EMILY JUNE WINTERTON M.D.
NPI 1346556156
Obstetrics & Gynecology in Sioux Falls, SD

Q: What is Emily Winterton's NPI number?

The NPI number for Emily Winterton is 1346556156. It was assigned to this individual provider in the NPPES registry on August 31, 2010.

Q: What is Emily Winterton's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Emily Winterton was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 31, 2010PECOS EnrolledAccepts Medicare Assignment

1417 S CLIFF AVE STE 401, SIOUX FALLS, SD 57105(605) 322-8920(605) 322-8919 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Emily June Winterton M.d. NPPES

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

EMILY JUNE WINTERTON M.D. (NPI 1346556156) is an individual obstetrics & gynecology provider in Sioux Falls, South Dakota, licensed in South Dakota (10373) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS, is affiliated with Avera Mckennan Hospital & University Health Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1346556156

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameEMILY JUNE WINTERTONCredential: M.D.

Location Address1417 S CLIFF AVE STE 401Sioux Falls, SD 57105-1064

Mailing Address1417 S Cliff Ave Ste 401Sioux Falls, SD 57105-1064 · (605) 322-8920 · Fax (605) 322-8919

Phone(605) 322-8920

Fax(605) 322-8919

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateAugust 31, 2010

Last NPPES UpdateJuly 21, 2022

✔ NPI 1346556156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in SD · 10373✔ Licensed in NE · 28131

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1417 S CLIFF AVE STE 401, Sioux Falls, SD 57105

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Wellmark Health Plan of Iowa, Inc., Wellmark of South Dakota, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Emily June Winterton 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 ID8224250360

PECOS Enrollment IDI20170822002859

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 Reassignments

Medicare enrollment records show Emily Winterton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Avera Mckennan

Same address

Maternal & Fetal Medicine

1417 S. CLIFF AVE., STE. 100
Sioux Falls, SD 57105

Reassigned Medicare billing, South Dakota enrollment
1,277 clinicians in this Medicare group

NPI 1205808748 (605) 322-8937

Avera Medical Group Webster

131 mi

Family Medicine

401 E HIGHWAY 12 STE 2
Webster, SD 57274

Reassigned Medicare billing, South Dakota enrollment
Medicare enrollment name: Avera St Lukes
259 clinicians in this Medicare group

NPI 1588978423 (605) 345-2222

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

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430016

Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57105 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

$126.78 typical visit price

range $55.52 – $167.23

Typical copayment $31.69 (range $13.88 – $41.80)

Most-billed visit code 99204

Established Patient

$69.20 typical visit price

range $18.08 – $137.08

Typical copayment $17.30 (range $4.52 – $34.27)

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.

Other Providers at the Same Location NPPES 3

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

JOY MARIE ROTH FNP-C

Nurse Practitioner (Family)

1417 S CLIFF AVE STE 401
SIOUX FALLS, SD 57105

Minnehaha County (605) 322-8920

AVERA MCKENNAN

Obstetrics & Gynecology

1417 S CLIFF AVE STE 401
SIOUX FALLS, SD 57105

Minnehaha County (605) 322-8920

AVERA MCKENNAN

Community Health Worker

1417 S CLIFF AVE STE 401
SIOUX FALLS, SD 57105

Minnehaha County (605) 322-8920

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 Emily Winterton's NPI number?

The NPI number for Emily Winterton is 1346556156. It was assigned to this individual provider in the NPPES registry on August 31, 2010.

Where is Emily Winterton located?

Emily Winterton practices at 1417 S Cliff Ave Ste 401, Sioux Falls, SD 57105. The listed phone number is (605) 322-8920.

What is Emily Winterton's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Emily Winterton enrolled in Medicare?

Yes. Emily Winterton 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.

Which organizations bill Medicare for Emily Winterton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emily Winterton reassigns Medicare benefits to 2 organizations: Avera Mckennan (Sioux Falls, SD) and Avera Medical Group Webster (Webster, SD). Each 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 Emily Winterton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emily Winterton accept?

Health plans from Avera Health Plans, Wellmark Health Plan of Iowa, Inc. and Wellmark of South Dakota, Inc. list Emily Winterton 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 Emily Winterton affiliated with any hospitals?

According to CMS data, Emily Winterton is affiliated with Avera Mckennan Hospital & University Health Center.

When was this NPI record last updated?

The NPPES record for Emily Winterton was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.