1. Home
  2. Directory
  3. Iowa
  4. Sheldon
  5. Family Medicine
  6. NPI Profile

AMY L WINGERT M.D.
NPI 1912345992
Family Medicine in Sheldon, IA

Active since June 12, 2013PECOS EnrolledAccepts Medicare Assignment
83.57/100
CMS Quality Rating
SANFORD SHELDON MEDICAL CENTER, 118 N 7TH AVENUE, SHELDON, IA 51201(712) 324-5041(712) 324-6015 Get Directions Write a Review

NPPES record last updated: January 31, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Amy L Wingert M.d. NPPES

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

AMY L WINGERT M.D. (NPI 1912345992) is an individual family medicine provider in Sheldon, Iowa, licensed in Iowa (MD41891) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, is affiliated with Spencer Municipal Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1912345992
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameAMY L WINGERTCredential: M.D.
Location AddressSANFORD SHELDON MEDICAL CENTER, 118 N 7TH AVENUESheldon, IA 51201
Mailing AddressSanford Sheldon Medical Center, 118 N 7th AvenueSheldon, IA 51201 · (712) 324-5041 · Fax (712) 324-6015
Phone(712) 324-5041
Fax(712) 324-6015
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 12, 2013
Last NPPES UpdateJanuary 31, 2019
✔ NPI 1912345992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IA · MD41891
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.
SANFORD SHELDON MEDICAL CENTER, Sheldon, IA 51201
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Oscar Insurance Company, Sanford Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amy L Wingert M.d. 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 ID9739320474
PECOS Enrollment IDI20141203002141
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Amy Wingert reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sanford Health Network
2.9 mi
Family Medicine
800 OAK ST
Sheldon, IA 51201
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1841200623 (Iowa)
  • 60 clinicians in this Medicare group
NPI 1831281047 (712) 324-5356
Sanford Clinic
2.9 mi
Preventive Medicine/Occupational Environmental Medicine
118 N 7TH AVE
Sheldon, IA 51201
  • Reassigned Medicare billing, Iowa enrollment
  • 59 clinicians in this Medicare group
NPI 1639282940 (605) 328-9300
Sanford Medical Center
53 mi
Family Medicine
1420 W 22NDST STE 104
Sioux Falls, SD 57105
  • Reassigned Medicare billing, Iowa enrollment
  • 41 clinicians in this Medicare group
NPI 1093090342 (605) 328-4897

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
42 services19 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
16 services15 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
14 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Spencer Municipal Hospital

Acute Care Hospitals · Spencer, IA
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number160112
Location1200 1st Avenue EastSpencer, IA 51301 · Clay County
Emergency services Birthing friendly

Sanford Sheldon Medical Center

Critical Access Hospitals · Sheldon, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161381
Location118 North 7th AvenueSheldon, IA 51201 · Obrien County
Emergency services

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430027
Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51201 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

83.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.07
Promoting Interoperability98
Improvement Activities40
Cost50.83

Referred Medical Equipment & Supplies CMS DME claims 15

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 suppliers53 claims69 services$5.91 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers16 claims16 services$46.20 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers22 claims75 services$24.99 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers13 claims13 services$68.97 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
3 suppliers12 claims12 services$22.98 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers30 claims89 services$3.01 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Amy Wingert's NPI number?

The NPI number for Amy Wingert is 1912345992. It was assigned to this individual provider in the NPPES registry on June 12, 2013.

Where is Amy Wingert located?

Amy Wingert practices at Sanford Sheldon Medical Center 118 N 7th Avenue, Sheldon, IA 51201. The listed phone number is (712) 324-5041.

What is Amy Wingert's specialty?

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

Is Amy Wingert enrolled in Medicare?

Yes. Amy Wingert 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.

Which organizations bill Medicare for Amy Wingert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Wingert reassigns Medicare benefits to 3 organizations: Sanford Health Network (Sheldon, IA), Sanford Clinic (Sheldon, IA) and Sanford Medical Center (Sioux Falls, SD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amy Wingert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amy Wingert accept?

Health plans from HealthPartners, Oscar Insurance Company, Sanford Health Plan, Security Health Plan and Wellmark Health Plan of Iowa, Inc. list Amy Wingert 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 Amy Wingert affiliated with any hospitals?

According to CMS data, Amy Wingert is affiliated with Spencer Municipal Hospital, Sanford Sheldon Medical Center and Sanford Usd Medical Center.

When was this NPI record last updated?

The NPPES record for Amy Wingert was last updated on January 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.