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DR. GREGORY SPENCER MYNKO M.D.
NPI 1225046568
General Practice in Lake Elsinore, CA

Active since August 03, 2006PECOS EnrolledAccepts Medicare Assignment
32475 OAK KNOLL LN, LAKE ELSINORE, CA 92530(951) 609-5028(951) 678-4287 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 16, 2024, Mar 7, 2023 (2 updates tracked since 2023).

About Dr. Gregory Spencer Mynko M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GREGORY SPENCER MYNKO M.D. (NPI 1225046568) is an individual general practice provider in Lake Elsinore, California, licensed in California (G74144) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Northeastern Ohio University College Of Medicine (1990).

NPPES Registry Identity

NPI1225046568
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. GREGORY SPENCER MYNKOCredential: M.D.
Location Address32475 OAK KNOLL LNLake Elsinore, CA 92530-8324
Mailing Address32475 Oak Knoll LnLake Elsinore, CA 92530-8324 · (951) 609-5028 · Fax (951) 678-4287
Phone(951) 609-5028
Fax(951) 678-4287
Sole ProprietorYes
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 1990
Enumeration DateAugust 3, 2006
Last NPPES UpdateJuly 16, 20242 updates tracked since enumeration
NPPES CertifiedJuly 16, 2024
✔ NPI 1225046568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · G74144
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License G 74144 (CA)
32475 OAK KNOLL LN, Lake Elsinore, CA 92530
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Other Identifiers 1

OtherG 74144CA · Ca State Medical License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Gregory Spencer Mynko M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729075064
PECOS Enrollment IDI20040428000768
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Gregory Mynko reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

American Current Care Of California, A Medical Corporation
21 mi
Urgent Care
6485 DAY ST STE 302
Riverside, CA 92507
  • Reassigned Medicare billing, California enrollment
  • 304 clinicians in this Medicare group
NPI 1851868020 (951) 653-5291
Hd Physical Medicine, A Professional Medical Corporation
58 mi
Chiropractor
17330 BEAR VALLEY RD, STE 105
Victorville, CA 92395
  • Reassigned Medicare billing, California enrollment
  • 11 clinicians in this Medicare group
NPI 1982633863 (760) 245-8182

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gregory Mynko's NPI number?

The NPI number for Gregory Mynko is 1225046568. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Where is Gregory Mynko located?

Gregory Mynko practices at 32475 Oak Knoll Ln, Lake Elsinore, CA 92530. The listed phone number is (951) 609-5028.

What is Gregory Mynko's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Gregory Mynko enrolled in Medicare?

Yes. Gregory Mynko is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Gregory Mynko's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gregory Mynko reassigns Medicare benefits to 2 organizations: American Current Care Of California, A Medical Corporation (Riverside, CA) and Hd Physical Medicine, A Professional Medical Corporation (Victorville, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gregory Mynko's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gregory Mynko was last updated on July 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.