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PAUL K WINNER D.O.
NPI 1831201243
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in West Palm Beach, FL

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
4631 N CONGRESS AVE, SUITE 200, WEST PALM BEACH, FL 33407(561) 845-0500 Get Directions Write a Review

NPPES record last updated: March 15, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Paul K Winner D.o. NPPES

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

PAUL K WINNER D.O. (NPI 1831201243) is an individual neurology with special qualifications in child neurology provider in West Palm Beach, Florida, licensed in Florida (OS 5407) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Martin North Hospital, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (1981).

NPPES Registry Identity

NPI1831201243
Entity TypeIndividualMale
Primary Taxonomy2084N0402X
Provider Legal NamePAUL K WINNERCredential: D.O.
Location Address4631 N CONGRESS AVE, SUITE 200West Palm Beach, FL 33407-3209
Mailing Address4631 N Congress Ave, Suite 200West Palm Beach, FL 33407-3209 · (561) 845-0500
Phone(561) 845-0500
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 1981
Enumeration DateAugust 31, 2006
Last NPPES UpdateMarch 15, 2010
✔ NPI 1831201243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
License✔ Licensed in FL · OS 5407
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
4631 N CONGRESS AVE, West Palm Beach, FL 33407
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Other Identifiers 2

Medicare UPIND70565FL
Medicare ID-Type Unspecified80048FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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 and accepts Medicare assignment

Paul K Winner D.o. 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 ID8527252113
PECOS Enrollment IDI20101027001089
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 5

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 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.
193 services105 patients
Exam of neurobehavioral status, first hour 96116
An exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.
83 services64 patients
Measurement of brain wave activity (eeg), awake and asleep 95819
The measurement of brain wave activity, known as an EEG, records the brain's electrical signals. It's performed when you're awake and asleep to monitor your brain's functioning. It helps in diagnosing conditions like epilepsy, sleep disorders, and other neurological issues.
50 services48 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
18 services15 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Cleveland Clinic Martin North Hospital

Acute Care Hospitals · Stuart, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100044
Location200 SE Hospital AveStuart, FL 34994 · Martin County
Emergency services Birthing friendly

Jupiter Medical Center

Acute Care Hospitals · Jupiter, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100253
Location1210 S Old Dixie HwyJupiter, FL 33458 · Palm Beach County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33407 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

Reported Quality Measures

Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%101 patients5/55-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 12

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

EDWIN C WINGKUN MD
Psychiatry & Neurology (Neurology)
4631 N CONGRESS AVE, 200
WEST PALM BEACH, FL 33407
Palm Beach County (561) 845-0500
LOIUS J BUTERA DO
Psychiatry & Neurology (Neurology)
4631 N CONGRESS AVE, 200
WEST PALM BEACH, FL 33407
Palm Beach County (561) 845-0500
WALTER C MARTINEZ MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
4631 N CONGRESS AVE, 200
WEST PALM BEACH, FL 33407
Palm Beach County (561) 845-0500
COLUMBIA PRIMARY CARE LLC
Internal Medicine
4631 N CONGRESS AVE, SUITE 202
WEST PALM BEACH, FL 33407
Palm Beach County (561) 881-2640
SNEH KAPILA MD PA
Psychiatry & Neurology (Psychiatry)
4631 N CONGRESS AVE, SUITE #204
WEST PALM BEACH, FL 33407
Palm Beach County (561) 494-0589
CARL H SADOWSKY MD
Psychiatry & Neurology (Neurology)
4631 N CONGRESS AVE, 200
WEST PALM BEACH, FL 33407
Palm Beach County (561) 845-0500
ELLEN VENUTI LCSW
Social Worker (Clinical)
4631 N CONGRESS AVE, SUITE 204
WEST PALM BEACH, FL 33407
Palm Beach County (561) 818-6276
JOSE A ZUNIGA MD
Psychiatry & Neurology (Neurology)
4631 N CONGRESS AVE, 200
WEST PALM BEACH, FL 33407
Palm Beach County (561) 845-0500

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 Paul Winner's NPI number?

The NPI number for Paul Winner is 1831201243. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Paul Winner located?

Paul Winner practices at 4631 N Congress Ave Suite 200, West Palm Beach, FL 33407. The listed phone number is (561) 845-0500.

What is Paul Winner's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Paul Winner enrolled in Medicare?

Yes. Paul Winner 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 Paul Winner accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 2 other insurers list Paul Winner 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 Paul Winner affiliated with any hospitals?

According to CMS data, Paul Winner is affiliated with Cleveland Clinic Martin North Hospital and Jupiter Medical Center.

When was this NPI record last updated?

The NPPES record for Paul Winner was last updated on March 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.