DR. JEFFRY WINTERS MD
NPI 1992790018
Internal Medicine in Cranston, RI

NPI Status: Active since September 14, 2005

Contact Information

75 SOCKANOSSET CROSS RD
SUITE 100
CRANSTON, RI
ZIP 02920
Phone: (401) 946-6200
Fax: (401) 275-1992

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  • Individual
  • Male
  • Internal Medicine
  • PECOS Enrolled

About JEFFRY WINTERS

This page provides the complete NPI Profile along with additional information for Jeffry Winters, an internist established in Cranston, Rhode Island with a medical specialization in Internal Medicine. The healthcare provider is registered in the NPI registry with number 1992790018 assigned on September 2005. The practitioner's primary taxonomy code is 207R00000X with license number MD06342 (RI). The provider is registered as an individual and his NPI record was last updated 14 years ago.

NPI
1992790018
Provider Name
DR. JEFFRY WINTERS MD
Gender
Male
Entity Type
Individual
Location Address
75 SOCKANOSSET CROSS RD SUITE 100 CRANSTON, RI 02920
Location Phone
(401) 946-6200
Location Fax
(401) 275-1992
Mailing Address
10 DAVOL SQ SUITE 400 PROVIDENCE, RI 02903
Mailing Phone
(401) 421-4000
Mailing Fax
(401) 275-1992
Is Sole Proprietor?
No
Enumeration Date
09-14-2005
Last Update Date
07-16-2012
Code Navigator

An internist like Jeffry Winters is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
MD06342
License State
RI
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
007057447MEDICARE PIN (08)RI 
050483739OTHER (01)RITIN #
9000100MEDICAID (05)RI 
110196626OTHER (01)RIRR MEDICARE
709004045OTHER (01)RIGROUP MEDICARE

Medicare Participation & PECOS Enrollment Status

Jeffry Winters is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Other DME (DE017N)

    Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)

    19 DME suppliers used 50 Medicare Claims 129 Services Paid

  • DME-Medical/Surgical Supplies (DA000N)

    Lancets, per box of 100 (HCPCS:A4259)

    9 DME suppliers used 21 Medicare Claims 29 Services Paid

  • DME-Other DME (DE017N)

    Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service (HCPCS:K0553)

    1 DME suppliers used 11 Medicare Claims 11 Services Paid

Unknown

  • Treatment-Treatment - Miscellaneous (RX029N)

    Tacrolimus, immediate release, oral, 1 mg (HCPCS:J7507)

    1 DME suppliers used 11 Medicare Claims 660 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Administration of influenza virus vaccine

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

This service was performed 115 times for 113 patients

Administration of pneumococcal vaccine

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

This service was performed 12 times for 12 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza

This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.

This service was performed 14 times for 14 patients

Established patient office or other outpatient visit, 20-29 minutes

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.

This service was performed 195 times for 143 patients

Established patient office or other outpatient visit, 30-39 minutes

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.

This service was performed 612 times for 347 patients

Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage

The quadrivalent inactivated influenza vaccine is a shot given to protect against four strains of the flu virus. This 0.5 ml dosage helps your body develop immunity to the virus. It's an important step in preventing flu-related complications.

This service was performed 99 times for 98 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

This service was performed 33 times for 27 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report

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.

This service was performed 75 times for 75 patients

Telephone medical discussion with physician, 11-20 minutes

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

This service was performed 19 times for 18 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 02920 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $134.17
  • Minimum New Patient Price $58.57
  • Maximum New Patient Price $177.03
  • Average New Patient Copayment $33.54
  • Minimum New Patient Copayment $14.64
  • Maximum New Patient Copayment $44.25

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $103.1
  • Minimum Established Patient Price $18.92
  • Maximum Established Patient Price $144.38
  • Average Established Patient Copayment $25.77
  • Minimum Established Patient Copayment $4.73
  • Maximum Established Patient Copayment $36.09

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1992790018, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
2
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
9
Unchanged
Pos 7
0
Doubled → 0
Pos 8
0
Unchanged
Pos 9
1
Doubled → 2
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 7 → 14 → 5 0 → 0 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 8 + 2 + 1 + 4 + 9 + 0 + 0 + 2 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1992790018.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Social Worker (Clinical)
75 SOCKANOSSET CROSS RD, SUITE 208
CRANSTON, RI 02920
Social Worker (Clinical)
75 SOCKANOSSET CROSS RD, SUITE 208
CRANSTON, RI 02920
Physician Assistant
75 SOCKANOSSET CROSS RD
CRANSTON, RI 02920
Internal Medicine
75 SOCKANOSSET CROSS RD, SUITE100
CRANSTON, RI 02920
Internal Medicine
75 SOCKANOSSET CROSS RD
CRANSTON, RI 02920
Internal Medicine
75 SOCKANOSSET CROSS RD, SUITE 100
CRANSTON, RI 02920
Nurse Practitioner (Family)
75 SOCKANOSSET CROSS RD, SUITE 100
CRANSTON, RI 02920
Nurse Practitioner
75 SOCKANOSSET CROSS RD, SUITE 100
CRANSTON, RI 02920
Registered Nurse
75 SOCKANOSSET CROSS RD, SUITE 301
CRANSTON, RI 02920
Physical Therapist
75 SOCKANOSSET CROSS RD, SUITE 110
CRANSTON, RI 02920
Massage Therapist
75 SOCKANOSSET CROSS RD, SUITE 110
CRANSTON, RI 02920
Massage Therapist
75 SOCKANOSSET CROSS RD
CRANSTON, RI 02920
Social Worker (Clinical)
75 SOCKANOSSET CROSS RD, SUITE 301
CRANSTON, RI 02920
Nurse Practitioner
75 SOCKANOSSET CROSS RD, SUITE 100
CRANSTON, RI 02920
Counselor (Mental Health)
75 SOCKANOSSET CROSS RD, SUITE 301
CRANSTON, RI 02920
Clinic/Center (Multi-Specialty)
75 SOCKANOSSET CROSS RD, SUITE 208A
CRANSTON, RI 02920
Internal Medicine
75 SOCKANOSSET CROSS RD, SUITE 100
CRANSTON, RI 02920
Social Worker (Clinical)
75 SOCKANOSSET CROSS RD
CRANSTON, RI 02920
Physical Therapist
75 SOCKANOSSET CROSS RD
CRANSTON, RI 02920
Physical Therapist
75 SOCKANOSSET CROSS RD
CRANSTON, RI 02920

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992790018, enumerated as an "individual" on September 14, 2005.

The provider is located at 75 SOCKANOSSET CROSS RD SUITE 100 CRANSTON, RI 02920 and the phone number is (401) 946-6200.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Medicare, Medicaid and Railroad Medicare. Please consult your insurance carrier or call the provider to verify.