DR. MARISA MARIE WYNNE (D.O.) – Pain Medicine Physician, NPI 1346422615
Pain Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
325 PAIN MANAGEMENT in OH
Provider Addresses for DR. MARISA MARIE WYNNE (D.O.)
1934 NILES CORTLAND RD NE STE B
WARREN, OH 444841055
Phone: (330) 841-4032
Fax: (330) 841-4381
Type: Location
905 Sahara Trl
Poland, OH 445143687
Phone: (330) 729-8972
Fax: (330) 729-8973
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $314.
Total Amount is formed as General ($314) + Research ($0) + Ownership ($0) = $314.
Last reported payment date: 2023-07-07 • Largest payer in this snapshot: Boston Scientific Corporation ($167).
Total Amount
$314
General + Research + Ownership
Payments
11
Total payment records
General Amount
$314
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $167 |
| SCILEX PHARMACEUTICALS INC. | $117 |
| Collegium Pharmaceutical, Inc. | $31 |
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: 2012-09-18
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 |
|---|---|---|---|---|
| I20120918000834 | I | Pain Management | OH | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 166 | 82 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 58 | 40 | $0 |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 41 | 23 | $0 |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 39 | 25 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 35 | 35 | $0 |
Insurance plans in this area (ZIP 44484)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PAIN MANAGEMENT | OH | 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 24 | 14 |
| PAIN MANAGEMENT | OH | 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 38 | 21 |
| PAIN MANAGEMENT | OH | 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 44 | 23 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OH | |
| Cardiovascular Disease (Cardiology) | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Family Practice | IA | |
| Nurse Practitioner | PA | |
| Radiation Oncology | PA | |
| H O S P I T A L I S T | OH | |
| N E U R O L O G Y | OH |
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