DR. DENISE LYNN WUNDERLER (D.O.) – Sports Medicine (Family Medicine) Physician, NPI 1669695425

DR. DENISE LYNN WUNDERLER (D.O.) is a healthcare provider. based in Louisville, Kentucky. specializing in Sports Medicine (Family Medicine) Physician. They hold the professional credentials D.O.. They hold a License No. 25MB10009200 (NJ). The NPI Number for DR. DENISE LYNN WUNDERLER (D.O.) is 1669695425

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. DENISE LYNN WUNDERLER (D.O.)
NPI
1669695425
Phone
(502) 588-9490
Address
PO BOX 950245
Enumeration Date
10 April 2007
Last Update Date
9 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7326831800
Graduation Year
2004 (22 years ago)
PAC ID
8921179482
Group Practice PAC ID
8022918804
Professional Enrollment ID
I20170424002144
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for DR. DENISE LYNN WUNDERLER (D.O.)

  • PO BOX 950245

    LOUISVILLE, KY 402950245

    Phone: (502) 588-9490

    Type: Mailing

  • 4420 DIXIE HWY

    STE.112

    LOUISVILLE, KY 402162988

    Phone: (502) 449-6444

    Type: Location

  • 4251 US 9 STE B

    FREEHOLD, NJ 077288304

    Phone: (732) 683-1800

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2017-04-24

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
I20170424002144ISports MedicineNJTBD

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
99489Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month1,539280$0
99487Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month299299$0
View full utilization report →

Insurance plans in this area (ZIP 40295)

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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: 8022918804View full group profile
NameSpecialtyState
-NJ
-PA
General Surgery, Colorectal Surgery (Proctology)PA
C H I R O P R A C T I CNJ

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. DENISE LYNN WUNDERLER (D.O.)?
DR. DENISE LYNN WUNDERLER (D.O.) — NPI 1669695425 — is the standard way to identify this listing.
Is DR. DENISE LYNN WUNDERLER (D.O.) still practicing?
DR. DENISE LYNN WUNDERLER (D.O.) is currently listed as active in the public NPI registry.
What is DR. DENISE LYNN WUNDERLER (D.O.)'s specialty?
The listing groups DR. DENISE LYNN WUNDERLER (D.O.) with Sports Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. DENISE LYNN WUNDERLER (D.O.)?
DR. DENISE LYNN WUNDERLER (D.O.)'s geographic hint is Louisville, Kentucky in our summary view.
Is the information about DR. DENISE LYNN WUNDERLER (D.O.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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