DR. JEREMY WYNNE CANNON (M.D.) – Trauma Surgery Physician, NPI 1952368136

DR. JEREMY WYNNE CANNON (M.D.) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in GENERAL SURGERY, CRITICAL CARE (INTENSIVISTS). They hold the professional credentials M.D.. They hold a License No. MD454530 (PA). The NPI Number for DR. JEREMY WYNNE CANNON (M.D.) is 1952368136

Main info

Male
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEREMY WYNNE CANNON (M.D.)
NPI
1952368136
Phone
(215) 349-8310
Address
51 N 39TH STREET
Enumeration Date
29 April 2006
Last Update Date
23 December 2025

Doctor Profile

Medical School Name
HARVARD MEDICAL SCHOOL
Secondary Phone
2156622626
Graduation Year
1998 (28 years ago)
PAC ID
8022332501
Group Practice PAC ID
6204730955
Professional Enrollment ID
I20150722005738
Address ID
PA191044238PH3400XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Digital endpointsOther names

1,999 GENERAL SURGERY in PA

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Provider Addresses for DR. JEREMY WYNNE CANNON (M.D.)

  • Penn Presbyterian Medical Center, 51, North 39th Street, Philadelphia, Philadelphia County, Pennsylvania, 19104, United States

    SUITE 120 MOB

    PHILADELPHIA, PA 19104

    Phone: (215) 349-8310

    Fax: (215) 724-3560

    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 1 Open Payments records for all available years, with a total value of $24.

Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.

Last reported payment date: 2023-09-18 • Largest payer in this snapshot: CSL Behring ($24).

Total Amount

$24

General + Research + Ownership

Payments

1

Total payment records

General Amount

$24

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
CSL Behring$24
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: 2015-07-22

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
I20150722005738IGeneral SurgeryPATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5722$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes4924$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2813$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2323$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 19104)

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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: 6204730955View full group profile
NameSpecialtyState
-PA
Pulmonary DiseasePA
Critical Care (Intensivists), Internal Medicine, Pulmonary DiseasePA
Nurse PractitionerPA
-PA
-PA
Emergency MedicinePA
Nurse PractitionerPA
O B S T E T R I C S/ G Y N E C O L O G YPA
Nurse PractitionerPA

Reviews

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Frequently asked questions

What unique ID ties claims to DR. JEREMY WYNNE CANNON (M.D.)?
NPI 1952368136 is assigned to DR. JEREMY WYNNE CANNON (M.D.) under the national enumeration system.
Is DR. JEREMY WYNNE CANNON (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. JEREMY WYNNE CANNON (M.D.)'s specialty in plain language?
Clinically, the directory lists DR. JEREMY WYNNE CANNON (M.D.) with Trauma Surgery Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. JEREMY WYNNE CANNON (M.D.)?
We surface Philadelphia, Pennsylvania for DR. JEREMY WYNNE CANNON (M.D.) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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