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TESIA WINTER D.O.
NPI 1548641897
Internal Medicine in Omaha, NE

Active since June 12, 2015PECOS EnrolledAccepts Medicare Assignment
139 S 40TH ST, OMAHA, NE 68131(402) 595-3939(402) 595-3898 Get Directions Write a Review

NPPES record last updated: July 30, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 30, 2018, Jul 20, 2018 (2 updates tracked since 2018).

About Tesia Winter D.o. NPPES

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

TESIA WINTER D.O. (NPI 1548641897) is an individual internal medicine provider in Omaha, Nebraska, licensed in Nebraska (1801) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with The Nebraska Medical Center, and maintains a secondary practice location in Omaha.

NPPES Registry Identity

NPI1548641897
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameTESIA WINTERCredential: D.O.
Location Address139 S 40TH STOmaha, NE 68131
Mailing Address988102 Nebraska Medical CtrOmaha, NE 68198-8102
Phone(402) 595-3939
Fax(402) 595-3898
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 12, 2015
Last NPPES UpdateJuly 30, 20182 updates tracked since enumeration
✔ NPI 1548641897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NE · 1801✔ Licensed in NE · 7467
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.

139 S 40TH ST, Omaha, NE 68131
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Secondary Practice Location 1

Location 1100 S 19th Street, Unit 603Omaha, NE 68102 · Phone (402) 917-0384

Other Identifiers 1

Medicaid1548641897NE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Tesia Winter D.o. 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 ID5496064537
PECOS Enrollment IDI20180530002334
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 9

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.

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.
129 services105 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.
91 services50 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.
87 services82 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
72 services72 patients
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.
48 services24 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
20 services20 patients

Hospital Affiliations CMS Care Compare 2

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

The Nebraska Medical Center

Acute Care Hospitals · Omaha, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280013
Location987400 Nebraska Medical CenterOmaha, NE 68198 · Douglas County
Emergency services Birthing friendly

Bellevue Medical Center, LLC

Acute Care Hospitals · Bellevue, NE
5/5 CMS rating
OwnershipProprietary
CMS Certification Number280132
Location2500 Bellevue Medical Center DrBellevue, NE 68123 · Sarpy County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68131 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
$121.35 typical visit price
range $52.69 – $160.21
Typical copayment $30.33 (range $13.17 – $40.05)
Most-billed visit code 99204
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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.

Referred Medical Equipment & Supplies CMS DME claims 8

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers15 claims28 services$6.58 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers15 claims15 services$29.22 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers12 claims12 services$40.73 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers12 claims12 services$14.79 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers15 claims90 services$1.47 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers26 claims26 services$26.11 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 19

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

STEPHEN M MOHRING M.D.
Internal Medicine
139 S 40TH ST
OMAHA, NE 68131
Douglas County (402) 595-3939
LORINDA COVELL M.D.
Internal Medicine
139 S 40TH ST
OMAHA, NE 68131
Douglas County (402) 595-3939
JONATHON DEMUTH M.D.
Internal Medicine
139 S 40TH ST
OMAHA, NE 68131
Douglas County (402) 595-3939
TYLER LAWRENCE
Counselor (Mental Health)
139 S 40TH ST
OMAHA, NE 68131
Douglas County (402) 595-3939
BARRY L SLOTER LCSW
Counselor (Mental Health)
139 S 40TH ST
OMAHA, NE 68131
Douglas County (402) 595-3939
KIMBERLY J DIERKS P.A.-C
Physician Assistant
139 S 40TH ST
OMAHA, NE 68131
Douglas County (402) 595-3939
CAREY ANNE WHEELHOUSE PA-C
Physician Assistant
139 S 40TH ST
OMAHA, NE 68131
Douglas County (402) 595-3939
TARA CALLISON PA
Physician Assistant
139 S 40TH ST
OMAHA, NE 68131
Douglas County (402) 595-3939

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 Tesia Winter's NPI number?

The NPI number for Tesia Winter is 1548641897. It was assigned to this individual provider in the NPPES registry on June 12, 2015.

Where is Tesia Winter located?

Tesia Winter practices at 139 S 40th St, Omaha, NE 68131. The listed phone number is (402) 595-3939.

What is Tesia Winter's specialty?

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

Is Tesia Winter enrolled in Medicare?

Yes. Tesia 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 Tesia Winter accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 3 other insurers list Tesia 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.

Is Tesia Winter affiliated with any hospitals?

According to CMS data, Tesia Winter is affiliated with The Nebraska Medical Center and Bellevue Medical Center, LLC.

When was this NPI record last updated?

The NPPES record for Tesia Winter was last updated on July 30, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.