1. Home
  2. Directory
  3. Tennessee
  4. Manchester
  5. Surgery
  6. NPI Profile

DR. JAMES DARRELL VANWINKLE M.D.
NPI 1720269616
Surgery in Manchester, TN

Active since November 19, 2007PECOS EnrolledAccepts Medicare Assignment
88.62/100
CMS Quality Rating
1030 MCARTHUR ST, MANCHESTER, TN 37355(931) 954-5125(931) 954-5127 Get Directions Write a Review

NPPES record last updated: March 21, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. James Darrell Vanwinkle M.d. NPPES

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

DR. JAMES DARRELL VANWINKLE M.D. (NPI 1720269616) is an individual surgery provider in Manchester, Tennessee, licensed in Tennessee (43715) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS, is affiliated with Unity Medical Center, and is a graduate of East Tennessee State University Quillen College Of Medicine (2006).

NPPES Registry Identity

NPI1720269616
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. JAMES DARRELL VANWINKLECredential: M.D.
Location Address1030 MCARTHUR STManchester, TN 37355-2453
Mailing Address2166 Jacksboro RdMorrison, TN 37357-5603 · (423) 202-1406
Phone(931) 954-5125
Fax(931) 954-5127
Sole ProprietorYes
Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 2006
Enumeration DateNovember 19, 2007
Last NPPES UpdateMarch 21, 2012
✔ NPI 1720269616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in TN · 43715
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1030 MCARTHUR ST, Manchester, TN 37355
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, UnitedHealthcare.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. James Darrell Vanwinkle M.d. 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 ID1850445800
PECOS Enrollment IDI20090811000355
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 7

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 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.
71 services65 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
24 services24 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
21 services21 patients
Dilation of esophagus 43450
Dilation of the esophagus is a procedure aimed to stretch or open up your esophagus (the tube connecting your mouth to your stomach) when it's narrow. It helps to improve swallowing and alleviate discomfort. It's typically performed using a flexible tube or balloon, under sedation.
17 services16 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.
16 services15 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

Unity Medical Center

Acute Care Hospitals · Manchester, TN
OwnershipVoluntary non-profit - Private
CMS Certification Number440007
Location481 Interstate DriveManchester, TN 37355 · Coffee County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37355 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
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.

88.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality74.62
Improvement Activities40

Reported Quality Measures

Advance Care Plan
100%599 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%2,368 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%1,568 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 94% · 789 patients
Patients screened: 99% · 789 patients
82%244 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

MIDDLE TENNESSEE SURGICAL ASSOCIATES, PLLC
Surgery
1030 MCARTHUR ST
MANCHESTER, TN 37355
Coffee County (931) 954-5125
BANYAN HEALTHCARE & WELLNESS CENTER, LLC
Clinic/Center (Pain)
1030 MCARTHUR ST
MANCHESTER, TN 37355
Coffee County (931) 723-7950

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 James Vanwinkle's NPI number?

The NPI number for James Vanwinkle is 1720269616. It was assigned to this individual provider in the NPPES registry on November 19, 2007.

Where is James Vanwinkle located?

James Vanwinkle practices at 1030 Mcarthur St, Manchester, TN 37355. The listed phone number is (931) 954-5125.

What is James Vanwinkle's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is James Vanwinkle enrolled in Medicare?

Yes. James Vanwinkle 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 James Vanwinkle accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list James Vanwinkle 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 James Vanwinkle affiliated with any hospitals?

According to CMS data, James Vanwinkle is affiliated with Unity Medical Center.

When was this NPI record last updated?

The NPPES record for James Vanwinkle was last updated on March 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.