ROBERT DOUGLAS WINTER M.D.
NPI 1932279007
Family Medicine in Newark, DE

Active since November 08, 2006PECOS EnrolledAccepts Medicare Assignment
13.43/100
CMS Quality Rating
1 CENTURIAN DR, SUITE 105, NEWARK, DE 19713(302) 999-0933(302) 999-8633 Get Directions Write a Review

NPPES record last updated: November 25, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Robert Douglas Winter M.d. NPPES

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

ROBERT DOUGLAS WINTER M.D. (NPI 1932279007) is an individual family medicine provider in Newark, Delaware, licensed in Delaware (C10002908) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1984).

NPPES Registry Identity

NPI1932279007
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameROBERT DOUGLAS WINTERCredential: M.D.
Location Address1 CENTURIAN DR, SUITE 105Newark, DE 19713-2137
Mailing Address1 Centurian Dr, Suite 105Newark, DE 19713-2137 · (302) 999-0933 · Fax (302) 999-8633
Fax(302) 999-8633
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1984
Enumeration DateNovember 8, 2006
Last NPPES UpdateNovember 25, 2008
NPI 1932279007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in DE · C10002908
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.

1 CENTURIAN DR, Newark, DE 19713

Other Identifiers 9

Other4288847Aetna
Other000181383Highmark Bs
Medicaid0000021901DE
Other080149249United Hc Railroad
Medicare UPIND01169
Medicare ID-Type Unspecified000N23F12DE
Other0090301000Amerihealth
Other50747Coventry
OtherNEW587DE · Blue Cross Shield

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

Robert Douglas Winter 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 ID4183792864
PECOS Enrollment IDI20081010000088
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 26

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, 20-29 minutes 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.
1,154 services772 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
1,004 services438 patients
New patient office or other outpatient visit, 30-44 minutes 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
482 services482 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
155 services138 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
108 services102 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
97 services94 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19713 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

13.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Promoting Interoperability0
Improvement Activities0
Cost44.78

Referred Medical Equipment & Supplies CMS DME claims 5

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
8 suppliers13 claims27 services$6.15 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers13 claims78 services$1.86 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 supplier12 claims12 services$11.47 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers17 claims17 services$26.53 avg. paid by Medicare
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
1 supplier12 claims12 services$53.88 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 20

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

Obstetrics & Gynecology (Maternal & Fetal Medicine)
1 CENTURIAN DR, SUITE 312
NEWARK, DE 19713
Family Medicine
1 CENTURIAN DR, SUITE 105
NEWARK, DE 19713
Optometrist
1 CENTURIAN DR, SUITE 114
NEWARK, DE 19713
Podiatrist (Foot & Ankle Surgery)
1 CENTURIAN DR, SUITE 101
NEWARK, DE 19713
Internal Medicine (Cardiovascular Disease)
1 CENTURIAN DR, SUITE 200
NEWARK, DE 19713
Internal Medicine (Cardiovascular Disease)
1 CENTURIAN DR, SUITE 200
NEWARK, DE 19713
Internal Medicine (Cardiovascular Disease)
1 CENTURIAN DR, SUITE 200
NEWARK, DE 19713
Internal Medicine (Cardiovascular Disease)
1 CENTURIAN DR, SUITE 200
NEWARK, DE 19713

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 Robert Winter's NPI number?

The NPI number for Robert Winter is 1932279007. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is Robert Winter located?

Robert Winter practices at 1 Centurian Dr Suite 105, Newark, DE 19713. The listed phone number is (302) 999-0933.

What is Robert Winter's specialty?

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

Is Robert Winter enrolled in Medicare?

Yes. Robert Winter 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 Robert Winter accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Robert Winter 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.

When was this NPI record last updated?

The NPPES record for Robert Winter was last updated on November 25, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.