SHAWN W WYNN (MD) – Orthopaedic Surgery Physician, NPI 1205990843
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,265 ORTHOPEDIC SURGERY in IL
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Provider Addresses for SHAWN W WYNN (MD)
520, Valley View Drive, Moline, Rock Island County, Illinois, 61265, United States
MOLINE, IL 612656194
Phone: (309) 762-3621
Fax: (309) 762-3690
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $167.
Total Amount is formed as General ($167) + Research ($0) + Ownership ($0) = $167.
Last reported payment date: 2023-05-24 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($144).
Total Amount
$167
General + Research + Ownership
Payments
2
Total payment records
General Amount
$167
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Zimmer Biomet Holdings, Inc. | $144 |
| Ethicon US, LLC | $23 |
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: 2007-08-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070714000188 | I | Orthopedic Surgery | IL | TBD |
| I20070815000148 | I | Orthopedic Surgery | IA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J7325 | Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg | 2,160 | 30 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 999 | 117 | $0 |
| A9575 | Injection, gadoterate meglumine, 0.1 ml | 430 | 15 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 227 | 129 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 171 | 132 | $0 |
Insurance plans in this area (ZIP 61265)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | IL | 20610 | Aspiration and/or injection of large joint or joint capsule | 221 | 149 |
| ORTHOPEDIC SURGERY | IL | 73562 | X-ray of knee, 3 views | 162 | 70 |
| ORTHOPEDIC SURGERY | IL | 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 182 | 84 |
| ORTHOPEDIC SURGERY | IL | 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 49 | 38 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Orthopedic Surgery | IA | |
| - | SC | |
| Physical Therapist In Private Practice | IA | |
| - | IA | |
| Orthopedic Surgery | IL | |
| Physical Therapist In Private Practice | IA | |
| Orthopedic Surgery | IA | |
| Physician Assistant | IA | |
| Orthopedic Surgery | IL |
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