THEODORE CRISOSTOMO-WYNNE MD
NPI 1316486186
Urology in Tacoma, WA
About Theodore Crisostomo-wynne Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THEODORE CRISOSTOMO-WYNNE MD (NPI 1316486186) is an individual urology provider in Tacoma, Washington, licensed in Washington (MD61305294) and active in the NPI registry since February 2017. He is enrolled in Medicare PECOS, is affiliated with Salem Hospital, and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (2017).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Theodore Crisostomo-wynne Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Theodore Crisostomo-wynne reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lakewood, WA 98499
- Reassigned Medicare billing, Washington enrollment
- 4,383 clinicians in this Medicare group
Woodburn, OR 97071
- Reassigned Medicare billing, Oregon enrollment
- 625 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Salem Hospital
Acute Care Hospitals · Salem, ORTacoma General Allenmore Hospital
Acute Care Hospitals · Tacoma, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98431 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TACOMA, WA 98431
TACOMA, WA 98431
TACOMA, WA 98431
TACOMA, WA 98431
TACOMA, WA 98431
TACOMA, WA 98431
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 Theodore Crisostomo-wynne's NPI number?
The NPI number for Theodore Crisostomo-wynne is 1316486186. It was assigned to this individual provider in the NPPES registry on February 14, 2017.
Where is Theodore Crisostomo-wynne located?
Theodore Crisostomo-wynne practices at Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431. The listed phone number is (253) 968-1110.
What is Theodore Crisostomo-wynne's specialty?
The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.
Is Theodore Crisostomo-wynne enrolled in Medicare?
Yes. Theodore Crisostomo-wynne 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 Theodore Crisostomo-wynne's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Crisostomo-wynne reassigns Medicare benefits to 2 organizations: Multicare Health System (Lakewood, WA) and Salem Health (Woodburn, OR). 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 Theodore Crisostomo-wynne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Theodore Crisostomo-wynne accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Theodore Crisostomo-wynne as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Theodore Crisostomo-wynne affiliated with any hospitals?
According to CMS data, Theodore Crisostomo-wynne is affiliated with Salem Hospital and Tacoma General Allenmore Hospital.
When was this NPI record last updated?
The NPPES record for Theodore Crisostomo-wynne was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.
# Theodore Crisostomo-Wynne, MD · NPI 1316486186
Urology physician in Tacoma, Washington. Individual provider, active in the CMS NPPES registry since February 14, 2017.
## Identity
- **NPI:** 1316486186 (Entity type: Individual)
- **Enumerated:** February 14, 2017
- **Primary specialty:** Urology · taxonomy 208800000X
- **State license:** MD61305294 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, Tacoma, WA 98431-0001
- **Phone:** (253) 968-1110
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Multicare Health System (NPI 1790298081, Lakewood, WA); Salem Health (NPI 1578112066, Woodburn, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Uniformed Services Uhs Fe Hebert School Of Med, class of 2017
## Record status
- **NPPES last updated:** October 15, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1316486186) · Data from the CMS NPPES public registry.