COLE WINBURN PA-C
NPI 1528724747
Physician Assistant in Mullins, SC
NPI Status: Active since November 11, 2021
Contact Information
2829 E HIGHWAY 76
MULLINS, SC
ZIP 29574
Phone: (843) 431-2000
- Individual
- Male
- Physician Assistant
- Accepts Insurance
- PECOS Enrolled
About COLE WINBURN
This page provides the complete NPI Profile along with additional information for Cole Winburn, a primary care provider established in Mullins, South Carolina with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1528724747 assigned on November 2021. The practitioner's primary taxonomy code is 363A00000X with license number 4220 (SC). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1528724747
- Provider Name
- COLE WINBURN PA-C
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2829 E HIGHWAY 76 MULLINS, SC 29574
- Location Phone
- (843) 431-2000
- Mailing Address
- PO BOX 603898 CHARLOTTE, NC 28260
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-11-2021
- Last Update Date
- 01-04-2022
- Code Navigator
A primary care provider (PCP) like Cole Winburn sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 4220
- License State
- SC
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- First Choice Next Bronze Essential - HMO
- First Choice Next Bronze Premier - HMO
- First Choice Next Bronze Signature - HMO
- First Choice Next Gold Deluxe - HMO
- First Choice Next Gold Signature - HMO
- First Choice Next Silver Deluxe - HMO
- First Choice Next Silver Premier - HMO
- First Choice Next Silver Signature - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 - HMO
- Silver 8 - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded - HMO
- UHC Bronze Standard - HMO
- UHC Bronze Value - HMO
- UHC Gold Advantage - HMO
- UHC Gold Advantage+ (Dental + Vision) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded - HMO
- UHC Gold Standard - HMO
- UHC Silver Advantage - HMO
- UHC Silver Copay Focus $0 Indiv Med Ded - HMO
- UHC Silver Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Cole Winburn is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Emergency department visit for life threatening or functioning severity
Emergency department visit for problem of high severity
Emergency department visit for problem of moderate severity
Follow-up hospital inpatient care per day, typically 25 minutes
Hospital discharge day management, more than 30 minutes
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
This service was performed 15 times for 15 patientsAn emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
This service was performed 48 times for 48 patientsAn emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
This service was performed 67 times for 65 patientsFollow-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.
This service was performed 47 times for 23 patientsHospital 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.
This service was performed 20 times for 18 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 29574 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $83.18
- Minimum New Patient Price $53.57
- Maximum New Patient Price $163.84
- Average New Patient Copayment $20.79
- Minimum New Patient Copayment $13.39
- Maximum New Patient Copayment $40.96
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $67.12
- Minimum Established Patient Price $16.96
- Maximum Established Patient Price $133.52
- Average Established Patient Copayment $16.78
- Minimum Established Patient Copayment $4.24
- Maximum Established Patient Copayment $33.38
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 2 | 8 | 7 | 2 | 4 | 7 | 4 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 4 | 8 | 14 | 2 | 8 | 7 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 4 + 8 + 1 + 4 + 2 + 8 + 7 + 8 + 24 = 73 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 73 = 7 | 7 | ||||||||
The NPI number 1528724747 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
MARK CARROLL MD
Emergency Medicine
2829 E HIGHWAY 76
MULLINS, SC
ZIP 29574
ROBERT F WHITESIDES JR. MD
Radiology
(Diagnostic Radiology)
2829 E HIGHWAY 76
MULLINS, SC
ZIP 29574
JERRY A SCHEXNAYDER MD
Orthopaedic Surgery
2829 E HIGHWAY 76
MULLINS, SC
ZIP 29574
MR. RICHARD C JOHNSON CRNA
Nurse Anesthetist, Certified Registered
2829 E HIGHWAY 76
MULLINS, SC
ZIP 29574
THOMAS ONLEY KLAUBER MD
Radiology
(Diagnostic Radiology)
2829 E HIGHWAY 76
MULLINS, SC
ZIP 29574
RADIOLOGY ASSOCIATES OF MARION COUNTY LLC
Radiology
(Diagnostic Radiology)
2829 E HIGHWAY 76
MULLINS, SC
ZIP 29574
MARION COUNTY ANESTHESIA LLC
Nurse Anesthetist, Certified Registered
2829 E HIGHWAY 76
MULLINS, SC
ZIP 29574
MARION SC EMERGENCY PHYSICIANS
Emergency Medicine
2829 E HIGHWAY 76
EMERGENCY DEPARTMENT
MULLINS, SC
ZIP 29574
COMPREHENSIVE HOSPITALIST SERVICES OF SOUTH CAROLINA
Hospitalist
2829 E HIGHWAY 76
MULLINS, SC
ZIP 29574
CORRIE MARIA DAVIS RD, LD, CNSC
Dietitian, Registered
2829 E HIGHWAY 76
MULLINS, SC
ZIP 29574
ALEXANDRA PARKER RD, LD
Dietitian, Registered
2829 E HIGHWAY 76
MULLINS, SC
ZIP 29574
BONES III MEDICAL, LLC
Orthopaedic Surgery
2829 E HIGHWAY 76
MULLINS, SC
ZIP 29574
DR. DWAYNE J LIVIGNI DO
Anesthesiology
2829 E HIGHWAY 76
MULLINS, SC
ZIP 29574
QHG OF SOUTH CAROLINA INC
General Acute Care Hospital
2829 E HIGHWAY 76
MULLINS, SC
ZIP 29574
QHG OF SOUTH CAROLINA INC
Medicare Defined Swing Bed Unit
2829 E HIGHWAY 76
MULLINS, SC
ZIP 29574
OKECHUKWU DIMKPA MD
Internal Medicine
2829 E HIGHWAY 76
MULLINS, SC
ZIP 29574
AMY HILL FNP-C
Nurse Practitioner
(Family)
2829 E HIGHWAY 76
MULLINS, SC
ZIP 29574
MARION REGIONAL HEALTHCAER SYSTEM
General Acute Care Hospital
(Rural)
2829 E HIGHWAY 76
MULLINS, SC
ZIP 29574
PERIOPERATIVE MEDICINE CONSULTANTS, LLC
Anesthesiology
2829 E HIGHWAY 76
MULLINS, SC
ZIP 29574
VINCA INPATIENT SERVICES
Internal Medicine
2829 E HIGHWAY 76
MULLINS, SC
ZIP 29574
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528724747, enumerated as an "individual" on November 11, 2021.
The provider is located at 2829 E HIGHWAY 76 MULLINS, SC 29574 and the phone number is (843) 431-2000.
Physician Assistant with taxonomy code 363A00000X.
The provider might be accepting Accepts: First Choice Next, Molina Healthcare and. Please consult your insurance carrier or call the provider to verify.
