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MR. MICHAEL A WINTER PA-C
NPI 1376822627
Physician Assistant in Mount Pleasant, SC

Active since August 04, 2011PECOS EnrolledAccepts Medicare Assignment
929 BOWMAN RD, STE 400, MOUNT PLEASANT, SC 29464(843) 730-4124(843) 806-4295 Get Directions Write a Review

NPPES record last updated: June 12, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 12, 2019, Jun 5, 2019 (2 updates tracked since 2019).

About Mr. Michael A Winter Pa-c NPPES

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

MR. MICHAEL A WINTER PA-C (NPI 1376822627) is an individual physician assistant in Mount Pleasant, South Carolina, licensed in South Carolina (PA3222) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1376822627
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. MICHAEL A WINTERCredential: PA-C
Location Address929 BOWMAN RD, STE 400Mount Pleasant, SC 29464-3237
Mailing Address929 Bowman Rd, Ste 400Mount Pleasant, SC 29464-3237 · (843) 730-4124 · Fax (843) 806-4295
Phone(843) 730-4124
Fax(843) 806-4295
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateAugust 4, 2011
Last NPPES UpdateJune 12, 20192 updates tracked since enumeration
✔ NPI 1376822627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in SC · PA3222✔ Licensed in LA · PA.200517
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
929 BOWMAN RD, Mount Pleasant, SC 29464
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Molina Healthcare.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

Mr. Michael A Winter Pa-c 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 ID4688844988
PECOS Enrollment IDI20190723001392
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 4

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
122 services122 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.
94 services66 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
43 services43 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.
24 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29464 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

Reported Quality Measures

Advance Care Plan
92%123 patients4/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
11%328 patients1/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
100%254 patients5/55-star benchmark: 100%
e-Prescribing
100%497 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
99%122 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
75%209 patients4/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 100% · 175 patients
100%175 patients
Provide Patients Electronic Access to Their Health Information
83%134 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 124 patients
Patients totalRate: 2% · 124 patients
2%124 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Neuromuscular stimulator, electronic shock unit E0745
DME-Other DME · category DE000N
1 supplier11 claims11 services$63.74 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 2

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

DR. STEVE CROSSLAND D.M.D.
Dentist
929 BOWMAN RD, SUITE A
MOUNT PLEASANT, SC 29464
Charleston County (843) 849-9616
CROSSLAND DENTAL ASSOCIATES, INC.
Dentist (General Practice)
929 BOWMAN RD, SUITE 100
MOUNT PLEASANT, SC 29464
Charleston County (843) 971-0661

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 Michael Winter's NPI number?

The NPI number for Michael Winter is 1376822627. It was assigned to this individual provider in the NPPES registry on August 4, 2011.

Where is Michael Winter located?

Michael Winter practices at 929 Bowman Rd Ste 400, Mount Pleasant, SC 29464. The listed phone number is (843) 730-4124.

What is Michael Winter's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Michael Winter enrolled in Medicare?

Yes. Michael Winter 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 Michael Winter accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Molina Healthcare list Michael Winter 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 Michael Winter was last updated on June 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.