DR. JOSHUA HERSCHEL WINER M.D.
NPI 1922185909
Surgery in Decatur, GA

Q: What is Joshua Winer's NPI number?

The NPI number for Joshua Winer is 1922185909. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Q: What is Joshua Winer's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Joshua Winer was last updated on January 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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 November 01, 2006PECOS EnrolledAccepts Medicare Assignment

92.26/100

CMS Quality Rating

1670 CLAIRMONT RD, DECATUR, GA 30033(404) 321-6111 Get Directions Write a Review

NPPES record last updated: January 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Joshua Herschel Winer M.d. NPPES

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

DR. JOSHUA HERSCHEL WINER M.D. (NPI 1922185909) is an individual surgery provider in Decatur, Georgia, licensed in Georgia (70016) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of University Of Maryland School Of Medicine (2004).

NPPES Registry Identity

NPI1922185909

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. JOSHUA HERSCHEL WINERCredential: M.D.

Location Address1670 CLAIRMONT RDDecatur, GA 30033-4004

Mailing Address1670 Clairmont RdDecatur, GA 30033-4004

Phone(404) 321-6111

Sole ProprietorNo

Medical School CMSUniversity Of Maryland School Of MedicineGraduated 2004

Enumeration DateNovember 1, 2006

Last NPPES UpdateJanuary 9, 2026

NPPES CertifiedJanuary 9, 2026

✔ NPI 1922185909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in GA · 70016

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License 70016 (GA)

Also ListedSurgery · Surgical OncologyTaxonomy 2086X0206X · License 70016 (GA)

1670 CLAIRMONT RD, Decatur, GA 30033

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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

Dr. Joshua Herschel Winer 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 ID3375711815

PECOS Enrollment IDI20130812000814

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

Medicare enrollment records show Joshua Winer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Emory Clinic Inc

0.9 mi

Internal Medicine

1365 CLIFTON RD NE
Atlanta, GA 30322

Reassigned Medicare billing, Georgia enrollment
4,840 clinicians in this Medicare group

NPI 1396798229 (404) 778-2144

Emory Medical Care Foundation Inc

5.1 mi

Internal Medicine

80 JESSE HILL JR DRIVE, EMCF
Atlanta, GA 30303

Reassigned Medicare billing, Georgia enrollment
2,681 clinicians in this Medicare group

NPI 1063452381 (404) 778-7717

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.

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.

32 services27 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

30 services27 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

20 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Emory University Hospital

Acute Care Hospitals · Atlanta, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110010

Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County

Emergency services

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110078

Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County

Emergency services Birthing friendly

Saint Joseph's Hospital Of Atlanta, Inc

Acute Care Hospitals · Atlanta, GA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110082

Location5665 Peachtree Dunwoody RoadAtlanta, GA 30342 · Fulton County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30033 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

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.

92.26/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

73.83

Promoting Interoperability

100

Improvement Activities

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.

MRS. LAPARISIENNE MOORE-BROWN LMSW

Social Worker

1670 CLAIRMONT RD
DECATUR, GA 30033

Dekalb County (404) 321-6111

BRANDON HAYGOOD

Social Worker

1670 CLAIRMONT RD
DECATUR, GA 30033

Dekalb County (404) 321-6111

ARIANNE JAMES

Registered Nurse

1670 CLAIRMONT RD
DECATUR, GA 30033

Dekalb County (404) 321-6111

KARLA MARIE GARCIA ORTIZ MD

Family Medicine

1670 CLAIRMONT RD
DECATUR, GA 30033

Dekalb County (044) 680-7354

MRS. JENNIFER REBECCA MUNRO MS, CCC/SLP

Speech-Language Pathologist

1670 CLAIRMONT RD, ATLANTA VAMC CODE 126 AUDIOLOGY AND SPEECH PATHOLOGY
DECATUR, GA 30033

Dekalb County (404) 417-2953

DR. NED WILSON HOLLAND MD

Internal Medicine (Geriatric Medicine)

1670 CLAIRMONT RD, VAMC - 11B
DECATUR, GA 30033

Dekalb County (404) 321-6111

MR. ROOSEVELT N/A DAVIS RPH

Pharmacist (Pharmacotherapy)

1670 CLAIRMONT RD
DECATUR, GA 30033

Dekalb County (404) 321-6111

CEDRELLA CAROL JONES-TAYLOR M.D.

Internal Medicine

1670 CLAIRMONT RD, PRIMARY CARE
DECATUR, GA 30033

Dekalb County (404) 321-6111

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 Joshua Winer's NPI number?

The NPI number for Joshua Winer is 1922185909. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Joshua Winer located?

Joshua Winer practices at 1670 Clairmont Rd, Decatur, GA 30033. The listed phone number is (404) 321-6111.

What is Joshua Winer's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Joshua Winer enrolled in Medicare?

Yes. Joshua Winer 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 Joshua Winer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joshua Winer reassigns Medicare benefits to 2 organizations: The Emory Clinic Inc (Atlanta, GA) and Emory Medical Care Foundation Inc (Atlanta, GA). 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 Joshua Winer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joshua Winer accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Joshua Winer 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 Joshua Winer affiliated with any hospitals?

According to CMS data, Joshua Winer is affiliated with Emory University Hospital, Emory University Hospital Midtown and Saint Joseph's Hospital Of Atlanta, Inc.

When was this NPI record last updated?

The NPPES record for Joshua Winer was last updated on January 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.