DR. SEAN MICHAEL WINKLE MD
NPI 1497214274
Internal Medicine in Salem, VA

Q: What is Sean Winkle's NPI number?

The NPI number for Sean Winkle is 1497214274. It was assigned to this individual provider in the NPPES registry on March 19, 2019.

Q: What is Sean Winkle's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Sean Winkle was last updated on June 7, 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 March 19, 2019PECOS EnrolledAccepts Medicare Assignment

1900 ELECTRIC RD, SALEM, VA 24153(540) 728-0332 Get Directions Write a Review

NPPES record last updated: June 7, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 7, 2022, Apr 4, 2022, Mar 19, 2019 (3 updates tracked since 2019).

On this page

About Dr. Sean Michael Winkle Md NPPES

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

DR. SEAN MICHAEL WINKLE MD (NPI 1497214274) is an individual internal medicine provider in Salem, Virginia, licensed in Virginia (0116033339) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Carilion Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1497214274

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. SEAN MICHAEL WINKLECredential: MD

Location Address1900 ELECTRIC RDSalem, VA 24153-7494

Mailing Address8 Kristian DrSicklerville, NJ 08081-4947 · (609) 335-1280

Phone(540) 728-0332

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMarch 19, 2019

Last NPPES UpdateJune 7, 20223 updates tracked since enumeration

NPPES CertifiedJune 7, 2022

✔ NPI 1497214274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in VA · 0116033339

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

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

1900 ELECTRIC RD, Salem, VA 24153

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Insurance Company.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

Dr. Sean Michael Winkle 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 ID9032449376

PECOS Enrollment IDI20220627000177

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 Reassignment

Medicare enrollment records show Sean Winkle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lake Spring Physician Services, LLC

Same address

Hospitalist

1900 ELECTRIC RD
Salem, VA 24153

Reassigned Medicare billing, Virginia enrollment
181 clinicians in this Medicare group

NPI 1568954287 (540) 776-4000

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 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 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.

488 services208 patients

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.

272 services145 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

229 services221 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

107 services107 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

16 services16 patients

Hospital Affiliations CMS Care Compare 4

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

Carilion Medical Center

Acute Care Hospitals · Roanoke, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490024

Location1906 Belleview Avenue, SERoanoke, VA 24014 · Roanoke City County

Emergency services Birthing friendly

Lewisgale Medical Center

Acute Care Hospitals · Salem, VA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number490048

Location1900 Electric RoadSalem, VA 24153 · Salem City County

Emergency services

Lewisgale Hospital Montgomery

Acute Care Hospitals · Blacksburg, VA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number490110

Location3700 South Main StreetBlacksburg, VA 24060 · Montgomery County

Emergency services Birthing friendly

Lewisgale Hospital Pulaski

Acute Care Hospitals · Pulaski, VA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number490116

Location2400 Lee HighwayPulaski, VA 24301 · Pulaski County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24153 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

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

Other Providers at the Same Location NPPES 20

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

VISTA RADIOLOGY CONSULTANTS, LLC

Radiology (Vascular & Interventional Radiology)

1900 ELECTRIC RD
SALEM, VA 24153

Salem City (540) 815-7842

JENNA LYNN POLLOCK

Student in an Organized Health Care Education/Training Program

1900 ELECTRIC RD
SALEM, VA 24153

Salem City (540) 776-4000

ACUTE SURGICAL CARE SPECIALISTS OF VIRGINIA, LLC

Surgery (Trauma Surgery)

1900 ELECTRIC RD
SALEM, VA 24153

Salem City (540) 776-4000

MARK D HAMILTON M.D.

Anesthesiology

1900 ELECTRIC RD, ANESTHESIA DEPARTMENT
SALEM, VA 24153

Salem City (540) 776-4000

MITCHELL SIMPSON CROWE DO

Psychiatry & Neurology (Child & Adolescent Psychiatry)

1900 ELECTRIC RD
SALEM, VA 24153

Salem City (540) 776-4000

SHEHRYAR KHANZADA DO

Student in an Organized Health Care Education/Training Program

1900 ELECTRIC RD
SALEM, VA 24153

Salem City (540) 444-4817

DISHABEN BHARATKUMAR PATEL

Student in an Organized Health Care Education/Training Program

1900 ELECTRIC RD
SALEM, VA 24153

Salem City (540) 761-8027

KRISTIN MIRENDA CRNA

Nurse Anesthetist, Certified Registered

1900 ELECTRIC RD
SALEM, VA 24153

Salem City (540) 493-4581

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 Sean Winkle's NPI number?

The NPI number for Sean Winkle is 1497214274. It was assigned to this individual provider in the NPPES registry on March 19, 2019.

Where is Sean Winkle located?

Sean Winkle practices at 1900 Electric Rd, Salem, VA 24153. The listed phone number is (540) 728-0332.

What is Sean Winkle's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sean Winkle enrolled in Medicare?

Yes. Sean Winkle 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 organization bills Medicare for Sean Winkle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sean Winkle reassigns Medicare benefits to Lake Spring Physician Services, LLC (Salem, VA). The 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 Sean Winkle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sean Winkle accept?

Health plans from Oscar Health and Oscar Insurance Company list Sean Winkle 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 Sean Winkle affiliated with any hospitals?

According to CMS data, Sean Winkle is affiliated with Carilion Medical Center, Lewisgale Medical Center, Lewisgale Hospital Montgomery and Lewisgale Hospital Pulaski.

When was this NPI record last updated?

The NPPES record for Sean Winkle was last updated on June 7, 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.