RICHARD THOMAS WYNN M.D. NPI 1356365480

NPI Information

  • NPI: 1356365480
  • Provider Name: RICHARD THOMAS WYNN, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 16147 LANCASTER HWY
    SUITE 140
    CHARLOTTE, NC
    ZIP 28277
  • Phone: (704) 208-4134

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NPI Details

Richard Thomas Wynn, M.D. is a family medicine in Charlotte, NC with 34 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Richard Thomas Wynn, M.D. NPI is 1356365480. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1992

The provider's business location address is:

16147 LANCASTER HWY
SUITE 140
CHARLOTTE, NC
ZIP 28277-782
Phone: (704) 208-4134
Fax: (704) 248-7845

The NPI 1356365480 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.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
  • Management using the results of remote vital sign monitoring per calendar month, first 20 minutes (HCPCS:99457)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Testing for presence of drug, read by direct observation (HCPCS:80305)
  • Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99439)
  • Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days (HCPCS:99454)
  • Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional (HCPCS:99484)
  • Hemoglobin a1c level, by device for home use (HCPCS:83037)
  • Annual alcohol misuse screening, 15 minutes (HCPCS:G0442)
  • Influenza vaccine, quadrivalent derived from cell cultures (HCPCS:90756)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Automated urinalysis test (HCPCS:81003)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes (HCPCS:99458)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes (HCPCS:G0446)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Adm sarscov2 30mcg/0.3ml 3rd (HCPCS:0003A)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Smoking and tobacco use intensive counseling, 4-10 minutes (HCPCS:99406)

The enumeration date for this NPI number is 7/26/2006 and was last updated on 2/29/2016.

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
1207Q00000XFamily Medicine9500282NORTH CAROLINAYes

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
1G14102MEDICARE UPIN
28989592MEDICAIDNORTH CAROLINA
389592OTHERNORTH CAROLINABSBC
41356365480MEDICAIDNORTH CAROLINA
52216528AMEDICARE PINNORTH CAROLINA

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: 11/21/2025

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