NPI registry status
Active
2026 NPPES data Plastic and Reconstructive Surgery Physician NPI 1730561796 M.D.
Verify on CMS → James Winters, M.D.
Plastic and Reconstructive Surgery Physician in Springfield, Illinois.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 2,421 in Plastic and Reconstructive Surgery Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
99
Medicare Part D claims · 63 beneficiaries · Plastic and Reconstructive Surgery Physician avg: 92
What the federal data shows
James Winters, M.D. filed 99 Medicare Part D claims in 2024 as a Plastic and Reconstructive Surgery Physician in Springfield, Illinois.
- 99
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥0th
- pct by Part D claim volume (lower-bound band)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Federal trust snapshot
What official records show about James Winters, M.D.
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1730561796), first enumerated 06/25/2015.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 99 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- State context
State board disciplinary context
Illinois statewide board action statistics are published annually — these figures describe aggregate state activity, not James Winters, M.D.'s individual license status. Verify directly with the state medical board.
Source: IDFPR annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1730561796 · Plastic and Reconstructive Surgery Physician
NPI-10 · ENUM-MID · TAX-NARROW · RX-TRACE · BOOK-THIN · PHOTO-ENUM
- NPI-10 1730561796
- ENUM-MID 2015
- TAX-NARROW 2,421
- RX-TRACE 99
- BOOK-THIN 110 in Illinois
- PHOTO-ENUM Gianfranco Frojo · 2015
James Winters, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
99 ≥ 0th percentile 0% of 1,416,883 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
✓
Board certification likely (heuristic, not verified)
James Winters, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about James Winters, M.D.?
Quality data not reportedPrimary specialty
Plastic and Reconstructive Surgery Physician
Medicare Part D claims
99 8% vs specialty avg
Specialty distribution in Illinois
How Plastic and Reconstructive Surgery Physician compares to other specialties among Illinois providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Plastic and Reconstructive Surgery Physician. Verify directly:
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Practice Address
Provider Details
| NPI | 1730561796 |
|---|---|
| Specialty | Plastic and Reconstructive Surgery Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 06/25/2015 |
Hospital and facility affiliations
Facilities where James Winters, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Siu Physicians And Surgeons Inc
Springfield, IL
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
License & disciplinary context - Illinois IDFPR 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~42K Illinois medical licensees in 2023 - they are NOT specific to James Winters, M.D.. To verify James Winters, M.D.'s current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases
IDFPR publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
99
Total Claims
$902
Total Drug Cost
63
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 99
- Total Day Supply
- 778
- Generic Drug Cost
- $801
- Opioid Claims
- 63 (63.6% rate)
- Antibiotic Claims
- 20
Patient Demographics
- Average Patient Age
- 66.8 years
- Avg HCC Risk Score
- 1.55
- Gender Split
- 65% female / 35% male
- Age Distribution
- <65: 19, 65-74: 35, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Oxycodone Hcl | 41 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Plastic and Reconstructive Surgery Physician in IL →
All providers in Illinois →
Compare specialties →
Plastic and Reconstructive Surgery Physician Overview
How James Winters, M.D. fits within the Plastic and Reconstructive Surgery Physician landscape nationally.
2,421
Plastic and Reconstructive Surgery Physician Providers in US
54
States with Plastic and Reconstructive Surgery Physician
92
Avg Claims per Provider
James Winters, M.D.'s 99 claims are above the specialty average of 92.
Nationwide Plastic and Reconstructive Surgery Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Winters, both outside Illinois so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2015)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Plastic and Reconstructive Surgery Physician Providers in Illinois
Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as Winters.
One of 110 Plastic and Reconstructive Surgery Physician providers enrolled in Illinois, 5 are shown here.
Dr. Turkia Abbed
M.D.
Rockford, IL
Dr. Shailesh Agarwal
M.D.
Chicago, IL
Dr. Lavinia Anzai
M.D.
Chicago, IL
Dr. Alan Arps
M.D.
Elgin, IL
Dr. Ramsen Azizi
M.D.
Chicago, IL
Compare Plastic and Reconstructive Surgery Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is James Winters, M.D.'s specialty? ▼
James Winters, M.D. specializes in Plastic and Reconstructive Surgery Physician and practices in Springfield, Illinois. Credentials: M.D..
How much does James Winters, M.D. prescribe under Medicare Part D? ▼
In 2024, James Winters, M.D. wrote 99 Medicare Part D claims totaling $902 in drug costs for 63 beneficiaries.
Where is James Winters, M.D. located? ▼
James Winters, M.D. is located at 747 N RUTLEDGE ST, Springfield, IL, 62702. Phone: (217) 545-6112.
What is James Winters, M.D.'s NPI number? ▼
James Winters, M.D.'s National Provider Identifier (NPI) is 1730561796, issued on 06/25/2015.
Does James Winters, M.D. prescribe opioids? ▼
Yes, James Winters, M.D. had 63 opioid claims in 2024 with an opioid prescribing rate of 63.6%.
How many Plastic and Reconstructive Surgery Physician providers are there in the US? ▼
There are 2,421 Plastic and Reconstructive Surgery Physician providers across 54 states in the US. The average Plastic and Reconstructive Surgery Physician provider writes 92 Medicare Part D claims per year.
What drugs does James Winters, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, James Winters, M.D.'s most frequently prescribed drugs include Oxycodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does James Winters, M.D. accept Medicare? ▼
James Winters, M.D. appears in CMS Medicare data with 99 Part D claims and 63 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify James Winters, M.D.'s credentials? ▼
James Winters, M.D.'s NPI is 1730561796 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.