ROBERT J WINCHELL MD
NPI 1346320538
Surgery in New York, NY

Active since October 16, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
525 E 68TH STREET, STARR 8, NEW YORK, NY 10065(646) 962-8490(212) 746-8991 Get Directions Write a Review

NPPES record last updated: October 6, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Robert J Winchell Md NPPES

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

ROBERT J WINCHELL MD (NPI 1346320538) is an individual surgery provider in New York, New York, licensed in New York (281064) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of Yale University School Of Medicine (1984).

NPPES Registry Identity

NPI1346320538
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameROBERT J WINCHELLCredential: MD
Location Address525 E 68TH STREET, STARR 8New York, NY 10065
Mailing Address525 E 68th Street, Room P7-714, Box 116New York, NY 10065 · (646) 962-8490 · Fax (212) 746-8991
Fax(212) 746-8991
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 1984
Enumeration DateOctober 16, 2006
Last NPPES UpdateOctober 6, 2021
NPPES CertifiedDecember 14, 2020
NPI 1346320538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses Licensed in NY · 281064 Licensed in ME · 015765
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

525 E 68TH STREET, New York, NY 10065

Other Identifiers 2

Medicaid335860099ME
Medicaid30203229NH

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

Robert J Winchell 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 ID2668429374
PECOS Enrollment IDI20151029000122
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 5

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.

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.
79 services50 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.
42 services42 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
41 services17 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
38 services27 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.
14 services12 patients

Hospital Affiliations CMS Care Compare

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

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10065 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Transport chair, adult size, patient weight capacity up to and including 300 pounds E1038
DME-Other DME · category DE000N
1 supplier11 claims11 services$8.13 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.

Internal Medicine (Hospice and Palliative Medicine)
525 E 68TH STREET, DIVISION OF GERIATRICS & PALLIATIVE MEDICINE
NEW YORK, NY 10065
Physician Assistant
525 E 68TH STREET
NEW YORK, NY 10065
Hospitalist
525 E 68TH STREET, STARR 5
NEW YORK, NY 10065
Radiology (Vascular & Interventional Radiology)
525 E 68TH STREET, PAYSON PAVILION 5
NEW YORK, NY 10065
Radiology (Diagnostic Radiology)
525 E 68TH STREET
NEW YORK, NY 10065
Transplant Surgery
525 E 68TH STREET
NEW YORK, NY 10065
Physical Therapist
525 E 68TH STREET
NEW YORK, NY 10065
Hospitalist
525 E 68TH STREET, STARR 5
NEW YORK CITY, NY 10065

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 Robert Winchell's NPI number?

The NPI number for Robert Winchell is 1346320538. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is Robert Winchell located?

Robert Winchell practices at 525 E 68th Street Starr 8, New York, NY 10065. The listed phone number is (646) 962-8490.

What is Robert Winchell's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Robert Winchell enrolled in Medicare?

Yes. Robert Winchell 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.

Is Robert Winchell affiliated with any hospitals?

According to CMS data, Robert Winchell is affiliated with New York-Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Robert Winchell was last updated on October 6, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.