Individual provider Active NPI

Michael Winstead, DMD,MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Knoxville, TN
National Provider Identifier
1245650613
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
10177 Issued in TN
Practice address
1930 Alcoa Hwy Ste 335
Knoxville, TN 37920-1585
Phone
(865) 305-9022
Fax
(865) 305-9026
NPI assigned
Apr 23, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 10177 TN Primary

Addresses

Primary practice location

1930 Alcoa Hwy Ste 335
Knoxville, TN 37920-1585

Mailing address

Dept #8888742
Knoxville, TN 37995-0001
Phone (865) 670-6199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210804001759 TX Practitioner - Oral Surgery 4082915541 Reassigns benefits to 1 organization
I20231011002924 TN Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 4082915541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial SurgeryAlso: Oral Surgery
Education
University of Tennessee, HSC, College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tennessee Oral Head and Neck Surgery PLLCGroup PAC ID 6002270832, 2 clinicians

Practice addresses (Care Compare)

1930 Alcoa Hwy
Suite 335
Knoxville, TN 37920-1585
Phone (865) 305-9022

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision13
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Maxillofacial Surgery, PLLC Oral & Maxillofacial Surgery CurrentSince Jul 1, 2023 Accepting new patients
Oral & Maxillofacial Network, P.L.L.C. Oral and Maxillofacial Surgery CurrentSince Jul 1, 2021 Accepting new patients

Locations

1924 Alcoa Hwy
Knoxville, TN 37920
Phone (865) 305-9000

1930 Alcoa Hwy
Ste 335
Knoxville, TN 37920
Phone (865) 305-9022

9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142

Dept 8888742
Knoxville, TN 37995

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1245650613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT #8888742",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379950001",
            "telephone_number": "865-670-6199",
            "fax_number": "865-670-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 ALCOA HWY STE 335",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201585",
            "telephone_number": "865-305-9022",
            "fax_number": "865-305-9026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINSTEAD",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DMD,MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-23",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "TN",
            "license": "10177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.