DR. WYNN HUGH KAO (M.D., PH.D.) – Dermatology Physician, NPI 1790996890

DR. WYNN HUGH KAO (M.D., PH.D.) is a healthcare provider. based in Bloomington, Illinois. specializing in DERMATOLOGY. They hold the professional credentials M.D., PH.D.. They hold a License No. 036.143480 (IL). The NPI Number for DR. WYNN HUGH KAO (M.D., PH.D.) is 1790996890

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. WYNN HUGH KAO (M.D., PH.D.)
NPI
1790996890
Phone
(309) 451-3376
Address
3024 E EMPIRE ST STE E&F
Enumeration Date
24 May 2007
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
HARVARD MEDICAL SCHOOL
Secondary Phone
3094513376
Graduation Year
2004 (22 years ago)
PAC ID
8820277544
Group Practice PAC ID
3870732191
Professional Enrollment ID
I20170707000967
Address ID
IL617045402BL3024XSTXX414
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

703 DERMATOLOGY in IL

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Provider Addresses for DR. WYNN HUGH KAO (M.D., PH.D.)

  • East Empire Street, Bloomington, McLean County, Illinois, 61704-2534, United States

    BLOOMINGTON, IL 617045402

    Phone: (309) 451-3376

    Fax: (309) 452-3376

    Type: Mailing

  • 3024, East Empire Street, Bloomington, McLean County, Illinois, 61704, United States

    STE E & F

    BLOOMINGTON, IL 617045402

    Phone: (309) 451-3376

    Fax: (309) 452-3376

    Type: Location

  • 2408 Ocean Ave

    Brooklyn, NY 112293565

    Phone: (718) 332-2999

    Fax: (718) 332-3454

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 167 Open Payments records for all available years, with a total value of $3,188.

Total Amount is formed as General ($3,188) + Research ($0) + Ownership ($0) = $3,188.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: UCB, Inc. ($502).

Total Amount

$3,188

General + Research + Ownership

Payments

167

Total payment records

General Amount

$3,188

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2017-07-07

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
I20150216000046IDermatologyNYTBD
I20170707000967IDermatologyILTBD

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
17003Destruction of precancer skin growth, 2-14 growths5,835869$0
99213Established patient office or other outpatient visit, 20-29 minutes2,2391,531$0
17000Destruction of precancer skin growth, 1 growth1,4171,035$0
11102Biopsy of related skin growth, first growth1,073914$0
11103Biopsy of related skin growth, each additional growth898532$0
View full utilization report →

Insurance plans in this area (ZIP 61704)

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Provider's Procedures

DR. WYNN HUGH KAO (M.D., PH.D.) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYIL17003Destruction of 2-14 skin growths34494

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: 3870732191View full group profile
NameSpecialtyState
Nurse PractitionerIL
Dermatology, Micrographic Dermatologic Surgery (Mds)IL
Physician AssistantIL
Physician AssistantWI
-IL
Nurse PractitionerIL
Nurse PractitionerWI

Reviews

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Frequently asked questions

What NPI should I save for DR. WYNN HUGH KAO (M.D., PH.D.)?
Save NPI 1790996890 if you need a stable reference for DR. WYNN HUGH KAO (M.D., PH.D.).
Is DR. WYNN HUGH KAO (M.D., PH.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DR. WYNN HUGH KAO (M.D., PH.D.) work in?
You can think of DR. WYNN HUGH KAO (M.D., PH.D.) as practicing within Dermatology Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. WYNN HUGH KAO (M.D., PH.D.)?
We surface Bloomington, Illinois for DR. WYNN HUGH KAO (M.D., PH.D.) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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