DERRICK JOHN WINCKLER (PAC) – Surgical Physician Assistant, NPI 1285076661

DERRICK JOHN WINCKLER (PAC) is a healthcare provider. based in Lone tree, Colorado. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. 0003752 (CO). The NPI Number for DERRICK JOHN WINCKLER (PAC) is 1285076661

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DERRICK JOHN WINCKLER (PAC)
NPI
1285076661
Phone
(303) 790-1800
Address
10099 RIDGEGATE PKWY
Enumeration Date
25 July 2013
Last Update Date
27 October 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3037901800
Graduation Year
2013 (13 years ago)
PAC ID
3577798974
Group Practice PAC ID
7214966720
Professional Enrollment ID
I20131019000054
Address ID
CO801245534LO10099PKWY304
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

4,166 PHYSICIAN ASSISTANT in CO

Provider Addresses for DERRICK JOHN WINCKLER (PAC)

  • 10099 RIDGEGATE PKWY

    SUITE 310

    LONE TREE, CO 801245531

    Phone: (303) 790-1800

    Fax: (303) 790-1809

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $81.

Total Amount is formed as General ($81) + Research ($0) + Ownership ($0) = $81.

Last reported payment date: 2023-03-07 • Largest payer in this snapshot: UCB, Inc. ($43).

Total Amount

$81

General + Research + Ownership

Payments

3

Total payment records

General Amount

$81

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-10-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20131019000054IPhysician AssistantCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
22853Insertion of cage or mesh device to spine bone and disc space during spine fusion7138$0
63048Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment4525$0
22614Fusion of additional segment of spine4217$0
22551Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc2727$0
22845Placement of stabilizing device to front, 2-3 spine bone segments2727$0
View full utilization report →

Insurance plans in this area (ZIP 80124)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7214966720View full group profile
NameSpecialtyState
Physician AssistantCO
Orthopedic SurgeryCO
Physician AssistantCO
Physician AssistantCO
N E U R O S U R G E R YFL
N E U R O S U R G E R YCO
Orthopedic SurgeryAL
Physician AssistantCO
N E U R O S U R G E R YCO

Reviews

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Frequently asked questions

Is there an official ID for DERRICK JOHN WINCKLER (PAC) in U.S. healthcare records?
The official identifier for DERRICK JOHN WINCKLER (PAC) is NPI 1285076661.
Is there an active status for DERRICK JOHN WINCKLER (PAC)?
For scheduling context, DERRICK JOHN WINCKLER (PAC) is shown as active in the registry.
What kind of doctor is DERRICK JOHN WINCKLER (PAC)?
DERRICK JOHN WINCKLER (PAC) is associated with Surgical Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DERRICK JOHN WINCKLER (PAC)?
Travel planning: use Lone Tree, Colorado as the reference point for DERRICK JOHN WINCKLER (PAC), then confirm.
Can I trust this NPI listing for DERRICK JOHN WINCKLER (PAC)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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