DR. CARYN CORNELIA WUNDERLICH (MD) – Diagnostic Radiology Physician, NPI 1679505382

DR. CARYN CORNELIA WUNDERLICH (MD) is a healthcare provider. based in Knoxville, Tennessee. specializing in Diagnostic Radiology Physician. They hold the professional credentials MD. They hold a License No. MD 0000026325 (TN). The NPI Number for DR. CARYN CORNELIA WUNDERLICH (MD) is 1679505382

Main info

Female
44 Years Of Experience
Accepts Medicare Assignment
Name
DR. CARYN CORNELIA WUNDERLICH (MD)
NPI
1679505382
Phone
(865) 584-0291
Address
1400 DOWELL SPRINGS BLVD
Enumeration Date
6 July 2006
Last Update Date
21 September 2023

Doctor Profile

Medical School Name
UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Secondary Phone
8655840291
Graduation Year
1982 (44 years ago)
PAC ID
5294927950
Group Practice PAC ID
2860429099
Professional Enrollment ID
I20101013000439
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

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Provider Addresses for DR. CARYN CORNELIA WUNDERLICH (MD)

  • 1400, Dowell Springs Boulevard, Amherst, Knoxville, Knox County, Tennessee, 37909, United States

    STE 200

    KNOXVILLE, TN 379092457

    Phone: (865) 584-0291

    Fax: (865) 584-4426

    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: 2010-10-13

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
I20101013000439IDiagnostic RadiologyTNTBD

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
A9585Injection, gadobutrol, 0.1 ml14,716201$0
77067Screening mammography830830$0
77063Screening 3d breast mammography813813$0
76641Complete ultrasound scan of 1 breast556547$0
77049Mri scan of both breasts206206$0
View full utilization report →

Insurance plans in this area (ZIP 37909)

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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: 2860429099View full group profile
NameSpecialtyState
Diagnostic RadiologyTN
Diagnostic RadiologyWI
Diagnostic RadiologyTN
Diagnostic RadiologyNE
Diagnostic RadiologyWI

Reviews

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Frequently asked questions

Where can patients find DR. CARYN CORNELIA WUNDERLICH (MD)'s NPI?
You can confirm DR. CARYN CORNELIA WUNDERLICH (MD) with NPI 1679505382; it appears in the national provider directory.
Does this profile mean DR. CARYN CORNELIA WUNDERLICH (MD) is currently active?
Yes — DR. CARYN CORNELIA WUNDERLICH (MD) appears active in the national provider directory.
What field does DR. CARYN CORNELIA WUNDERLICH (MD) work in?
You can think of DR. CARYN CORNELIA WUNDERLICH (MD) as practicing within Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. CARYN CORNELIA WUNDERLICH (MD)?
The page summarizes Knoxville, Tennessee for DR. CARYN CORNELIA WUNDERLICH (MD); expand the address list for detail.
What if Knoxville, Tennessee seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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