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SUSAN WINCHESTER M.D.
NPI 1831261486
Surgery in Birmingham, AL

Active since November 15, 2006PECOS Enrolled
65.3/100
CMS Quality Rating
800 SAINT VINCENTS DR, SUITE 640, BIRMINGHAM, AL 35205(205) 930-0806(205) 930-0906 Get Directions Write a Review

NPPES record last updated: January 28, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Susan Winchester M.d. NPPES

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

SUSAN WINCHESTER M.D. (NPI 1831261486) is an individual surgery provider in Birmingham, Alabama, licensed in Alabama (15020) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831261486
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameSUSAN WINCHESTERCredential: M.D.
Location Address800 SAINT VINCENTS DR, SUITE 640Birmingham, AL 35205-1620
Mailing Address800 Saint Vincents Dr, Suite 640Birmingham, AL 35205-1620 · (205) 930-0806 · Fax (205) 930-0906
Phone(205) 930-0806
Fax(205) 930-0906
Sole ProprietorNo
Enumeration DateNovember 15, 2006
Last NPPES UpdateJanuary 28, 2010
✔ NPI 1831261486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in AL · 15020
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
800 SAINT VINCENTS DR, Birmingham, AL 35205
Open in Google Maps ↗

Other Identifiers 3

Other1780815639AL · Organizational Npi
Medicaid000024976AL
Medicare UPINE32799AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.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)

Susan Winchester M.d. 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.

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.
130 services101 patients
Limited ultrasound scan of 1 breast 76642
A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.
73 services55 patients
Complete ultrasound scan of 1 breast 76641
A complete ultrasound scan of one breast is a non-invasive imaging test that uses sound waves to create detailed images of the inside of your breast. It helps in detecting any abnormalities or changes, ensuring your breast health.
29 services28 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.
22 services22 patients
Complete ultrasound scan of joint 76881
A complete ultrasound scan of a joint is a non-invasive procedure using sound waves to create images of your joint. It helps identify problems like inflammation, injury, or disease. It's painless, safe, and doesn't involve radiation.
18 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35205 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

65.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality21.66
Improvement Activities40
Cost88.79

Referred Medical Equipment & Supplies CMS DME claims 2

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

Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type L8000
DME-Orthotic Devices · category DF000N
3 suppliers23 claims72 services$36.53 avg. paid by Medicare
Breast prosthesis, silicone or equal, without integral adhesive L8030
DME-Orthotic Devices · category DF000N
3 suppliers12 claims19 services$273.61 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.

MISS LEIGH ANNE WENZEL CRNP
Nurse Practitioner (Obstetrics & Gynecology)
800 SAINT VINCENTS DR, SUITE500
BIRMINGHAM, AL 35205
Jefferson County (205) 933-8334
REBECCA HOWARD DEROSIER MD
Obstetrics & Gynecology
800 SAINT VINCENTS DR, NORTH TOWER SUITE 600
BIRMINGHAM, AL 35205
Jefferson County (205) 271-1600
RUPA D GOOLSBY M.D.
Obstetrics & Gynecology
800 SAINT VINCENTS DR, NORTH TOWER SUITE 600
BIRMINGHAM, AL 35205
Jefferson County (205) 271-1600
DR. DAVID B DAMRICH MD
Obstetrics & Gynecology
800 SAINT VINCENTS DR, SUITE 500
BIRMINGHAM, AL 35205
Jefferson County (205) 933-8334
DR. MICHELE CHRISTINE MD
Obstetrics & Gynecology
800 SAINT VINCENTS DR, SUITE 500
BIRMINGHAM, AL 35205
Jefferson County (205) 933-8334
MICHAEL S. BECKENSTEIN MD LLC
Plastic Surgery
800 SAINT VINCENTS DR, SUITE 610
BIRMINGHAM, AL 35205
Jefferson County (205) 933-9308
DR. LEWIS JEFFERS FOWLKES MD
Obstetrics & Gynecology (Gynecology)
800 SAINT VINCENTS DR, SUITE 500
BIRMINGHAM, AL 35205
Jefferson County (205) 933-8334
DR. ASHLEY PRZYBYSZ MD
Obstetrics & Gynecology
800 SAINT VINCENTS DR, SUITE 500
BIRMINGHAM, AL 35205
Jefferson County (205) 933-8334

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 Winchester's NPI number?

The NPI number for Susan Winchester is 1831261486. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Where is Susan Winchester located?

Susan Winchester practices at 800 Saint Vincents Dr Suite 640, Birmingham, AL 35205. The listed phone number is (205) 930-0806.

What is Susan Winchester's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Susan Winchester enrolled in Medicare?

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

What insurance does Susan Winchester accept?

Health plans from Blue Cross and Blue Shield of Alabama list Susan Winchester 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 Winchester was last updated on January 28, 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.