MARTY J WYMAN (O.D.) – Optometrist, NPI 1164522264

MARTY J WYMAN (O.D.) is a healthcare provider. based in Baltimore, Maryland. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. TA808 (MD). The NPI Number for MARTY J WYMAN (O.D.) is 1164522264

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
MARTY J WYMAN (O.D.)
NPI
1164522264
Phone
(410) 931-0923
Address
8200 Perry Hall Blvd
Enumeration Date
25 September 2006
Last Update Date
31 January 2018

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
4108485442
Graduation Year
1980 (46 years ago)
PAC ID
5395006795
Group Practice PAC ID
6002037629
Professional Enrollment ID
I20180227002833
Address ID
MD211576183WE625XXBLVD301
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

626 OPTOMETRY in MD

Provider Addresses for MARTY J WYMAN (O.D.)

  • 8200 Perry Hall Blvd

    Baltimore, MD 212364901

    Phone: (410) 931-0923

    Fax: (410) 931-3484

    Type: Location

  • 1950 OLD GALLOWS RD STE 520

    VIENNA, VA 221823970

    Phone: (703) 847-8899

    Fax: (866) 795-4020

    Type: Mailing

  • Mariner Finance, 625, Baltimore Boulevard, Westminster, Carroll County, Maryland, 21157, United States

    WESTMINSTER, MD 211576178

    Phone: (410) 848-5442

    Fax: (410) 848-5578

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $373.

Total Amount is formed as General ($373) + Research ($0) + Ownership ($0) = $373.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: CooperVision Inc. ($266).

Total Amount

$373

General + Research + Ownership

Payments

9

Total payment records

General Amount

$373

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

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: 2018-02-27

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
I20180227002833IOptometryMDTBD

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
99212Established patient office or other outpatient visit, 10-19 minutes2121$0
99202New patient office or other outpatient visit, 15-29 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 21236)

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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: 6002037629View full group profile
NameSpecialtyState
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YVA
-VA
O P T O M E T R YMD
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YMD

Reviews

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Frequently asked questions

Does MARTY J WYMAN (O.D.) have a public NPI I can cite?
Public records show MARTY J WYMAN (O.D.) under NPI 1164522264.
Should I treat MARTY J WYMAN (O.D.) as an active provider?
Patients and plans typically see MARTY J WYMAN (O.D.) as active in the national extract.
How should patients interpret MARTY J WYMAN (O.D.)'s specialty?
The extract shows Optometrist for MARTY J WYMAN (O.D.). Clinical services aligned with this taxonomy classification.
What geographic area is tied to MARTY J WYMAN (O.D.)?
MARTY J WYMAN (O.D.) is associated with Baltimore, Maryland in the same public data insurers reference.
Who maintains MARTY J WYMAN (O.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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