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TIMOTHY R WINTERS MD
NPI 1922085992
Family Medicine in Marion, IA

Active since December 29, 2005PECOS EnrolledAccepts Medicare Assignment
1100 35TH ST, MARION, IA 52302(319) 377-4844(319) 377-0852 Get Directions Write a Review

NPPES record last updated: May 22, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Timothy R Winters Md NPPES

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

TIMOTHY R WINTERS MD (NPI 1922085992) is an individual family medicine provider in Marion, Iowa, licensed in Iowa (30672) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1994).

NPPES Registry Identity

NPI1922085992
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTIMOTHY R WINTERSCredential: MD
Location Address1100 35TH STMarion, IA 52302-1710
Mailing Address1100 35th StMarion, IA 52302-1710 · (319) 377-4844 · Fax (319) 377-0852
Phone(319) 377-4844
Fax(319) 377-0852
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1994
Enumeration DateDecember 29, 2005
Last NPPES UpdateMay 22, 2012
✔ NPI 1922085992 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 · 30672
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.
1100 35TH ST, Marion, IA 52302
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Other Identifiers 7

Medicaid1922085992IA
Medicaid5111575IA
Medicare UPING07875
Medicare PIN58910IA
Other080116813IA · Rr Medicare
Medicaid4111575IA
Medicaid7111575IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

Timothy R 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 ID4284777913
PECOS Enrollment IDI20100203000728
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 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.
272 services240 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.
180 services166 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
16 services16 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
13 services13 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

St Lukes Hospital

Acute Care Hospitals · Cedar Rapids, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160045
Location1026 A Ave NECedar Rapids, IA 52402 · Linn County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52302 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.

Other Providers at the Same Location NPPES 3

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

THOMAS J RICHMANN M.D.
Family Medicine
1100 35TH ST
MARION, IA 52302
Linn County (319) 377-4844
JAMES RUSSELL BELL MD
Family Medicine (Adolescent Medicine)
1100 35TH ST
MARION, IA 52302
Linn County (319) 377-4844
RICHARD M HODGE MD
Family Medicine
1100 35TH ST
MARION, IA 52302
Linn County (319) 377-4844

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 Timothy Winters's NPI number?

The NPI number for Timothy Winters is 1922085992. It was assigned to this individual provider in the NPPES registry on December 29, 2005.

Where is Timothy Winters located?

Timothy Winters practices at 1100 35th St, Marion, IA 52302. The listed phone number is (319) 377-4844.

What is Timothy Winters's specialty?

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

Is Timothy Winters enrolled in Medicare?

Yes. Timothy 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 Timothy Winters accept?

Health plans from Medica list Timothy 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 Timothy Winters affiliated with any hospitals?

According to CMS data, Timothy Winters is affiliated with St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Timothy Winters was last updated on May 22, 2012. 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.