TOD WYN (MD) – Emergency Medical Services (Emergency Medicine) Physician, NPI 1073537403

TOD WYN (MD) is a healthcare provider. based in Holland, Michigan. specializing in HOSPICE/PALLIATIVE CARE, EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 4301060023 (MI). The NPI Number for TOD WYN (MD) is 1073537403

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
TOD WYN (MD)
NPI
1073537403
Phone
(616) 396-2972
Address
270 HOOVER BLVD
Enumeration Date
27 July 2006
Last Update Date
17 December 2025

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
6163962972
Graduation Year
1992 (34 years ago)
PAC ID
4587557293
Group Practice PAC ID
9133132970
Professional Enrollment ID
I20070706000088
Address ID
MI494233719HO270XXBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Digital endpointsOther names

164 HOSPICE/PALLIATIVE CARE in MI

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Provider Addresses for TOD WYN (MD)

  • 270, Hoover Boulevard, Holland Charter Township, Ottawa County, Michigan, 49423, United States

    HOLLAND, MI 494233719

    Phone: (616) 396-2972

    Fax: (616) 396-2808

    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)

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: 2007-07-06

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
I20070706000088IHospice/Palliative CareMITBD

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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes9546$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes5252$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes3522$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes2111$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1211$0
View full utilization report →

Insurance plans in this area (ZIP 49423)

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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: 9133132970View full group profile
NameSpecialtyState
Hospice/Palliative Care, Internal MedicineMI
-MI
Family PracticeMI

Reviews

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Frequently asked questions

Does TOD WYN (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — TOD WYN (MD) uses 1073537403.
Can I rely on TOD WYN (MD) being an active provider?
As of the registry snapshot, TOD WYN (MD) is marked active.
What is TOD WYN (MD) best known for clinically?
Directory data describes TOD WYN (MD) with Emergency Medical Services (Emergency Medicine) Physician. Clinical services aligned with this taxonomy classification.
Where is TOD WYN (MD) based?
TOD WYN (MD) is tied to Holland, Michigan in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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