Individual provider Active NPI

Corbett D Winegar, M.D.

  • Orthopaedic Surgery Physician
  • Meridian, ID
National Provider Identifier
1669632386
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
M-15127 Issued in ID
Practice address
2960 E. St Lukes St.
Suite 200
Meridian, ID 83642
Phone
(801) 928-8290
NPI assigned
Jun 16, 2008
Last updated
Jun 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X M-15127 ID Primary

Addresses

Primary practice location

2960 E. St Lukes St.
Suite 200
Meridian, ID 83642

Mailing address

2960 E. St Lukes St.
Suite 200
Meridian, ID 83642
Phone (801) 928-8290

Other practice location 1

3399 E Louise Dr Ste 200
Meridian, ID 83642-5212
Phone (208) 706-2663

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address corbett.winegar@sal.eclinicaldirectplus.com Direct
Direct Messaging Address corbett.winegar@sal.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200316001967 ID Practitioner - Orthopedic Surgery 6002058336 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blackrock Orthopedic Specialists LLCGroup PAC ID 1759761224, 3 clinicians

Practice addresses (Care Compare)

2960 E St Lukes St
Suite 200
Meridian, ID 83642-3506
Phone (208) 900-5633

6357 N Fox Run Way
Meridian, ID 83646-6791
Phone (208) 900-5633

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement69
Lower limb (leg) arthroscopy (minimally invasive joint repair)22

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Blackrock Orthopedic Specialists LLC Orthopaedic Surgery CurrentSince May 1, 2022 Accepting new patients
St Lukes Regional Medical Center Past Accepting new patients

Locations

2960 E St Lukes St Ste 200
Ste 200
Meridian, ID 83642
Phone (208) 378-4264

2960 E St Lukes St Ste 200
Ste 200
Meridian, ID 83642
Phone (208) 378-4264

6357 N Fox Run Way
Meridian, ID 83646
Phone (208) 900-5633

Interoperability endpoints

  • Direct secure messaging: corbett.winegar.1@4690.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1669632386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2960 E. ST LUKES ST.",
            "address_2": "SUITE 200",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "83642",
            "telephone_number": "801-928-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 E. ST LUKES ST.",
            "address_2": "SUITE 200",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "83642",
            "telephone_number": "801-928-8290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3399 E Louise Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836425212",
            "country_code": "US",
            "telephone_number": "208-706-2663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINEGAR",
        "first_name": "CORBETT",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-16",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "ID",
            "license": "M-15127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "corbett.winegar@sal.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "875 S Vanguard Way",
            "city": "Meridian",
            "state": "ID",
            "country_code": "US",
            "postal_code": "836428540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "corbett.winegar@sal.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2960 E. St Lukes St.",
            "address_2": "Suuite 200",
            "city": "Meridian",
            "state": "ID",
            "country_code": "US",
            "postal_code": "83642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.