DERRICK JOHN WINCKLER PAC NPI 1285076661

NPI Information

NPI: 1285076661
Provider Name: DERRICK JOHN WINCKLER, PAC
Classification: Physician Assistant - 363AS0400X
Specialization: Surgical
Entity Type: Individual
PECOS Registration: Yes
Address: 10099 RIDGEGATE PKWY
SUITE 310
LONE TREE, CO
ZIP 80124
Phone: (303) 790-1800

Map and Directions

Get Directions

NPI Details

Derrick John Winckler, PAC is a surgical physician assistant in Lone Tree, CO with 13 years of experience. Derrick John Winckler, PAC NPI is 1285076661. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10099 RIDGEGATE PKWY
SUITE 310
LONE TREE, CO
ZIP 80124-531
Phone: (303) 790-1800
Fax: (303) 790-1809

The NPI 1285076661 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Insertion of cage or mesh device to spine bone and disc space during spine fusion (HCPCS:22853)
Fusion of additional segment of spine (HCPCS:22614)
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment (HCPCS:63048)
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment (HCPCS:63047)
Placement of stabilizing device to back, 3-6 spine bone segments (HCPCS:22842)
Fusion of spine in lower back (HCPCS:22612)
Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc (HCPCS:22551)
Placement of stabilizing device to front, 2-3 spine bone segments (HCPCS:22845)
Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc (HCPCS:22552)
Exploration of spine fusion (HCPCS:22830)
Fusion of spine in neck by posterior approach (HCPCS:22600)
Spinal fusion (HCPCS:NAN02)

The enumeration date for this NPI number is 7/25/2013 and was last updated on 10/27/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	0003752	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0003752	OTHER	COLORADO	CO STATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI

Next NPI