RALPH T WYNN (MD) – Diagnostic Radiology Physician, NPI 1043297195
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,685 DIAGNOSTIC RADIOLOGY in NY
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Provider Addresses for RALPH T WYNN (MD)
1845 PRECINCT LINE RD STE 209
HURST, TX 760543109
Phone: (817) 632-5803
Fax: (817) 632-5803
Type: Mailing
Memorial Sloan Kettering Cancer Center, 1275, York Avenue, Lenox Hill, Manhattan Community Board 8, Manhattan, New York County, New York, Stone Street Historic District, New York, 10065, United States
NEW YORK, NY 100216007
Phone: (646) 227-3813
Type: Location
633 3rd Avenue, 3rd Avenue, East 41st Street, Murray Hill, Manhattan Community Board 6, Manhattan, New York County, New York, Stone Street Historic District, New York, 10017, United States
BOX 3
NEW YORK, NY 100176706
Phone:
Type: Mailing
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: 2008-05-30
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 |
|---|---|---|---|---|
| I20080530000171 | I | Diagnostic Radiology | TX | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 50 | 43 | $0 |
| 71046 | X-ray of chest, 2 views | 22 | 22 | $0 |
Insurance plans in this area (ZIP 76054)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Radiology, Diagnostic Radiology | LA | |
| Diagnostic Radiology | KY | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | GA | |
| - | TX | |
| Interventional Cardiology, Diagnostic Radiology | TX | |
| Interventional Radiology | TX | |
| - | TX | |
| Interventional Radiology, Diagnostic Radiology | PA | |
| Diagnostic Radiology | OK |
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