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SUSAN K WYNNE MD
NPI 1245305234
Psychiatry & Neurology - Psychiatry in San Antonio, TX

Active since November 22, 2006Opted out of Medicare · through Jan 1, 2027
16007 VIA SHAVANO, SUITE 101, SAN ANTONIO, TX 78249(210) 615-8900(210) 615-9400 Get Directions Write a Review

NPPES record last updated: February 9, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susan K Wynne Md NPPES

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

SUSAN K WYNNE MD (NPI 1245305234) is an individual psychiatry provider in San Antonio, Texas, licensed in Texas (K1141) and active in the NPI registry since November 2006. She has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1245305234
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameSUSAN K WYNNECredential: MD
Location Address16007 VIA SHAVANO, SUITE 101San Antonio, TX 78249
Mailing Address16007 Via Shavano, Ste. 101San Antonio, TX 78249 · (210) 615-8900 · Fax (210) 615-9400
Phone(210) 615-8900
Fax(210) 615-9400
Sole ProprietorYes
Enumeration DateNovember 22, 2006
Last NPPES UpdateFebruary 9, 2010
✔ NPI 1245305234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in TX · K1141
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License K1141 (TX)
16007 VIA SHAVANO, San Antonio, TX 78249
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Other Identifiers 3

Medicare UPING32988
Medicare ID-Type Unspecified828110TX
Medicare ID-Type Unspecified744GTX

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Susan K Wynne Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2017 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2017
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78249 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$166.88 typical visit price
range $54.84 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMA BEHAVIORAL THERAPY, PLLC
Community/Behavioral Health
16007 VIA SHAVANO, STE. 102
SAN ANTONIO, TX 78249
Bexar County (210) 557-9212
DR. KAREN DAYLE LEE ED.D., L.M.H.C.
Counselor (Professional)
16007 VIA SHAVANO, STE. 102
SAN ANTONIO, TX 78249
Bexar County (210) 870-7799
AMA BEHAVIORAL THERAPY, PLLC
Community/Behavioral Health
16007 VIA SHAVANO, STE 102
SAN ANTONIO, TX 78249
Bexar County (210) 557-9212
MICHELLE L. CANTU, MD, P.A.
Clinic/Center (Adolescent and Children Mental Health)
16007 VIA SHAVANO, SUITE 102
SAN ANTONIO, TX 78249
Bexar County (210) 615-5230

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 Susan Wynne's NPI number?

The NPI number for Susan Wynne is 1245305234. It was assigned to this individual provider in the NPPES registry on November 22, 2006.

Where is Susan Wynne located?

Susan Wynne practices at 16007 Via Shavano Suite 101, San Antonio, TX 78249. The listed phone number is (210) 615-8900.

What is Susan Wynne's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Susan Wynne enrolled in Medicare?

No. Susan Wynne has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Susan Wynne was last updated on February 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.