DOUGLAS G WYSHAM (MD) – Interventional Cardiology Physician, NPI 1275526360

DOUGLAS G WYSHAM (MD) is a healthcare provider. based in Vancouver, Washington. specializing in Interventional Cardiology Physician. They hold the professional credentials MD. They hold a License No. MD00029442 (WA). The NPI Number for DOUGLAS G WYSHAM (MD) is 1275526360

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
DOUGLAS G WYSHAM (MD)
NPI
1275526360
Phone
(360) 882-2778
Address
PO BOX 873010
Enumeration Date
24 August 2005
Last Update Date
7 November 2016

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1980 (46 years ago)
PAC ID
4385553973
Group Practice PAC ID
7719899897
Professional Enrollment ID
I20040712000611
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DOUGLAS G WYSHAM (MD)

  • Surrey Parks 110A Sullivan Street Sports Box, Sullivan Street, Crescent Beach, South Surrey, Surrey, Metro Vancouver Regional District, British Columbia, V4A 3V2, Canada

    VANCOUVER, WA 986873010

    Phone: (360) 882-2778

    Fax: (360) 604-1771

    Type: Mailing

  • 700, Northeast 87th Avenue, McLoughlin Heights, Vancouver, Clark County, Washington, 98664, United States

    VANCOUVER, WA 986641913

    Phone: (360) 882-3662

    Type: Location

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 $125.

Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.

Last reported payment date: 2023-03-28 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($125).

Total Amount

$125

General + Research + Ownership

Payments

1

Total payment records

General Amount

$125

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-28

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2014-03-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20040712000611ICardiovascular Disease (Cardiology)WATBD
I20140303001832ICardiovascular Disease (Cardiology)IDTBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only170151$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function162160$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report157151$0
99213Established patient office or other outpatient visit, 20-29 minutes130120$0
99214Established patient office or other outpatient visit, 30-39 minutes124108$0
View full utilization report →

Insurance plans in this area (ZIP 98687)

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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: 7719899897View full group profile
NameSpecialtyState
Physician AssistantWA
Nurse PractitionerWA
-IL
O P H T H A L M O L O G YOR
O P H T H A L M O L O G YWA
Nurse PractitionerWA
Family PracticeWA
Interventional Radiology, Diagnostic RadiologyOH
Physician AssistantID
Clinical PsychologistWA

Reviews

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Frequently asked questions

What federal number belongs to DOUGLAS G WYSHAM (MD)?
The federal identifier for DOUGLAS G WYSHAM (MD) is NPI 1275526360.
Does this profile mean DOUGLAS G WYSHAM (MD) is currently active?
Yes — DOUGLAS G WYSHAM (MD) appears active in the national provider directory.
What field does DOUGLAS G WYSHAM (MD) work in?
You can think of DOUGLAS G WYSHAM (MD) as practicing within Interventional Cardiology Physician. Clinical services aligned with this taxonomy classification.
Where is DOUGLAS G WYSHAM (MD)'s primary listing?
We display Vancouver, Washington because that is what the record indicates for DOUGLAS G WYSHAM (MD).
What if Vancouver, Washington seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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