SHAWN W WYNN MD NPI 1205990843

NPI Information

  • NPI: 1205990843
  • Provider Name: SHAWN W WYNN, MD
  • Classification: Orthopaedic Surgery - 207X00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 520 VALLEY VIEW DR
    MOLINE, IL
    ZIP 61265
  • Phone: (309) 762-3621

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NPI Details

Shawn W Wynn, MD is an orthopaedic surgery in Moline, IL with 24 years of experience. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. Shawn W Wynn, MD NPI is 1205990843. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduation Year:2001

The provider's business location address is:

520 VALLEY VIEW DR
MOLINE, IL
ZIP 61265-194
Phone: (309) 762-3621
Fax: (309) 762-3690

The NPI 1205990843 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg (HCPCS:J7325)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection, gadoterate meglumine, 0.1 ml (HCPCS:A9575)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Injection, methylprednisolone acetate, 80 mg (HCPCS:J1040)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Replacement of knee joint, both sides of knee (HCPCS:27447)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Treatment of broken neck of thigh bone with bone implant (HCPCS:27245)
  • Hip replacement (HCPCS:NAN09)
  • Knee replacement (HCPCS:NAN06)
  • Lower limb (leg) arthroscopy (minimally invasive joint repair) (HCPCS:NAN15)
  • Upper limb (arm) arthroscopy (minimally invasive joint repair) (HCPCS:NAN17)

The enumeration date for this NPI number is 12/20/2006 and was last updated on 3/18/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207X00000XOrthopaedic Surgery37086IOWANo
2207XX0005XOrthopaedic SurgerySports Medicine036116081ILLINOISNo
3207XX0005XOrthopaedic SurgerySports Medicine37086IOWANo
4207X00000XOrthopaedic Surgery036116081ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
155218OTHERIOWAWELLMARK
21205990843MEDICAIDIOWA
3I20628MEDICARE PINIOWA
4K39051MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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