DR. JUSTIN SETH WINAS D.O.
NPI 1679789010
Pain Medicine - Pain Medicine in Fort Washington, PA

Active since May 15, 2007PECOS EnrolledAccepts Medicare Assignment
76.74/100
CMS Quality Rating
535 PENNSYLVANIA AVE STE 100, FORT WASHINGTON, PA 19034(215) 646-6023(844) 516-0080 Get Directions Write a Review

NPPES record last updated: May 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 4, 2023, Oct 28, 2022, Jan 7, 2022 and 3 more (6 updates tracked since 2019).

About Dr. Justin Seth Winas D.o. NPPES

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

DR. JUSTIN SETH WINAS D.O. (NPI 1679789010) is an individual pain medicine provider in Fort Washington, Pennsylvania, licensed in Pennsylvania (OS014022) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Lancaster General Hospital, and maintains 11 additional practice locations.

NPPES Registry Identity

NPI1679789010
Entity TypeIndividualMale
Primary Taxonomy208VP0000X
Provider Legal NameDR. JUSTIN SETH WINASCredential: D.O.
Location Address535 PENNSYLVANIA AVE STE 100Fort Washington, PA 19034
Mailing Address291 Carter Dr Ste AMiddletown, DE 19709-5845 · (844) 365-7246 · Fax (844) 516-0080
Fax(844) 516-0080
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2003
Enumeration DateMay 15, 2007
Last NPPES UpdateMay 4, 20236 updates tracked since enumeration
NPPES CertifiedMay 4, 2023
NPI 1679789010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPain Medicine · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0000X
Licenses Licensed in PA · OS014022 Licensed in DE · C2-0012281 Licensed in MD · H0091267
Definition
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.
Also ListedAnesthesiologyTaxonomy 207L00000X · License OS014022 (PA)
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License OS014022 (PA)
535 PENNSYLVANIA AVE STE 100, Fort Washington, PA 19034

Secondary Practice Locations 11

Location 1931 E Haverford Rd Ste 202Bryn Mawr, PA 19010-3838 · Phone (844) 365-7246 · Fax (844) 516-0080
Location 2100 Arrandale Blvd Ste 103Exton, PA 19341-2503 · Phone (844) 365-7246 · Fax (844) 516-0080
Location 3405 Silverside Rd Ste 104Wilmington, DE 19809-1768 · Phone (844) 365-7246 · Fax (844) 516-0080
Location 43105 Limestone Rd Ste 300Wilmington, DE 19808-2156 · Phone (844) 365-7246 · Fax (844) 516-0080
Location 51197 Airport Rd Fl 2Milford, DE 19963-6418 · Phone (844) 365-7246 · Fax (844) 516-0080
Location 64701 Ogletown Stanton Rd Ste 1200Newark, DE 19713-2079 · Phone (844) 365-7246 · Fax (844) 516-0080
Location 7360 E Pulaski Hwy Ste 3BElkton, MD 21921-6596 · Phone (844) 365-7246 · Fax (844) 516-0080
Location 81235 Penn Ave Ste 302Wyomissing, PA 19610-2100 · Phone (844) 365-7246 · Fax (844) 516-0080
Location 9160 N Pointe Blvd Ste 208Lancaster, PA 17601-4134 · Phone (844) 365-7246 · Fax (844) 516-0080
Location 10300 Welsh Rd Ste 104Horsham, PA 19044-2248 · Phone (844) 365-7246 · Fax (844) 516-0080
Location 111200 Old York RoadAbington, PA 19001-3788 · Phone (215) 481-2336

Other Identifiers 3

Medicaid888314900MD
Medicaid102183969PA
Medicaid250532375DE

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

Dr. Justin Seth Winas 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 ID1759454226
PECOS Enrollment IDI20080716000360, I20180228001003, I20210928000627
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 40

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.

Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
6,406 services429 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
2,750 services158 patients
Administration and interpretation of patient-focused health risk assessment 96160
This procedure involves a detailed evaluation of your health to identify potential risks. It includes analyzing your medical history, lifestyle habits, and family health history. The results are interpreted to provide a personalized plan to improve your health and prevent future issues.
1,913 services420 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.
1,436 services337 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.
989 services211 patients
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml Q9966
Low osmolar contrast material with 200-299 mg/ml iodine concentration is a type of dye used in certain medical tests like CT scans or X-rays. It helps to highlight specific areas in your body, making them easier to see and examine. It's safe and commonly used.
932 services152 patients

Hospital Affiliations CMS Care Compare

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

Lancaster General Hospital

Acute Care Hospitals · Lancaster, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390100
Location555 North Duke StreetLancaster, PA 17602 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19034 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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.

76.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.3
Promoting Interoperability0
Improvement Activities40
Cost95.95

Other Providers at the Same Location NPPES 3

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

Durable Medical Equipment & Medical Supplies
535 PENNSYLVANIA AVE STE 100
FORT WASHINGTON, PA 19034
Nurse Practitioner (Adult Health)
535 PENNSYLVANIA AVE STE 100
FORT WASHINGTON, PA 19034
Non-Pharmacy Dispensing Site
535 PENNSYLVANIA AVE STE 100
FORT WASHINGTON, PA 19034

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 Justin Winas's NPI number?

The NPI number for Justin Winas is 1679789010. It was assigned to this individual provider in the NPPES registry on May 15, 2007.

Where is Justin Winas located?

Justin Winas practices at 535 Pennsylvania Ave Ste 100, Fort Washington, PA 19034. The listed phone number is (215) 646-6023.

What is Justin Winas's specialty?

The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.

Is Justin Winas enrolled in Medicare?

Yes. Justin Winas 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 Justin Winas accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and Highmark Blue Cross Blue Shield Delaware list Justin Winas 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 Justin Winas affiliated with any hospitals?

According to CMS data, Justin Winas is affiliated with Lancaster General Hospital.

When was this NPI record last updated?

The NPPES record for Justin Winas was last updated on May 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.