ROBERT ALEXANDER WYNN (M.D.) – Surgery Physician, NPI 1790748432

ROBERT ALEXANDER WYNN (M.D.) is a healthcare provider. based in Springfield, Georgia. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. 056939 (GA). The NPI Number for ROBERT ALEXANDER WYNN (M.D.) is 1790748432

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT ALEXANDER WYNN (M.D.)
NPI
1790748432
Phone
(912) 754-0382
Address
459 HIGHWAY 119 S
Enumeration Date
11 April 2006
Last Update Date
28 September 2024

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
9127540382
Graduation Year
1998 (28 years ago)
PAC ID
9133163025
Group Practice PAC ID
3274663091
Professional Enrollment ID
I20051012000690
Address ID
GA313293021SP459XXSXXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,092 GENERAL SURGERY in GA

Provider Addresses for ROBERT ALEXANDER WYNN (M.D.)

  • 459 HIGHWAY 119 S

    SPRINGFIELD, GA 313293021

    Phone: (912) 754-0382

    Fax: (912) 754-0225

    Type: Location

  • Hodgson Memorial Drive, Savannah, Chatham County, Georgia, 31406-4805, United States

    SAVANNAH, GA 314062532

    Phone: (912) 352-4490

    Fax: (912) 352-4490

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $75.

Total Amount is formed as General ($75) + Research ($0) + Ownership ($0) = $75.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Becton, Dickinson and Company ($25).

Total Amount

$75

General + Research + Ownership

Payments

4

Total payment records

General Amount

$75

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2005-10-12

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
I20051012000690IGeneral SurgeryGATBD

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
99203New patient office or other outpatient visit, 30-44 minutes6464$0
99213Established patient office or other outpatient visit, 20-29 minutes5843$0
99212Established patient office or other outpatient visit, 10-19 minutes2619$0
43235Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope1414$0
45378Diagnostic exam of large bowel using a flexible endoscope1212$0
View full utilization report →

Insurance plans in this area (ZIP 31329)

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Provider's Procedures

ROBERT ALEXANDER WYNN (M.D.) performs procedures in GENERAL SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GENERAL SURGERYGA43235Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope2523

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: 3274663091View full group profile
NameSpecialtyState
Nurse PractitionerGA

Reviews

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Frequently asked questions

What is ROBERT ALEXANDER WYNN (M.D.)'s NPI number?
ROBERT ALEXANDER WYNN (M.D.)'s NPI is 1790748432 — the number used across U.S. healthcare to identify this provider.
Would ROBERT ALEXANDER WYNN (M.D.) appear as active to a payer?
You can treat ROBERT ALEXANDER WYNN (M.D.) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to ROBERT ALEXANDER WYNN (M.D.)?
ROBERT ALEXANDER WYNN (M.D.)'s specialty line reads Surgery Physician. Clinical services aligned with this taxonomy classification.
Is ROBERT ALEXANDER WYNN (M.D.) located near Springfield?
ROBERT ALEXANDER WYNN (M.D.) currently maps to Springfield, Georgia in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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