JAMES WINTERS M.D.
NPI 1730561796
Surgery - Plastic and Reconstructive Surgery in Springfield, IL

Q: What is James Winters's NPI number?

The NPI number for James Winters is 1730561796. It was assigned to this individual provider in the NPPES registry on June 25, 2015.

Q: What is James Winters's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Q: When was this NPI record last updated?

The NPPES record for James Winters was last updated on July 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 25, 2015PECOS EnrolledAccepts Medicare Assignment

747 N RUTLEDGE ST, SPRINGFIELD, IL 62702(217) 545-6112(217) 545-2588 Get Directions Write a Review

NPPES record last updated: July 25, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About James Winters M.d. NPPES

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

JAMES WINTERS M.D. (NPI 1730561796) is an individual plastic and reconstructive surgery provider in Springfield, Illinois, licensed in Illinois (036.161048) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and is a graduate of Southern Illinois University School Of Medicine (2015).

NPPES Registry Identity

NPI1730561796

Entity TypeIndividualMale

Primary Taxonomy2086S0122X

Provider Legal NameJAMES WINTERSCredential: M.D.

Location Address747 N RUTLEDGE STSpringfield, IL 62702-6700

Mailing Address201 E Madison St Ste 328Springfield, IL 62702-5131 · (217) 545-8000 · Fax (217) 545-4110

Phone(217) 545-6112

Fax(217) 545-2588

Sole ProprietorNo

Medical School CMSSouthern Illinois University School Of MedicineGraduated 2015

Enumeration DateJune 25, 2015

Last NPPES UpdateJuly 25, 2022

NPPES CertifiedJuly 25, 2022

✔ NPI 1730561796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0122X

Licenses✔ Licensed in IL · 036.161048✔ Licensed in IL · 125.066536

Definition

A surgeon who specializes in plastic and reconstructive surgery.

747 N RUTLEDGE ST, Springfield, IL 62702

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James Winters 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 ID5799098927

PECOS Enrollment IDI20220824000187

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 Reassignment

Medicare enrollment records show James Winters reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Siu Physicians & Surgeons, Inc

0.3 mi

Endocrinology, Diabetes & Metabolism

201 E MADISON ST STE 328
Springfield, IL 62702

Reassigned Medicare billing, Illinois enrollment
645 clinicians in this Medicare group

NPI 1558385989 (217) 545-8000

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

Areas of Expertise CMS Part B claims 3

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 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.

91 services47 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.

34 services34 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.

28 services22 patients

Hospital Affiliations CMS Care Compare 3

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

St Johns Hospital

Acute Care Hospitals · Springfield, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140053

Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County

Emergency services Birthing friendly

Memorial Medical Center

Acute Care Hospitals · Springfield, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140148

Location701 N First StSpringfield, IL 62702 · Sangamon County

Emergency services Birthing friendly

Carlinville Area Hospital

Critical Access Hospitals · Carlinville, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141347

Location20733 N Broad StreetCarlinville, IL 62626 · Macoupin County

Emergency services

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.

JILLIAN HENRY M.D.

Obstetrics & Gynecology

747 N RUTLEDGE ST, 2ND FLOOR
SPRINGFIELD, IL 62702

Sangamon County (217) 757-7932

FRANCES TANGHERLINI LEE M.D.

Surgery

747 N RUTLEDGE ST
SPRINGFIELD, IL 62702

Sangamon County (217) 545-8000

HEALTHCARE NETWORK ASSOCIATES

Obstetrics & Gynecology

747 N RUTLEDGE ST, BAYLIS BUILDING, 2ND FLOOR
SPRINGFIELD, IL 62702

Sangamon County (217) 757-7932

MICHAEL HYUN-OOK KIM MD

Internal Medicine (Cardiovascular Disease)

747 N RUTLEDGE ST, 5TH FLOOR
SPRINGFIELD, IL 62702

Sangamon County (217) 545-8000

MELINDA K ISAACS RPH

Pharmacist

747 N RUTLEDGE ST
SPRINGFIELD, IL 62702

Sangamon County (217) 523-0846

DR. MOHAMED RAFA LABEDI MD

Internal Medicine (Cardiovascular Disease)

747 N RUTLEDGE ST
SPRINGFIELD, IL 62702

Sangamon County (217) 545-8000

SARA KEBEDE MD, MSCR

Plastic Surgery

747 N RUTLEDGE ST
SPRINGFIELD, IL 62702

Sangamon County (217) 545-6112

DR. KATIE MCGLONE MD

Plastic Surgery

747 N RUTLEDGE ST
SPRINGFIELD, IL 62702

Sangamon County (217) 545-6112

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 Winters's NPI number?

The NPI number for James Winters is 1730561796. It was assigned to this individual provider in the NPPES registry on June 25, 2015.

Where is James Winters located?

James Winters practices at 747 N Rutledge St, Springfield, IL 62702. The listed phone number is (217) 545-6112.

What is James Winters's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is James Winters enrolled in Medicare?

Yes. James Winters 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.

Which organization bills Medicare for James Winters's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Winters reassigns Medicare benefits to Siu Physicians & Surgeons, Inc (Springfield, IL). The 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 James Winters's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is James Winters affiliated with any hospitals?

According to CMS data, James Winters is affiliated with St Johns Hospital, Memorial Medical Center and Carlinville Area Hospital.

When was this NPI record last updated?

The NPPES record for James Winters was last updated on July 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.