JAMES WINBUSH MD
NPI 1912008806
Internal Medicine in Anderson, SC

Q: What is James Winbush's NPI number?

The NPI number for James Winbush is 1912008806. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Q: What is James Winbush's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for James Winbush was last updated on April 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since September 26, 2006PECOS EnrolledAccepts Medicare Assignment

803 N FANT ST, SUITE 3A, ANDERSON, SC 29621(864) 225-7401(864) 225-7201 Get Directions Write a Review

NPPES record last updated: April 16, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 16, 2020, Dec 10, 2015 (2 updates tracked since 2015).

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About James Winbush Md NPPES

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

JAMES WINBUSH MD (NPI 1912008806) is an individual internal medicine provider in Anderson, South Carolina, licensed in New York (221849) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Anmed Health, and maintains a secondary practice location in Columbia.

NPPES Registry Identity

NPI1912008806

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameJAMES WINBUSHCredential: MD

Location Address803 N FANT ST, SUITE 3AAnderson, SC 29621-5700

Mailing AddressPo Box 357Anderson, SC 29622-0357 · (864) 225-7401 · Fax (864) 225-7201

Phone(864) 225-7401

Fax(864) 225-7201

Sole ProprietorYes

Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 1998

Enumeration DateSeptember 26, 2006

Last NPPES UpdateApril 16, 20202 updates tracked since enumeration

NPPES CertifiedApril 16, 2020

✔ NPI 1912008806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in NY · 221849✔ Licensed in SC · 36606

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedAnesthesiology · Hospice and Palliative MedicineTaxonomy 207LH0002X · License 207641 (NY)

Also ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X · License 2012522 (NY)

Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X · License 09409 (NY)

803 N FANT ST, Anderson, SC 29621

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Secondary Practice Location 1

Location 114 Richland Medical Park Dr Ste 320Columbia, SC 29203-6896 · Phone (803) 434-6771

Other Identifiers 1

Medicaid366062SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, First Choice Next 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

James Winbush 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 ID1951309616

PECOS Enrollment IDI20140916002447

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 6

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.

183 services56 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

173 services21 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.

121 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.

59 services30 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

41 services35 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

17 services11 patients

Hospital Affiliations CMS Care Compare

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

Anmed Health

Acute Care Hospitals · Anderson, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420027

Location800 N Fant StAnderson, SC 29621 · Anderson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29621 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

$124.04 typical visit price

range $53.57 – $163.84

Typical copayment $31.01 (range $13.39 – $40.96)

Most-billed visit code 99204

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

Referred Medical Equipment & Supplies CMS DME claims

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers11 claims11 services$62.06 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 6

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

MR. O BOYD GARDO JR. ANAPLASTOLOGIST

Orthotic Fitter

803 N FANT ST
ANDERSON, SC 29621

Anderson County (864) 226-3006

CAROLINA IMAGING CENTER LLC

Radiologic Technologist (Nuclear Medicine Technology)

803 N FANT ST
ANDERSON, SC 29621

Anderson County (864) 226-8889

THOMAS J. SULLIVAN, JR. MD, PA

Internal Medicine (Cardiovascular Disease)

803 N FANT ST, SUITE 2-C
ANDERSON, SC 29621

Anderson County (864) 225-9566

AMY R CIANCIOLO MD

Family Medicine

803 N FANT ST, SUITE 2A
ANDERSON, SC 29621

Anderson County (864) 965-9150

DANIEL A KEENAN JR MD LLC

Internal Medicine

803 N FANT ST, SUITE 3-B
ANDERSON, SC 29621

Anderson County (864) 225-3316

DR. ZACHARY GREGG SEYMOUR MD

Internal Medicine

803 N FANT ST, SUITE 2 B
ANDERSON, SC 29621

Anderson County (864) 225-1481

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 James Winbush's NPI number?

The NPI number for James Winbush is 1912008806. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is James Winbush located?

James Winbush practices at 803 N Fant St Suite 3A, Anderson, SC 29621. The listed phone number is (864) 225-7401.

What is James Winbush's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is James Winbush enrolled in Medicare?

Yes. James Winbush 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 James Winbush accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, First Choice Next and UnitedHealthcare list James Winbush 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 James Winbush affiliated with any hospitals?

According to CMS data, James Winbush is affiliated with Anmed Health.

When was this NPI record last updated?

The NPPES record for James Winbush was last updated on April 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.