DONRAPHAEL WYNN, M.D.
Neurology Physician · BOISE, ID
Individual Active NPI 1396188751
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 158 | 496 | $66,415 | $38,487 | $28,304 |
| 2023 | 173 | 477 | $58,539 | $35,332 | $26,473 |
| 2022 | 175 | 497 | $61,404 | $39,091 | $28,793 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 92133 | Imaging of optic nerve | 115 | $20 | $15 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 110 | $166 | $121 |
| 92083 | Exam of visual field with extended testing | 104 | $25 | $19 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 92 | $133 | $97 |
| 92060 | Exam to measure eye deviation and range of motion | 42 | $34 | $27 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | ✓ | M-14403 | ID |
| Ophthalmology Physician | 207W00000X | 9164199-1205 | UT | |
| Neuro-ophthalmology Physician | 207WX0109X | 9164199-1205 | UT |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Neurology Physician providers in Idaho
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- NPI 1932399243
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- NPI 1174934327
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- NPI 1093126229
- NPI 1902155773
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.