DAVID FLOYD WINECOFF (PA) – Physician Assistant, NPI 1063535110

DAVID FLOYD WINECOFF (PA) is a healthcare provider. based in St louis park, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. The NPI Number for DAVID FLOYD WINECOFF (PA) is 1063535110

Main info

Male
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
DAVID FLOYD WINECOFF (PA)
NPI
1063535110
Phone
(952) 512-5600
Address
6465 WAYZATA BLVD
Enumeration Date
6 April 2007
Last Update Date
15 January 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6514388807
Graduation Year
2007 (19 years ago)
PAC ID
1456443472
Group Practice PAC ID
1052225042
Professional Enrollment ID
I20070822001194
Address ID
MN551293237WO4040XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

4,031 PHYSICIAN ASSISTANT in MN

Provider Addresses for DAVID FLOYD WINECOFF (PA)

  • 6465 WAYZATA BLVD

    SUITE 900

    ST LOUIS PARK, MN 554261728

    Phone: (952) 512-5600

    Fax: (952) 512-5650

    Type: Mailing

  • 775 PRAIRIE CENTER DR

    SUITE 250

    EDEN PRAIRIE, MN 553447314

    Phone: (952) 944-2519

    Fax: (952) 944-0460

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2007-08-22

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
I20070822001194IPhysician AssistantMNTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg11414$0
99213Established patient office or other outpatient visit, 20-29 minutes5352$0
99203New patient office or other outpatient visit, 30-44 minutes1919$0
99214Established patient office or other outpatient visit, 30-39 minutes1716$0
73630X-ray of foot, minimum of 3 views1616$0
View full utilization report →

Insurance plans in this area (ZIP 55426)

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Provider's Procedures

DAVID FLOYD WINECOFF (PA) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTMN27447Repair of knee joint1312

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: 1052225042View full group profile
NameSpecialtyState
Physician AssistantMN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
-MN
Physical Therapist In Private PracticeMN
-MN
Orthopedic SurgeryMN
-MN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeTX

Reviews

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Frequently asked questions

What is the standard ID for DAVID FLOYD WINECOFF (PA) in the U.S.?
In the U.S., DAVID FLOYD WINECOFF (PA) is identified by NPI 1063535110.
Does the public listing show DAVID FLOYD WINECOFF (PA) as active?
DAVID FLOYD WINECOFF (PA)'s NPI record reflects an active status in NPPES.
What type of care does DAVID FLOYD WINECOFF (PA) provide?
DAVID FLOYD WINECOFF (PA)'s profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DAVID FLOYD WINECOFF (PA)?
DAVID FLOYD WINECOFF (PA) is associated with St Louis Park, Minnesota in the same public data insurers reference.
Who maintains DAVID FLOYD WINECOFF (PA)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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