JOHN CHARLES JR. WODYNSKI (PA-C) – Physician Assistant, NPI 1689943649
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,499 PHYSICIAN ASSISTANT in IN
Provider Addresses for JOHN CHARLES JR. WODYNSKI (PA-C)
1400 S LAKE PARK AVE STE 200-202
HOBART, IN 463426790
Phone: (219) 947-6122
Type: Location
730 45th Ave
Munster, IN 463212818
Phone: (219) 924-3300
Fax: (219) 922-5424
Type: Location
801 MacArthur Blvd Ste 402
Munster, IN 463212919
Phone: (219) 947-6122
Type: Location
1400 S. LAKE PARK AVENUE
SUITE 200
HOBART, IN 463426791
Phone: (219) 947-6122
Fax: (219) 947-6045
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $179.
Total Amount is formed as General ($179) + Research ($0) + Ownership ($0) = $179.
Last reported payment date: 2024-11-04 • Largest payer in this snapshot: Kerecis Limited ($57).
Total Amount
$179
General + Research + Ownership
Payments
8
Total payment records
General Amount
$179
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Kerecis Limited | $57 |
| Tactile Systems Technology Inc | $26 |
| Takeda Pharmaceuticals U.S.A., Inc. | $24 |
| Teleflex LLC | $20 |
| Lilly USA, LLC | $20 |
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: 2014-01-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140128001898 | I | Physician Assistant | IN | 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 |
|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 97 | 67 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 39 | 38 | $0 |
| 36821 | Relocation of arm vein with connection to arm artery for hemodialysis | 14 | 14 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 12 | 11 | $0 |
Insurance plans in this area (ZIP 46342)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Critical Care (Intensivists) | IL | |
| - | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| Cardiovascular Disease (Cardiology), Cardiac Electrophysiology | IL | |
| Nurse Practitioner | IN | |
| - | IN | |
| Gynecological Oncology, Obstetrics/Gynecology | IN | |
| - | IN | |
| Nurse Practitioner | IN |
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