RACHEL ANN WINTERS MD
NPI 1902884273
Family Medicine in Lawrenceville, IL

Active since January 05, 2006PECOS EnrolledAccepts Medicare Assignment
95.01/100
CMS Quality Rating
2111 LEXINGTON AVE, LAWRENCEVILLE, IL 62439(618) 943-6202(618) 943-3611 Get Directions Write a Review

NPPES record last updated: October 5, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rachel Ann Winters Md NPPES

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

RACHEL ANN WINTERS MD (NPI 1902884273) is an individual family medicine provider in Lawrenceville, Illinois, licensed in Illinois (036091318) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Crawford Memorial Hospital, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1993).

NPPES Registry Identity

NPI1902884273
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameRACHEL ANN WINTERSCredential: MD
Location Address2111 LEXINGTON AVELawrenceville, IL 62439-2085
Mailing Address2111 Lexington AveLawrenceville, IL 62439-2085 · (618) 943-6202 · Fax (618) 943-3611
Fax(618) 943-3611
Sole ProprietorYes
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1993
Enumeration DateJanuary 5, 2006
Last NPPES UpdateOctober 5, 2011
NPI 1902884273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 036091318
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.
2111 LEXINGTON AVE, Lawrenceville, IL 62439

Other Identifiers 10

Other057693Health Alliance
Other1412697United Healthcare
Medicare ID-Type Unspecified390630IL
Other255938Healthlink
Other050107409IL · Blue Cross Blue Shield
Other565630Aenta
Medicare UPINF68454
OtherL040796Tricare
Medicare ID-Type Unspecified207030IN · Medicare Indiana
Other080089176Railroad Medicare

Accepted 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

Rachel Ann Winters 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 ID4981517422
PECOS Enrollment IDI20031110000742, I20120320000784
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.

Hospital Affiliations CMS Care Compare 3

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

Crawford Memorial Hospital

Critical Access Hospitals · Robinson, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141343
Location1000 North Allen StreetRobinson, IL 62454 · Crawford County
Emergency services

Lawrence County Memorial Hospital

Critical Access Hospitals · Lawrenceville, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141344
Location2200 State StLawrenceville, IL 62439 · Lawrence County
Emergency services

Good Samaritan Hospital

Acute Care Hospitals · Vincennes, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number150042
Location520 S 7th StVincennes, IN 47591 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62439 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

95.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.02
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 12

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers59 claims90 services$5.83 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
2 suppliers12 claims240 services$4.48 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each A4414
DME-Orthotic Devices · category DF010N
2 suppliers11 claims180 services$4.21 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063
DME-Orthotic Devices · category DF010N
2 suppliers11 claims180 services$2.39 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier16 claims17 services$19.69 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier15 claims15 services$48.86 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 13

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

Nurse Practitioner (Family)
2111 LEXINGTON AVE
LAWRENCEVILLE, IL 62439
Nurse Practitioner
2111 LEXINGTON AVE
LAWRENCEVILLE, IL 62439
Nurse Practitioner (Family)
2111 LEXINGTON AVE
LAWRENCEVILLE, IL 62439
Family Medicine
2111 LEXINGTON AVE
LAWRENCEVILLE, IL 62439
Nurse Practitioner (Family)
2111 LEXINGTON AVE
LAWRENCEVILLE, IL 62439
Medicare Defined Swing Bed Unit
2111 LEXINGTON AVE
LAWRENCEVILLE, IL 62439
Family Medicine
2111 LEXINGTON AVE, SUITE 6
LAWRENCEVILLE, IL 62439
Family Medicine
2111 LEXINGTON AVE, SUITE 3
LAWRENCEVILLE, IL 62439

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 Rachel Winters's NPI number?

The NPI number for Rachel Winters is 1902884273. It was assigned to this individual provider in the NPPES registry on January 5, 2006.

Where is Rachel Winters located?

Rachel Winters practices at 2111 Lexington Ave, Lawrenceville, IL 62439. The listed phone number is (618) 943-6202.

What is Rachel Winters's specialty?

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

Is Rachel Winters enrolled in Medicare?

Yes. Rachel Winters 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 Rachel Winters accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Rachel Winters 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 Rachel Winters affiliated with any hospitals?

According to CMS data, Rachel Winters is affiliated with Crawford Memorial Hospital, Lawrence County Memorial Hospital and Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Rachel Winters was last updated on October 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.