FRANK WINTON M.D
NPI 1750300315
Family Medicine in Fallbrook, CA

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment
80.15/100
CMS Quality Rating
1035 S MAIN AVE, FALLBROOK, CA 92028(760) 291-6700(760) 728-9732 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 12, 2024, Dec 11, 2020 (2 updates tracked since 2020).

About Frank Winton M.d NPPES

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

FRANK WINTON M.D (NPI 1750300315) is an individual family medicine provider in Fallbrook, California, licensed in California (A70068) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Baylor College Of Medicine (1998).

NPPES Registry Identity

NPI1750300315
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameFRANK WINTONCredential: M.D
Location Address1035 S MAIN AVEFallbrook, CA 92028-3338
Mailing Address225 E 2nd AveEscondido, CA 92025-4249 · (760) 291-6700 · Fax (760) 728-9732
Fax(760) 728-9732
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 1998
Enumeration DateJuly 18, 2006
Last NPPES UpdateDecember 12, 20242 updates tracked since enumeration
NPPES CertifiedDecember 12, 2024
NPI 1750300315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A70068
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X · License A70068 (CA)
1035 S MAIN AVE, Fallbrook, CA 92028

Other Identifiers 1

Other080188795CA · Medicare Rr

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

Frank Winton 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 ID547307969
PECOS Enrollment IDI20091016000287
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 14

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.
334 services198 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.
209 services119 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.
107 services28 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
88 services88 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.
48 services41 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
39 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92028 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

80.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality69.01
Promoting Interoperability76
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 5

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

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers14 claims14 services$50.44 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers12 claims12 services$17.01 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers18 claims106 services$1.71 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers14 claims14 services$63.22 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers17 claims17 services$32.06 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 8

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

Family Medicine
1035 S MAIN AVE
FALLBROOK, CA 92028
Family Medicine
1035 S MAIN AVE
FALLBROOK, CA 92028
Nurse Practitioner (Family)
1035 S MAIN AVE
FALLBROOK, CA 92028
Family Medicine
1035 S MAIN AVE
FALLBROOK, CA 92028
Internal Medicine
1035 S MAIN AVE
FALLBROOK, CA 92028
Family Medicine
1035 S MAIN AVE
FALLBROOK, CA 92028
Nurse Practitioner (Family)
1035 S MAIN AVE
FALLBROOK, CA 92028
Family Medicine
1035 S MAIN AVE
FALLBROOK, CA 92028

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 Frank Winton's NPI number?

The NPI number for Frank Winton is 1750300315. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Frank Winton located?

Frank Winton practices at 1035 S Main Ave, Fallbrook, CA 92028. The listed phone number is (760) 291-6700.

What is Frank Winton's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Frank Winton enrolled in Medicare?

Yes. Frank Winton 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.

When was this NPI record last updated?

The NPPES record for Frank Winton was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.