DR. JONATHAN WYNSTRA (M.D.) – Obstetrics & Gynecology Physician, NPI 1235132960

DR. JONATHAN WYNSTRA (M.D.) is a healthcare provider. based in Mayfield, Kentucky. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 31915 (KY). The NPI Number for DR. JONATHAN WYNSTRA (M.D.) is 1235132960

Main info

Male
Sole Proprietor
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. JONATHAN WYNSTRA (M.D.)
NPI
1235132960
Phone
(270) 251-4543
Address
1111 MEDICAL CENTER CIR
Enumeration Date
26 May 2005
Last Update Date
27 October 2014

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
2702514055
Graduation Year
1989 (37 years ago)
PAC ID
5496778730
Group Practice PAC ID
6800797507
Professional Enrollment ID
I20060112000420
Address ID
KY420661194MA1111XCIRX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

631 OBSTETRICS/GYNECOLOGY in KY

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Provider Addresses for DR. JONATHAN WYNSTRA (M.D.)

  • Medical Center Circle, Mayfield, Graves County, Kentucky, United States

    MAYFIELD, KY 420661194

    Phone: (270) 251-4543

    Fax: (270) 251-4544

    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 5 Open Payments records for all available years, with a total value of $117.

Total Amount is formed as General ($117) + Research ($0) + Ownership ($0) = $117.

Last reported payment date: 2024-09-25 • Largest payer in this snapshot: Astellas Pharma US Inc ($37).

Total Amount

$117

General + Research + Ownership

Payments

5

Total payment records

General Amount

$117

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-25

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: 2006-01-12

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
I20060112000420IObstetrics/GynecologyKYTBD

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 42066)

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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: 6800797507View full group profile
NameSpecialtyState
Nurse PractitionerKY
-KY
Neurology, Sleep MedicineKY
P O D I A T R YKY
N E P H R O L O G YKY
Nurse PractitionerKY
Cardiovascular Disease (Cardiology)IL
Physician AssistantFL
-KY
-KY

Reviews

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Frequently asked questions

Can I use this page to confirm DR. JONATHAN WYNSTRA (M.D.)'s NPI?
Yes. DR. JONATHAN WYNSTRA (M.D.) is listed with NPI 1235132960 in the public NPI dataset.
Does CMS list DR. JONATHAN WYNSTRA (M.D.) as active?
Yes — DR. JONATHAN WYNSTRA (M.D.) is active in the NPI listing used on this page.
What taxonomy line describes DR. JONATHAN WYNSTRA (M.D.)?
For research purposes, treat DR. JONATHAN WYNSTRA (M.D.) as Obstetrics & Gynecology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect DR. JONATHAN WYNSTRA (M.D.) on a map?
Expect Mayfield, Kentucky as a primary anchor for DR. JONATHAN WYNSTRA (M.D.) unless the record lists multiple sites.
Why does DR. JONATHAN WYNSTRA (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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