MARC L WINTER MD
NPI 1891744157
Obstetrics & Gynecology in Laguna Hills, CA
Active since May 06, 2006PECOS EnrolledAccepts Medicare Assignment
84.41/100
CMS Quality Rating
24411 HEALTH CENTER DR, SUITE 200, LAGUNA HILLS, CA 92653(949) 829-5500 Get Directions Write a Review
About Marc L Winter Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARC L WINTER MD (NPI 1891744157) is an individual obstetrics & gynecology provider in Laguna Hills, California, licensed in California (G55582) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, Irvine, California College Of Medicine (1984).
NPPES Registry Identity
NPI1891744157
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameMARC L WINTERCredential: MD
Location Address24411 HEALTH CENTER DR, SUITE 200Laguna Hills, CA 92653-3633
Mailing Address24411 Health Center Dr, Suite 200Laguna Hills, CA 92653-3633 · (949) 829-5500
Phone(949) 829-5500
Sole ProprietorYes
Medical School CMSUniversity Of California, Irvine, California College Of MedicineGraduated 1984
Enumeration DateMay 6, 2006
Last NPPES UpdateOctober 6, 2010
✔ NPI 1891744157 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · G55582
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
24411 HEALTH CENTER DR, Laguna Hills, CA 92653
Other Identifiers 2
Medicare UPINF02222CA
Medicare ID-Type UnspecifiedWG55582CCA · Ppin
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
Marc L Winter Md 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 ID5991773749
PECOS Enrollment IDI20110215000934
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 7
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 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.
31 services25 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.
28 services27 patients
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous G0328
A fecal occult blood test is a screening tool for colorectal cancer. It checks for tiny amounts of blood in your stool that can't be seen with the naked eye. The immunoassay method can test 1-3 samples at once. This helps detect cancer early, when treatment is most effective.
23 services23 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
18 services18 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
18 services18 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.
14 services13 patients
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92653 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.
84.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practiceQuality
90.67
Promoting Interoperability
100
Improvement Activities
40
Cost
57.36
Reported Quality Measures
Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
79%789 patients4/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
88%979 patients
Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
12%94 patients1/55-star benchmark: 95%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
6%353 patients1/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%2,493 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%1,633 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
10%229 patients1/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
96%283 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
86%1,732 patients4/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
86%1,543 patients4/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
3%918 patients1/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 99% · 1,184 patients
95%1,184 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
97%1,732 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
41%185 patients2/55-star benchmark: 97%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
83%1,732 patients4/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 1% · 300 patients
11%300 patients2/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
79%1,732 patients
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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Licensed Practical Nurse
24411 HEALTH CENTER DR, SUITE 200
LAGUNA HILLS, CA 92653
LAGUNA HILLS, CA 92653
Surgery (Vascular Surgery)
24411 HEALTH CENTER DR, SUITE 350
LAGUNA HILLS, CA 92653
LAGUNA HILLS, CA 92653
Thoracic Surgery (Cardiothoracic Vascular Surgery)
24411 HEALTH CENTER DR, SUITE 680
LAGUNA HILLS, CA 92653
LAGUNA HILLS, CA 92653
Physician Assistant (Surgical)
24411 HEALTH CENTER DR, STE 350
LAGUNA HILLS, CA 92653
LAGUNA HILLS, CA 92653
Clinic/Center (Health Service)
24411 HEALTH CENTER DR, SUITE 530
LAGUNA HILLS, CA 92653
LAGUNA HILLS, CA 92653
Obstetrics & Gynecology
24411 HEALTH CENTER DR, SUITE 640
LAGUNA HILLS, CA 92653
LAGUNA HILLS, CA 92653
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 Marc Winter's NPI number?
The NPI number for Marc Winter is 1891744157. It was assigned to this individual provider in the NPPES registry on May 6, 2006.
Where is Marc Winter located?
Marc Winter practices at 24411 Health Center Dr Suite 200, Laguna Hills, CA 92653. The listed phone number is (949) 829-5500.
What is Marc Winter's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Marc Winter enrolled in Medicare?
Yes. Marc Winter 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 Marc Winter was last updated on October 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Marc L Winter, MD · NPI 1891744157
Obstetrics & Gynecology physician in Laguna Hills, California. Individual provider, active in the CMS NPPES registry since May 6, 2006.
## Identity
- **NPI:** 1891744157 (Entity type: Individual)
- **Enumerated:** May 6, 2006
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** G55582 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 24411 HEALTH CENTER DR, SUITE 200, Laguna Hills, CA 92653-3633
- **Phone:** (949) 829-5500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of California, Irvine, California College Of Medicine, class of 1984
## Record status
- **NPPES last updated:** October 6, 2010
- **Other identifiers:** Medicare UPIN F02222 (CA); Medicare ID-Type Unspecified WG55582C (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1891744157) · Data from the CMS NPPES public registry.