DR. RAYMOND B. WYNN (MD) – Radiation Oncology Physician, NPI 1548216195

DR. RAYMOND B. WYNN (MD) is a healthcare provider. based in Maywood, Illinois. specializing in RADIATION ONCOLOGY. They hold the professional credentials MD. They hold a License No. MD438611 (PA). The NPI Number for DR. RAYMOND B. WYNN (MD) is 1548216195

Main info

Male
Sole Proprietor
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. RAYMOND B. WYNN (MD)
NPI
1548216195
Phone
(708) 216-9000
Address
2160 S 1st Ave
Enumeration Date
25 May 2006
Last Update Date
7 August 2020

Doctor Profile

Medical School Name
MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Secondary Phone
2704157653
Graduation Year
1991 (35 years ago)
PAC ID
2264451392
Group Practice PAC ID
5597867184
Professional Enrollment ID
I20240416000855
Address ID
KY420033813PA2501XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

312 RADIATION ONCOLOGY in IL

Provider Addresses for DR. RAYMOND B. WYNN (MD)

  • 2160 S 1st Ave

    Maywood, IL 601533328

    Phone: (708) 216-9000

    Type: Location

  • 125, Oak Ridge Drive East, Palisades, Burr Ridge, DuPage County, Illinois, 60527, United States

    BURR RIDGE, IL 605276869

    Phone: (087) 635-9133

    Type: Mailing

  • 2500, West 12th Street, Erie, Erie County, Pennsylvania, 16505, United States

    UPMC REGIONAL CANCER CENTER

    ERIE, PA 16505

    Phone: (708) 635-9133

    Type: Location

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 $275.

Total Amount is formed as General ($275) + Research ($0) + Ownership ($0) = $275.

Last reported payment date: 2024-05-23 • Largest payer in this snapshot: Siemens Medical Solutions USA, Inc. ($173).

Total Amount

$275

General + Research + Ownership

Payments

2

Total payment records

General Amount

$275

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-23

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: 2024-04-16

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170403000863IRadiation OncologyILTBD
I20240416000855IRadiation OncologyKYTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60153)

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Provider's Procedures

DR. RAYMOND B. WYNN (MD) performs procedures in RADIATION ONCOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
RADIATION ONCOLOGYPA77263Management of radiation therapy, complex5554
RADIATION ONCOLOGYPA77300Calculation of radiation therapy dose32957
RADIATION ONCOLOGYPA77427Radiation treatment management, 5 treatments27970

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: 5597867184View full group profile
NameSpecialtyState
Nurse PractitionerKY
-KY
-KY
General PracticeKY
P S Y C H I A T R YKY
Thoracic Surgery, Cardiac SurgeryKY
N E U R O S U R G E R YKY
Physician AssistantKY
Emergency Medicine, General PracticeKY
Hematology/Oncology, Internal MedicineKY

Reviews

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Frequently asked questions

What identifier follows DR. RAYMOND B. WYNN (MD) across health systems?
The NPI 1548216195 uniquely identifies DR. RAYMOND B. WYNN (MD) in U.S. healthcare data.
Does the public listing show DR. RAYMOND B. WYNN (MD) as active?
DR. RAYMOND B. WYNN (MD)'s NPI record reflects an active status in NPPES.
What type of care does DR. RAYMOND B. WYNN (MD) provide?
DR. RAYMOND B. WYNN (MD)'s profile centers on Radiation Oncology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. RAYMOND B. WYNN (MD)?
DR. RAYMOND B. WYNN (MD) shows a connection to Maywood, Illinois in registry-derived data.
Can I export DR. RAYMOND B. WYNN (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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