HAYLEY DEROME WINNINGHOFF MD
NPI 1962962944
Family Medicine - Sports Medicine in San Jose, CA

Q: What is Hayley Winninghoff's NPI number?

The NPI number for Hayley Winninghoff is 1962962944. It was assigned to this individual provider in the NPPES registry on March 25, 2019.

Q: What is Hayley Winninghoff's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Active since March 25, 2019PECOS EnrolledAccepts Medicare Assignment

1071 BLOSSOM HILL RD, SAN JOSE, CA 95123(408) 445-4010 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Hayley Derome Winninghoff Md NPPES

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

HAYLEY DEROME WINNINGHOFF MD (NPI 1962962944) is an individual sports medicine provider in San Jose, California, licensed in California (A176060) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of University Of Washington School Of Medicine (2019).

NPPES Registry Identity

NPI1962962944

Entity TypeIndividualFemale

Primary Taxonomy207QS0010X

Provider Legal NameHAYLEY DEROME WINNINGHOFFCredential: MD

Location Address1071 BLOSSOM HILL RDSan Jose, CA 95123-1105

Mailing Address325 Distel CirLos Altos, CA 94022-1408 · (650) 405-9218 · Fax (707) 651-5624

Phone(408) 445-4010

Sole ProprietorNo

Medical School CMSUniversity Of Washington School Of MedicineGraduated 2019

Enumeration DateMarch 25, 2019

Last NPPES UpdateMarch 6, 2024

NPPES CertifiedMarch 6, 2024

✔ NPI 1962962944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in CA · A176060

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

1071 BLOSSOM HILL RD, San Jose, CA 95123

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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

Hayley Derome Winninghoff 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 ID6901292408

PECOS Enrollment IDI20231229002940

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 Reassignment

Medicare enrollment records show Hayley Winninghoff reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sutter Bay Medical Foundation

20 mi

Multi-Specialty

795 EL CAMINO REAL
Palo Alto, CA 94301

Reassigned Medicare billing, California enrollment
4,479 clinicians in this Medicare group

NPI 1013950807 (650) 321-4121

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 2

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.

63 services46 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.

18 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95123 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

$106.47 typical visit price

range $70.37 – $206.04

Typical copayment $26.61 (range $17.59 – $51.51)

Most-billed visit code 99203

Established Patient

$121.77 typical visit price

range $23.96 – $169.60

Typical copayment $30.44 (range $5.99 – $42.40)

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 20

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

KASSAUNDRA CERVANTES

Physician Assistant