MARK ROBERT WINKLE M.D.
NPI 1457379240
Otolaryngology in Grand Rapids, MI

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment
655 KENMOOR AVE SE, SUITE A, GRAND RAPIDS, MI 49546(616) 575-1212(616) 575-1219 Get Directions Write a Review

NPPES record last updated: July 21, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mark Robert Winkle M.d. NPPES

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

MARK ROBERT WINKLE M.D. (NPI 1457379240) is an individual otolaryngology provider in Grand Rapids, Michigan, licensed in Michigan (MW075576) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Vanderbilt University School Of Medicine (1995).

NPPES Registry Identity

NPI1457379240
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameMARK ROBERT WINKLECredential: M.D.
Location Address655 KENMOOR AVE SE, SUITE AGrand Rapids, MI 49546-8622
Mailing Address655 Kenmoor Ave Se, Suite AGrand Rapids, MI 49546-8622 · (616) 575-1212 · Fax (616) 575-1219
Fax(616) 575-1219
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 1995
Enumeration DateJuly 18, 2006
Last NPPES UpdateJuly 21, 2008
NPI 1457379240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in MI · MW075576
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

655 KENMOOR AVE SE, Grand Rapids, MI 49546

Other Identifiers 6

Other40015120MI · Railroad Medicare
Other0D11035MI · Blue Cross Blue Shield
Medicare ID-Type UnspecifiedON10350MI
Medicare UPINH14640MI
Medicaid4212922MI
Medicare PINP58750002MI

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

Mark Robert Winkle 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 ID1951400373
PECOS Enrollment IDI20080703000381
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 7

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
123 services78 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
103 services80 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
75 services58 patients
Established patient office or other outpatient visit, 10-19 minutes 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.
74 services57 patients
New patient office or other outpatient visit, 15-29 minutes 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
56 services56 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
35 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Mercy Health Saint Mary's

Acute Care Hospitals · Grand Rapids, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230059
Location200 Jefferson Avenue SEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49546 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each A7507
DME-Orthotic Devices · category DF000N
2 suppliers17 claims1,204 services$2.41 avg. paid by Medicare
Housing and integrated adhesive, for use in a tracheostoma heat and moisture exchange system and/or with a tracheostoma valve, each A7508
DME-Orthotic Devices · category DF000N
1 supplier12 claims735 services$2.77 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 10

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

Physician Assistant
655 KENMOOR AVE SE, SUITE 200
GRAND RAPIDS, MI 49546
Dermatology
655 KENMOOR AVE SE, SUITE 200
GRAND RAPIDS, MI 49546
Otolaryngology
655 KENMOOR AVE SE, SUITE A
GRAND RAPIDS, MI 49546
Otolaryngology
655 KENMOOR AVE SE, SUITE A
GRAND RAPIDS, MI 49546
Otolaryngology
655 KENMOOR AVE SE, SUITE A
GRAND RAPIDS, MI 49546
Audiologist
655 KENMOOR AVE SE
GRAND RAPIDS, MI 49546
Audiologist
655 KENMOOR AVE SE
GRAND RAPIDS, MI 49546
Audiologist
655 KENMOOR AVE SE, STE A
GRAND RAPIDS, MI 49546

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457379240, enumerated as an "individual" on July 18, 2006.

The provider is located at 655 KENMOOR AVE SE SUITE A GRAND RAPIDS, MI 49546 and the phone number is (616) 575-1212.

Otolaryngology with taxonomy code 207Y00000X.

The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.

Mark Winkle is affiliated with: SPECTRUM HEALTH and MERCY HEALTH SAINT MARY'S.