DR. TODD SAMUEL WYSE D.D.S.
NPI 1336264423
Dentist - General Practice in Goshen, IN

Q: What is Todd Wyse's NPI number?

The NPI number for Todd Wyse is 1336264423. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Q: What is Todd Wyse's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Todd Wyse was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since March 20, 2007PECOS Enrolled

57250 ALPHA DR, GOSHEN, IN 46528(574) 875-3817(574) 875-3984 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Todd Samuel Wyse D.d.s. NPPES

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

DR. TODD SAMUEL WYSE D.D.S. (NPI 1336264423) is an individual general practice provider in Goshen, Indiana, licensed in Indiana (12008834) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336264423

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. TODD SAMUEL WYSECredential: D.D.S.

Location Address57250 ALPHA DRGoshen, IN 46528-7804

Mailing Address57250 Alpha DrGoshen, IN 46528-7804 · (574) 875-3817 · Fax (574) 875-3984

Phone(574) 875-3817

Fax(574) 875-3984

Sole ProprietorYes

Enumeration DateMarch 20, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1336264423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IN · 12008834

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

57250 ALPHA DR, Goshen, IN 46528

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Todd Samuel Wyse D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46528 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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 2

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

KORI MARIE RICHARDSON RDH

Dental Hygienist

57250 ALPHA DR
GOSHEN, IN 46528

Elkhart County (574) 875-3817

SPRINGER DENTAL CARE AT CROSSROADS LLC

Clinic/Center (Dental)

57250 ALPHA DR
GOSHEN, IN 46528

Elkhart County (574) 875-3817

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 Todd Wyse's NPI number?

The NPI number for Todd Wyse is 1336264423. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Where is Todd Wyse located?

Todd Wyse practices at 57250 Alpha Dr, Goshen, IN 46528. The listed phone number is (574) 875-3817.

What is Todd Wyse's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Todd Wyse enrolled in Medicare?

Yes. Todd Wyse is registered in the Medicare PECOS enrollment system.

What insurance does Todd Wyse accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Delta Dental of Indiana list Todd Wyse 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.

When was this NPI record last updated?

The NPPES record for Todd Wyse was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.