Medicare Enrolled
Dr. David Winner, MD
Family Medicine · Defiance, OH
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Winner from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Winner
Dr. David Winner is a family medicine specialist in Defiance, OH, with 20 years of NPI registration. Based on federal Medicare data, Dr. Winner performed 2,385 Medicare services across 899 unique beneficiaries.
Between the years covered by Open Payments, Dr. Winner received a total of $6,521 from 54 pharmaceutical and/or device companies across 469 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Winner is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 20 years in practice
▲ Top 4% volume in OH
$6,521 industry payments
Medicare Practice Summary
Medicare Utilization ↗2,385
Medicare services
Top 4% in OH for family medicine
899
Unique beneficiaries
$38
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~119 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Denosumab injection (Prolia/Xgeva) | 1,140 | $18 | $34 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
193 | $71 | $148 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
167 | $59 | $106 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
129 | $8 | $9 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
128 | $125 | $229 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
115 | $10 | $19 |
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
99 | $59 | $132 |
| Blood glucose test using hand-held instrument A test that measures the level of sugar in the blood using a portable device. The result helps monitor blood glucose levels. |
98 | $3 | $5 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
55 | $100 | $239 |
| Hospital discharge day management, 30 minutes or less This service covers the final day of hospital care when the patient is being discharged. It includes coordination of care and instructions for the patient within a time frame of 30 minutes or less. |
48 | $61 | $127 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
41 | $34 | $75 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
38 | $29 | $33 |
| Flu vaccine, quadrivalent A flu shot containing four strains of the influenza virus to help prevent seasonal influenza infection. |
36 | $75 | $120 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
25 | $11 | $40 |
| Hospital discharge management, 30+ min This service covers the care provided by a physician or qualified healthcare professional on the day a patient is discharged from the hospital. It requires more than 30 minutes of total time spent on the day of discharge. |
23 | $82 | $187 |
| Urinalysis with microscopic exam A urine test performed manually that includes examining the sample under a microscope to check for abnormalities. |
22 | $3 | $7 |
| Transitional care management services, moderate complexity Services provided to coordinate care during the transition from an inpatient or other facility setting back to the community. This includes follow-up and management of a health problem of at least moderate complexity. |
14 | $158 | $280 |
| Transitional care management, high complexity Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem. |
14 | $214 | $397 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
Industry Payment Transparency
Open Payments through 2024 ↗$6,521
Total received (2018-2024)
Avg $932/year across 7 years
Top 10% in OH for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
54
Companies
469
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$6,521 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,193
2023
$1,265
2022
$1,063
2021
$884
2020
$493
2019
$528
2018
$1,095
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
PFIZER INC.
$173
Novo Nordisk Inc
$164
ABBVIE INC.
$151
Abbott Laboratories
$85
Amgen Inc.
$75
GlaxoSmithKline, LLC.
$74
Axsome Therapeutics, Inc.
$70
Lilly USA, LLC
$61
Boehringer Ingelheim Pharmaceuticals, Inc.
$57
Phathom Pharmaceuticals, Inc.
$54
Teleflex LLC
$39
Bayer Healthcare Pharmaceuticals Inc.
$31
Radius Health, Inc.
$31
Otsuka America Pharmaceutical, Inc.
$30
Lundbeck LLC
$22
Exact Sciences Corporation
$16
IRONSHORE PHARMACEUTICALS INC.
$16
Merck Sharp & Dohme LLC
$15
Phadia US Inc.
$14
SHIELD THERAPEUTICS INC
$13
Top 3 companies account for 41.0% of 2024 payments
All-time payments by company (2018-2024) ›
Novo Nordisk Inc
$1,081
PFIZER INC.
$635
Amgen Inc.
$500
Boehringer Ingelheim Pharmaceuticals, Inc.
$485
ABBVIE INC.
$357
AstraZeneca Pharmaceuticals LP
$352
Lilly USA, LLC
$339
SANOFI-AVENTIS U.S. LLC
$289
AbbVie Inc.
$258
GlaxoSmithKline, LLC.
$217
Novartis Pharmaceuticals Corporation
$195
Biohaven Pharmaceuticals, Inc.
$142
Abbott Laboratories
$106
Bayer Healthcare Pharmaceuticals Inc.
$96
Otsuka America Pharmaceutical, Inc.
$90
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$83
Astellas Pharma US Inc
$82
Merck Sharp & Dohme Corporation
$76
Axsome Therapeutics, Inc.
$70
Bayer HealthCare Pharmaceuticals Inc.
$67
Kowa Pharmaceuticals America, Inc.
$62
Takeda Pharmaceuticals U.S.A., Inc.
$58
Phathom Pharmaceuticals, Inc.
$54
Teva Pharmaceuticals USA, Inc.
$53
Janssen Pharmaceuticals, Inc
$51
Daiichi Sankyo Inc.
$50
Merck Sharp & Dohme LLC
$47
Biohaven Pharmaceutical Holding Company Ltd.
$41
Teleflex LLC
$39
Phadia US Inc.
$33
Mylan Specialty L.P.
$32
Radius Health, Inc.
$31
Ironshore Pharmaceuticals Inc.
$30
Amarin Pharma Inc.
$30
Currax Pharmaceuticals LLC
$30
Shield Therapeutics Inc
$28
Seqirus USA Inc
$26
E.R. Squibb & Sons, L.L.C.
$25
Organon LLC
$25
Exeltis, USA Inc.
$24
VBI Vaccines (Delaware) Inc.
$23
Lundbeck LLC
$22
Dexcom, Inc.
$19
Allergan, Inc.
$18
UPSHER-SMITH LABORATORIES LLC
$17
Myriad Women's Health, Inc.
$17
Exact Sciences Corporation
$16
IRONSHORE PHARMACEUTICALS INC.
$16
Ultragenyx Pharmaceutical Inc.
$15
Sanofi Pasteur Inc.
$15
Corium, LLC
$15
DEXCOM, INC.
$14
SHIELD THERAPEUTICS INC
$13
Eisai Inc.
$11
Top 3 companies account for 34.0% of all-time payments
Associated products mentioned in payments ›
ACCRUFER · AIMOVIG · AJOVY · ANORO ELLIPTA · AREXVY · Auvelity · Azstarys · BEVESPI AEROSPHERE · BREATHTEK · BREZTRI · CHANTIX · COMIRNATY · CONTRAVE · CREON · Cologuard Collection Kit · Cryvista · DEXCOM G6 TRANSMITTER · Dayvigo · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · ENTRESTO · EUCRISA · EVENITY · FARXIGA · FLUCELVAX QUADRIVALENT (MULTI-DOSE VIAL) · FREESTYLE LIBRE 3 · GARDASIL · GARDASIL 9 · INJECTAFER · ImmunoCAP · JANUVIA · JARDIANCE · JORNAY PM · Jornay PM 20mg capsules (Bottle of 100) · Kerendia · LEQVIO · Livalo · MENACTRA · MOUNJARO · MYRBETRIQ · MYRISK · NEXPLANON · NURTEC ODT · OFEV · Otezla · Ozempic · PAXLOVID · PREMARIN · PREVNAR - 13 · PREVNAR 13 · PREVNAR 20 · PreHevbrio · Prolia · QULIPTA · REXULTI · ROTATEQ · Repatha · Rybelsus · SHINGRIX · SLYND · SOLIQUA · SOLIQUA 100/33 · SPIRIVA RESPIMAT · STIOLTO RESPIMAT · SYMBICORT · Saxenda · TOSYMRA · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · Tresiba · Trintellix · Tymlos · UBRELVY · UROLIFT · VOQUEZNA · VRAYLAR · Vascepa · Victoza · Wegovy · XARELTO · XIFAXAN · Yupelri
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 10% for family medicine in OH.
Geographic Context
Family medicine physicians within 10 mi
79
Per 100K population
206.5
County median income
$73,615
Nearest hospital
MERCY HEALTH - DEFIANCE HOSPITAL
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Winner is a clinical cardiology specialist, with above-average Medicare volume (top 4% in OH), with low-engagement industry engagement in the top 10% of OH peers, with 20 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Winner experienced with denosumab injection (prolia/xgeva)?
Based on Medicare claims data, Dr. Winner performed 1,140 denosumab injection (prolia/xgeva) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Winner receive payments from pharmaceutical companies?
Yes. Dr. Winner received a total of $6,521 from 54 companies across 469 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Winner's costs compare to other family medicine physicians in Defiance?
Dr. Winner's average Medicare payment per service is $38. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Winner) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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