TONY WANICH (MD) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1477754752

TONY WANICH (MD) is a healthcare provider. based in New york, New York. specializing in ORTHOPEDIC SURGERY, SPORTS MEDICINE. They hold the professional credentials MD. They hold a License No. 230560 (NY). The NPI Number for TONY WANICH (MD) is 1477754752

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
TONY WANICH (MD)
NPI
1477754752
Phone
(212) 606-1392
Address
535 E 70TH ST
Enumeration Date
31 May 2007
Last Update Date
31 May 2022

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6467978471
Graduation Year
2002 (24 years ago)
PAC ID
9931248747
Group Practice PAC ID
4082856513
Professional Enrollment ID
I20130220000160
Address ID
NY100214823NE535XXSTXX400
Telehealth
Yes

Contacts

FHIR Endpoint
https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/
Secure Messaging
twanich213449@direct.HSS.edu
FHIR Endpoint
https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

2,066 ORTHOPEDIC SURGERY in NY

Provider Addresses for TONY WANICH (MD)

  • 535 E 70TH ST

    NEW YORK, NY 100214898

    Phone: (212) 606-1392

    Fax: (917) 260-4392

    Type: Location

  • 205, Paterson-Hamburg Turnpike, Wayne, Passaic County, New Jersey, 07442, United States

    WAYNE, NJ 074702166

    Phone: (973) 595-7779

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 42 Open Payments records for all available years, with a total value of $38,459.

Total Amount is formed as General ($12,935) + Research ($25,524) + Ownership ($0) = $38,459.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Linvatec Corporation ($35,626).

Total Amount

$38,459

General + Research + Ownership

Payments

42

Total payment records

General Amount

$12,935

General payments

Research Amount

$25,524

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2013-02-20

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
I20091207000624IOrthopedic SurgeryNYTBD
I20130220000160IOrthopedic SurgeryNJTBD

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
99204New patient office or other outpatient visit, 45-59 minutes298298$0
99213Established patient office or other outpatient visit, 20-29 minutes216161$0
J1030Injection, methylprednisolone acetate, 40 mg167116$0
20610Aspiration and/or injection of fluid from large joint13187$0
29827Repair of shoulder rotator cuff using an endoscope6262$0
View full utilization report →

Insurance plans in this area (ZIP 10021)

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Provider's Procedures

TONY WANICH (MD) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYNJ73110X-ray of wrist, minimum of 3 views2511

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: 4082856513View full group profile
NameSpecialtyState
-NY
Orthopedic SurgeryNY
Orthopedic SurgeryNY
Physician AssistantNY
Orthopedic SurgeryNY
Physician AssistantSC
Physician AssistantNY
Physician AssistantNY
Orthopedic SurgeryNY
Orthopedic SurgeryNY

Reviews

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Frequently asked questions

How do payers reference TONY WANICH (MD)?
For TONY WANICH (MD), use NPI 1477754752 as the unique 10-digit identifier.
Would TONY WANICH (MD) appear as active to a payer?
You can treat TONY WANICH (MD) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe TONY WANICH (MD)'s focus?
For TONY WANICH (MD), the primary taxonomy reads as Sports Medicine (Orthopaedic Surgery) Physician. Clinical services aligned with this taxonomy classification.
Is TONY WANICH (MD) located near New York?
TONY WANICH (MD) currently maps to New York, New York in this extract.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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