MARK WINKLER P.A.-C
NPI 1043281678
Physician Assistant - Medical in Minneapolis, MN
Quality Rating: 84.83 out of 100 score
NPI Status: Active since January 31, 2006
- Individual
- Male
- Years of Experience 26
- Physician Assistant
- Medical
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About MARK WINKLER
This page provides the complete NPI Profile along with additional information for Mark Winkler, a primary care provider established in Minneapolis, Minnesota with a medical specialization in Physician Assistant, focusing in medical and more than 26 years of experience. The healthcare provider is registered in the NPI registry with number 1043281678 assigned on January 2006. The practitioner's primary taxonomy code is 363AM0700X with license number 9588 (MN). The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1043281678
- Provider Name
- MARK WINKLER P.A.-C
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 715 S 8TH ST MINNEAPOLIS, MN 55404
- Location Phone
- (612) 873-6963
- Mailing Address
- 715 S 8TH ST MINNEAPOLIS, MN 55404
- Mailing Phone
- (612) 873-9494
- Medical School Name
- OTHER
- Graduation Year
- 2000
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-31-2006
- Last Update Date
- 11-01-2018
- Code Navigator
A primary care provider (PCP) like Mark Winkler sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
Location Map
Secondary Locations
- 2428 E 117th St
Burnsville, MN 55337
(612) 444-3000
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
Physician Assistant Medical
- Taxonomy Code
- 363AM0700X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 9588
- License State
- MN
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Atlas $1,000 Gold - PPO
- Atlas $1,500 Standard Gold - PPO
- Atlas $2,650 Plus Silver - PPO
- Atlas $3,500 HSA Silver - PPO
- Atlas $5,000 Standard Silver - PPO
- Atlas $6,500 Plus Bronze - PPO
- Atlas $7,500 Standard Bronze - PPO
- Atlas $8,200 HSA Bronze - PPO
- Atlas $9,200 Catastrophic - PPO
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze HSA - EPO
- Medica Individual Choice Bronze Share - EPO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - EPO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - EPO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - EPO
- Medica Individual Choice Gold Share - HMO
- Medica Individual Choice Gold Standard - EPO
- Medica Individual Choice Gold Standard - HMO
- Medica Individual Choice Silver $0 Copay PCP Visits - EPO
- Medica Individual Choice Silver $0 Copay PCP Visits - HMO
- Medica Individual Choice Silver Share - EPO
- Medica Individual Choice Silver Share - HMO
- Medica Individual Choice Silver Standard - EPO
- Medica Individual Choice Silver Standard - HMO
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 |
---|---|---|---|
165193500 | MEDICAID (05) | MN |
Medicare Participation & PECOS Enrollment Status
Mark Winkler is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Mark Winkler 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: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) 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
PECOS PAC ID: 4183891112
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20120116000124
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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.
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Established patient office or other outpatient visit, 40-54 minutes
Testing for presence of drug, read by direct observation
A definitive drug test is a detailed analysis used to identify specific drugs in your system. It uses advanced techniques, such as gc/ms and lc/ms, to detect and distinguish between different drugs, even those with similar structures.
This service was performed 14 times for 12 patientsThis 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 47 times for 38 patientsThis 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 22 times for 18 patientsThis 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 30 times for 30 patientsThis 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.
This service was performed 29 times for 29 patientsTesting for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.
This service was performed 22 times for 18 patientsOverall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 84.83, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 84.83 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: 81.27
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: N/A
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: 52.32
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: 52.32
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Mark Winkler is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
HENNEPIN COUNTY MEDICAL CENTER | 701 PARK AVENUE MINNEAPOLIS, MN 55415 | (612) 873-6422 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 0 | 4 | 3 | 2 | 8 | 1 | 6 | 7 | 8 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 0 | 8 | 3 | 4 | 8 | 2 | 6 | 14 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 0 + 8 + 3 + 4 + 8 + 2 + 6 + 1 + 4 + 24 = 62 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 62 = 8 | 8 |
The NPI number 1043281678 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1386134658 | DR. JOANNA SALEH PHARMD Individual | Pharmacist | 715 S 8TH ST MINNEAPOLIS, MN 55404 (612) 873-6963 |
1063992972 | DR. TALEE VANG PSYD Individual | Psychologist | 715 S 8TH ST MINNEAPOLIS, MN 55404 (612) 873-6963 |
1235527136 | PETER LEAFBLAD P.A. Individual | Orthopaedic Surgery | 715 S 8TH ST MINNEAPOLIS, MN 55404 (612) 873-6963 |
1932592219 | MS. BROOKE ANNE DOKKEN PA-C Individual | Physician Assistant | 715 S 8TH ST MINNEAPOLIS, MN 55404 (612) 873-5264 |
1124456223 | DR. CORI BUCHBERGER AU.D. Individual | Audiologist | 715 S 8TH ST MINNEAPOLIS, MN 55404 (612) 873-6963 |
1891239117 | DR. GELANE DINEGA DNP Individual | Nurse Practitioner | 715 S 8TH ST MINNEAPOLIS, MN 55404 (612) 873-3000 |
1578120085 | MRS. SAMANTHA LARSON Individual | Nurse Practitioner (Pediatrics) | 715 S 8TH ST MINNEAPOLIS, MN 55404 (612) 873-0000 |
1912385725 | DR. SALLY ZANOTTO M.D. Individual | Obstetrics & Gynecology | 715 S 8TH ST MINNEAPOLIS, MN 55404 (612) 873-6963 |
1588158935 | JESSICA MAIKOU VANG Individual | Nurse Practitioner (Pediatrics) | 715 S 8TH ST MINNEAPOLIS, MN 55404 (612) 873-6963 |
1568085801 | DR. BRITTANY MICHELLE WHITE PT, DPT Individual | Physical Therapist | 715 S 8TH ST MINNEAPOLIS, MN 55404 (989) 430-7337 |
1225274632 | MRS. CHANON ESHA RIDORE NP Individual | Nurse Practitioner (Pediatrics) | 715 S 8TH ST MINNEAPOLIS, MN 55404 (612) 873-6963 |
1225622996 | ERIN CONNELLY WAGNER Individual | Dietitian, Registered | 715 S 8TH ST MINNEAPOLIS, MN 55404 (612) 873-6963 |
1790379261 | ELIZABETH ROTH DNP Individual | Nurse Practitioner (Family) | 715 S 8TH ST MINNEAPOLIS, MN 55404 (612) 873-3000 |
1922018480 | RACHEL KORETH MBBS Individual | Internal Medicine (Hematology & Oncology) | 715 S 8TH ST MINNEAPOLIS, MN 55404 (612) 873-6369 |
1104284488 | KATELIN ELIZABETH GRIFFIN PA-C Individual | Physician Assistant | 715 S 8TH ST MINNEAPOLIS, MN 55404 (612) 873-2414 |
1184005621 | KRISTINA HAYS LADC, LMFT Individual | Marriage & Family Therapist | 715 S 8TH ST MINNEAPOLIS, MN 55404 (612) 873-9576 |
1255970489 | ANMOL G CLAIRMONT PA-C Individual | Physician Assistant | 715 S 8TH ST MINNEAPOLIS, MN 55404 (612) 873-6963 |
1538243837 | TRACY L PROSEN MD Individual | Obstetrics & Gynecology (Maternal & Fetal Medicine) | 715 S 8TH ST MINNEAPOLIS, MN 55404 (612) 878-6963 |
1154737666 | DAVID J FLEMIG MD Individual | Internal Medicine (Hospice and Palliative Medicine) | 715 S 8TH ST MINNEAPOLIS, MN 55404 (612) 873-6369 |
1982959771 | MATTHEW PUDERBAUGH D.O. Individual | Physical Medicine & Rehabilitation (Brain Injury Medicine) | 715 S 8TH ST MINNEAPOLIS, MN 55404 (612) 873-3000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043281678, enumerated in the NPI registry as an "individual" on January 31, 2006
The provider is located at 715 S 8th St Minneapolis, Mn 55404 and the phone number is (612) 873-6963
The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical
The provider has more than 26 years of experience.
The provider might be accepting Accepts: HealthPartners, Medica, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences.
The most common procedures or services performed by this practitioner are: Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Established patient office or other outpatient visit, 40-54 minutes and Testing for presence of drug, read by direct observation.
The practitioner is affiliated to the following hospital(s): HENNEPIN COUNTY MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on January 31, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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