DR. BRIAN SETH WINTERS M.D.
NPI 1740456318
Orthopaedic Surgery in Cape May Court House, NJ

Q: What is Brian Winters's NPI number?

The NPI number for Brian Winters is 1740456318. It was assigned to this individual provider in the NPPES registry on May 5, 2008.

Q: What is Brian Winters's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Brian Winters was last updated on October 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 May 05, 2008PECOS EnrolledAccepts Medicare Assignment

88.23/100

CMS Quality Rating

2 STONE HARBOR BLVD, CAPE MAY COURT HOUSE, NJ 08210(609) 463-2273 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 1, 2024, May 16, 2024, Mar 1, 2022 and 1 more (4 updates tracked since 2015).

On this page

About Dr. Brian Seth Winters M.d. NPPES

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

DR. BRIAN SETH WINTERS M.D. (NPI 1740456318) is an individual orthopaedic surgery provider in Cape May Court House, New Jersey, licensed in New Jersey (25MA09269800) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Cape Regional Medical Center Inc, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1740456318

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. BRIAN SETH WINTERSCredential: M.D.

Location Address2 STONE HARBOR BLVDCape May Court House, NJ 08210-2138

Mailing Address1 Federal St Ste 200Camden, NJ 08103-1088 · (848) 288-6935 · Fax (732) 790-0107

Phone(609) 463-2273

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateMay 5, 2008

Last NPPES UpdateOctober 1, 20244 updates tracked since enumeration

NPPES CertifiedOctober 1, 2024

✔ NPI 1740456318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Licenses✔ Licensed in NJ · 25MA09269800✔ Licensed in PA · MD442024✔ Licensed in NY · 303456

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Foot and Ankle SurgeryTaxonomy 207XX0004X · License 25MA09269800 (NJ)

2 STONE HARBOR BLVD, Cape May Court House, NJ 08210

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Secondary Practice Locations 2

Location 12500 English Creek Ave, Building 1300Egg Harbor Township, NJ 08234-5549 · Phone (609) 677-6060 · Fax (609) 677-6061

Location 2243 Hurffville Crosskeys RdSewell, NJ 08080-4011 · Phone (267) 339-3558 · Fax (267) 339-3763

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Dr. Brian Seth 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 ID42453888

PECOS Enrollment IDI20130827000641

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

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

Cooper Surgical Associates, PA

47 mi

Oral & Maxillofacial Surgery

2 PLAZA DR, SUITE 202, BUNKER HILL PLAZA
Sewell, NJ 08080

Reassigned Medicare billing, New Jersey enrollment
383 clinicians in this Medicare group

NPI 1841318813 (856) 270-4100

Rothman Orthopaedics Of New Jersey, LLC

53 mi

Orthopaedic Surgery

999 ROUTE 73 N FL 34
Marlton, NJ 08053

Reassigned Medicare billing, New Jersey enrollment
398 clinicians in this Medicare group

NPI 1215978630 (800) 321-9999

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 10

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.

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

326 services172 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

204 services39 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

183 services113 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.

160 services124 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.

159 services124 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

105 services105 patients

Hospital Affiliations CMS Care Compare

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

Cape Regional Medical Center Inc

Acute Care Hospitals · Cape May Court House, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310011

LocationTwo Stone Harbor BlvdCape May Court House, NJ 08210 · Cape May County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08210 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

$94.90 typical visit price

range $61.59 – $185.05

Typical copayment $23.72 (range $15.39 – $46.26)

Most-billed visit code 99203

Established Patient

$76.45 typical visit price

range $20.08 – $150.98

Typical copayment $19.11 (range $5.02 – $37.74)

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.

88.23/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

70.57

Promoting Interoperability

Improvement Activities

Cost

91.05

Referred Medical Equipment & Supplies CMS DME claims 3

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

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

3 suppliers19 claims19 services$9.37 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

2 suppliers18 claims18 services$5.02 avg. paid by Medicare

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361

DME-Orthotic Devices · category DF003N

1 supplier44 claims44 services$223.83 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 20

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

BETH-ANN BALESTRIERI SCHUMACHER MPT, LMT

Physical Therapist