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DR. SUSAN A. WINCHELL MD
NPI 1790749513
Pediatrics in Wharton, TX

Active since April 17, 2006PECOS Enrolled
2112 REGIONAL MEDICAL DR STE 1313, WHARTON, TX 77488(979) 543-2956(979) 543-6756 Get Directions Write a Review

NPPES record last updated: February 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 28, 2025, Jan 5, 2022, Apr 26, 2021 (3 updates tracked since 2021).

About Dr. Susan A. Winchell Md NPPES

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

DR. SUSAN A. WINCHELL MD (NPI 1790749513) is an individual pediatrics provider in Wharton, Texas, licensed in Texas (H1428) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790749513
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. SUSAN A. WINCHELLCredential: MD
Location Address2112 REGIONAL MEDICAL DR STE 1313Wharton, TX 77488-1413
Mailing Address101 Avenue F NBay City, TX 77414-3167 · (979) 245-2008 · Fax (979) 314-7164
Phone(979) 543-2956
Fax(979) 543-6756
Sole ProprietorNo
Enumeration DateApril 17, 2006
Last NPPES UpdateFebruary 28, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2025
✔ NPI 1790749513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · H1428
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.
2112 REGIONAL MEDICAL DR STE 1313, Wharton, TX 77488
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Other Identifiers 1

Medicaid126192709TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Susan A. Winchell Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77488 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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

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

MATAGORDA EPISCOPAL HEALTH OUTREACH PROGRAM
Clinic/Center (Federally Qualified Health Center (FQHC))
2112 REGIONAL MEDICAL DR STE 1313
WHARTON, TX 77488
Wharton County (979) 245-2008

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 Susan Winchell's NPI number?

The NPI number for Susan Winchell is 1790749513. It was assigned to this individual provider in the NPPES registry on April 17, 2006.

Where is Susan Winchell located?

Susan Winchell practices at 2112 Regional Medical Dr Ste 1313, Wharton, TX 77488. The listed phone number is (979) 543-2956.

What is Susan Winchell's specialty?

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

Is Susan Winchell enrolled in Medicare?

Yes. Susan Winchell is registered in the Medicare PECOS enrollment system.

What insurance does Susan Winchell accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Susan Winchell 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 Susan Winchell was last updated on February 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.