DR. JONATHAN PHILIP WINICKOFF MD MPH
NPI 1720049760
Pediatrics in Waltham, MA

Active since March 29, 2006PECOS Enrolled
40 2ND AVE, STE 400 MASS GENERAL WEST MEDICAL GROUP WALTHAM, WALTHAM, MA 02451(781) 522-9000(781) 522-9095 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jonathan Philip Winickoff Md Mph NPPES

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

DR. JONATHAN PHILIP WINICKOFF MD MPH (NPI 1720049760) is an individual pediatrics provider in Waltham, Massachusetts, licensed in Massachusetts (205857) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720049760
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. JONATHAN PHILIP WINICKOFFCredential: MD MPH
Location Address40 2ND AVE, STE 400 MASS GENERAL WEST MEDICAL GROUP WALTHAMWaltham, MA 02451
Mailing AddressPo Box 9142, Mass General Physician OrganizationCharlestown, MA 02129-9142 · (617) 724-0287 · Fax (617) 726-2894
Fax(781) 522-9095
Sole ProprietorNo
Enumeration DateMarch 29, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1720049760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MA · 205857
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
40 2ND AVE, Waltham, MA 02451

Other Identifiers 3

OtherJ22483MA · Bcbs Ma
Medicaid0100650MA
Other205857MA · Tufts Health Plan

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jonathan Philip Winickoff Md Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Jonathan Winickoff reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dermatology
55 FRUIT ST, BUL 2
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,360 clinicians in this Medicare group
General Acute Care Hospital
55 FRUIT ST, BULFINCH 360
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,234 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02451 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

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.

Internal Medicine (Cardiovascular Disease)
40 2ND AVE, SUITE 520
WALTHAM, MA 02451
Registered Nurse (Pediatrics)
40 2ND AVE, NEW ENGLAND DIABETES & ENDOCRINOLOGY CTR (NEDEC), #170
WALTHAM, MA 02451
Medical Genetics, Ph.D. Medical Genetics
40 2ND AVE
WALTHAM, MA 02451
Physical Therapist
40 2ND AVE, SUITE 360
WALTHAM, MA 02451
Dentist
40 2ND AVE, SUITE 500
WALTHAM, MA 02451
Physical Therapist
40 2ND AVE
WALTHAM, MA 02451
Pediatrics
40 2ND AVE, SUITE 400
WALTHAM, MA 02451
Internal Medicine (Endocrinology, Diabetes & Metabolism)
40 2ND AVE, STE 400
WALTHAM, MA 02451

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 Jonathan Winickoff's NPI number?

The NPI number for Jonathan Winickoff is 1720049760. It was assigned to this individual provider in the NPPES registry on March 29, 2006.

Where is Jonathan Winickoff located?

Jonathan Winickoff practices at 40 2nd Ave Ste 400 Mass General West Medical Group Waltham, Waltham, MA 02451. The listed phone number is (781) 522-9000.

What is Jonathan Winickoff's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jonathan Winickoff enrolled in Medicare?

Yes. Jonathan Winickoff is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jonathan Winickoff's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Winickoff reassigns Medicare benefits to 2 organizations: Massachusetts General Physicians Organization Inc (Boston, MA) and The General Hospital Corporation (Boston, MA). Each 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 Jonathan Winickoff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonathan Winickoff accept?

Health plans from Taro Health list Jonathan Winickoff 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.

When was this NPI record last updated?

The NPPES record for Jonathan Winickoff was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.