DR. MARK D. WINTON M.D.
NPI 1316943673
Internal Medicine - Infectious Disease in Bozeman, MT

Active since June 22, 2005PECOS EnrolledAccepts Medicare Assignment
97.64/100
CMS Quality Rating
905 HIGHLAND BLVD, SUITE 4500, BOZEMAN, MT 59715(406) 414-5200 Get Directions Write a Review

NPPES record last updated: May 21, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mark D. Winton M.d. NPPES

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

DR. MARK D. WINTON M.D. (NPI 1316943673) is an individual infectious disease provider in Bozeman, Montana, licensed in Montana (11649) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Missouri, Columbia School Of Medicine (1983).

NPPES Registry Identity

NPI1316943673
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. MARK D. WINTONCredential: M.D.
Location Address905 HIGHLAND BLVD, SUITE 4500Bozeman, MT 59715
Mailing Address905 Highland Blvd, Suite 4500Bozeman, MT 59715-6901 · (406) 414-4210
Sole ProprietorYes
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 1983
Enumeration DateJune 22, 2005
Last NPPES UpdateMay 21, 2018
NPI 1316943673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Licenses Licensed in MT · 11649 Licensed in MO · 36530
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
905 HIGHLAND BLVD, Bozeman, MT 59715

Other Names 1

Professional Name (2)Dr. Mark D. Winton Md

Other Identifiers 10

Other440003884MO · Railroad Medicare
OtherA10703MS · Mercy
Other202030003MO · Missouri Care
Other470872293MO · Tricare
Other9204000MO · United Healthcare
Other176373MO · Healthlink
Medicaid202030003MO
Other24081MO · Blue Cross Blue Shield
Other2443MO · Healthcare Usa
Other127617MO · Group Health Plans

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. Mark D. Winton 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 ID2163418765
PECOS Enrollment IDI20230428002091
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

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.

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59715 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
$130.52 typical visit price
range $56.81 – $172.26
Typical copayment $32.63 (range $14.20 – $43.06)
Most-billed visit code 99204
Established Patient
$100.16 typical visit price
range $18.24 – $140.32
Typical copayment $25.04 (range $4.56 – $35.08)
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.

97.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.77
Promoting Interoperability98.67
Improvement Activities40

Other Providers at the Same Location NPPES 13

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

Physician Assistant (Medical)
905 HIGHLAND BLVD, SUITE 4100
BOZEMAN, MT 59715
Registered Nurse (Registered Nurse First Assistant)
905 HIGHLAND BLVD
BOZEMAN, MT 59715
Internal Medicine (Cardiovascular Disease)
905 HIGHLAND BLVD, SUITE 4330
BOZEMAN, MT 59715
Internal Medicine
905 HIGHLAND BLVD
BOZEMAN, MT 59715
Clinic/Center
905 HIGHLAND BLVD, SUITE 4100
BOZEMAN, MT 59715
Clinical Nurse Specialist (Adult Health)
905 HIGHLAND BLVD, SUITE4500
BOZEMAN, MT 59715
Obstetrics & Gynecology
905 HIGHLAND BLVD, SUITE 4500
BOZEMAN, MT 59715
Pharmacist
905 HIGHLAND BLVD, SUITE 4350
BOZEMAN, MT 59715

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 Mark Winton's NPI number?

The NPI number for Mark Winton is 1316943673. It was assigned to this individual provider in the NPPES registry on June 22, 2005. The provider is also known as Dr. Mark D. Winton MD.

Where is Mark Winton located?

Mark Winton practices at 905 Highland Blvd Suite 4500, Bozeman, MT 59715. The listed phone number is (406) 414-5200.

What is Mark Winton's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Mark Winton enrolled in Medicare?

Yes. Mark Winton 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 Mark Winton accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, Oscar Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Mark Winton 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 Mark Winton was last updated on May 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.