Manual urinalysis test with examination using microscope, automated 81001

A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.

18 services15 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

18 services18 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428

This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360068

Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County

Emergency services Birthing friendly

Mercy Health - Defiance Hospital

Acute Care Hospitals · Defiance, OH

4/5 CMS rating

OwnershipProprietary

CMS Certification Number360270

Location1404 East Second StreetDefiance, OH 43512 · Defiance County

Emergency services

Promedica Defiance Regional Hospital

Critical Access Hospitals · Defiance, OH

OwnershipVoluntary non-profit - Private

CMS Certification Number361328

Location1200 Ralston AvenueDefiance, OH 43512 · Defiance County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43512 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Referred Medical Equipment & Supplies CMS DME claims 13

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

12 suppliers56 claims145 services$6.19 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

10 suppliers32 claims44 services$1.00 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

4 suppliers15 claims15 services$40.54 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

4 suppliers13 claims13 services$80.69 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

4 suppliers20 claims59 services$20.87 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

5 suppliers15 claims15 services$74.76 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 17

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

BETH A BESAW MD

Family Medicine

1250 RALSTON AVE, SUITE 104
DEFIANCE, OH 43512

Defiance County (419) 783-6995

DEFIANCE REGIONAL MEDICAL CENTER

Social Worker (Clinical)

1250 RALSTON AVE, SUITE 105
DEFIANCE, OH 43512

Defiance County (419) 783-6805

STANISLAW P DAJCZAK MD

Orthopaedic Surgery

1250 RALSTON AVE, SUITE 102
DEFIANCE, OH 43512

Defiance County (419) 783-6996

BETHANY ANNE GRAHAM CNP

Nurse Practitioner

1250 RALSTON AVE, SUITE 204
DEFIANCE, OH 43512

Defiance County (419) 782-8332

ROSEMARY K REITER MD

Family Medicine

1250 RALSTON AVE, SUITE 204
DEFIANCE, OH 43512

Defiance County (419) 782-8332

PAULA SPROW NP

Nurse Practitioner

1250 RALSTON AVE, SUITE 204
DEFIANCE, OH 43512

Defiance County (419) 782-8332

JOE W SAYRE MD

Surgery

1250 RALSTON AVE, SUITE 203
DEFIANCE, OH 43512

Defiance County (419) 783-6997

DR. JOSHUA MICHAEL LUCAS M.D.

Family Medicine

1250 RALSTON AVE, SUITE 204
DEFIANCE, OH 43512

Defiance County (419) 782-8332

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 David Winner's NPI number?

The NPI number for David Winner is 1285627125. It was assigned to this individual provider in the NPPES registry on August 25, 2005.

Where is David Winner located?

David Winner practices at 1250 Ralston Ave Suite 104, Defiance, OH 43512. The listed phone number is (419) 784-3044.

What is David Winner's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is David Winner enrolled in Medicare?

Yes. David Winner 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 David Winner accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual list David Winner 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.

Is David Winner affiliated with any hospitals?

According to CMS data, David Winner is affiliated with Promedica Toledo Hospital, Mercy Health - Defiance Hospital and Promedica Defiance Regional Hospital.

When was this NPI record last updated?

The NPPES record for David Winner was last updated on November 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.