JAMES VANWINKLE, M.D.
Surgery Physician · MANCHESTER, TN
Individual Active NPI 1720269616
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 119 | 292 | $104,573 | $27,309 | $18,815 |
| 2023 | 251 | 820 | $342,743 | $93,544 | $72,290 |
| 2022 | 271 | 932 | $442,258 | $123,184 | $91,613 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 71 | $81 | $51 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 24 | $86 | $58 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 21 | $99 | $61 |
| 43450 | Dilation of esophagus | 17 | $35 | $26 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 16 | $114 | $75 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 13 | $50 | $33 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 11 | $150 | $85 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ✓ | 43715 | TN |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Medicare participation
Enrolled in Medicare
CMS lists this provider as eligible to order and refer under Medicare. They billed Medicare Part B in 2024.
Enrolment status from public CMS files — not a guarantee of coverage for any particular patient or plan. We hold no commercial-insurance network data; confirm with the provider and your insurer before an appointment.
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.