DR. MARISA MARIE WYNNE D.O.
NPI 1346422615
Pain Medicine - Pain Medicine in Warren, OH

Q: What is Marisa Wynne's NPI number?

The NPI number for Marisa Wynne is 1346422615. It was assigned to this individual provider in the NPPES registry on November 28, 2007. The provider is also known as Marisa Marie Gates D.O..

Q: What is Marisa Wynne's specialty?

The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.

Q: When was this NPI record last updated?

The NPPES record for Marisa Wynne was last updated on May 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 November 28, 2007PECOS EnrolledAccepts Medicare Assignment

1934 NILES CORTLAND RD NE STE B, WARREN, OH 44484(330) 841-4032(330) 841-4381 Get Directions Write a Review

NPPES record last updated: May 3, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 3, 2018, Apr 9, 2018, Mar 27, 2018 and 3 more (6 updates tracked since 2017).

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About Dr. Marisa Marie Wynne D.o. NPPES

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

DR. MARISA MARIE WYNNE D.O. (NPI 1346422615) is an individual pain medicine provider in Warren, Ohio, licensed in Ohio (34.009421) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS, is affiliated with St Elizabeth Youngstown Hospital, and maintains a secondary practice location in Poland.

NPPES Registry Identity

NPI1346422615

Entity TypeIndividualFemale

Primary Taxonomy208VP0000X

Provider Legal NameDR. MARISA MARIE WYNNECredential: D.O.

Location Address1934 NILES CORTLAND RD NE STE BWarren, OH 44484-1055

Mailing Address1934 Niles Cortland Rd Ne Ste BWarren, OH 44484-1055 · (330) 841-4032 · Fax (330) 841-4381

Phone(330) 841-4032

Fax(330) 841-4381

Sole ProprietorNo

Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2007

Enumeration DateNovember 28, 2007

Last NPPES UpdateMay 3, 20186 updates tracked since enumeration

✔ NPI 1346422615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPain Medicine · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code208VP0000X

License✔ Licensed in OH · 34.009421

Definition

Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.

Also ListedAnesthesiologyTaxonomy 207L00000X · License 34.009421 (OH)

Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License 34.009421 (OH)

Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X · License 34.009421 (OH)

1934 NILES CORTLAND RD NE STE B, Warren, OH 44484

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Other Names 1

Former Name (1)Marisa Marie Gates D.o.

Secondary Practice Location 1

Location 1905 Sahara TrlPoland, OH 44514-3687 · Phone (330) 729-8972 · Fax (330) 729-8973

Other Identifiers 1

Medicaid0082233OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource and more.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

Dr. Marisa Marie Wynne D.o. 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 ID3274781158

PECOS Enrollment IDI20120918000834

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

Medicare enrollment records show Marisa Wynne reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Health Physicians Youngstown Specialty Care LLC

Same address

Diagnostic Radiology

1932 NILES CORTLAND RD NE
Warren, OH 44484

Reassigned Medicare billing, Ohio enrollment
744 clinicians in this Medicare group

NPI 1255009601 (330) 306-5300

Mercy Health Physicians Youngstown, LLC

11 mi

Family Medicine

1044 BELMONT AVE
Youngstown, OH 44504

Reassigned Medicare billing, Ohio enrollment
374 clinicians in this Medicare group

NPI 1154636066 (330) 746-7211

North East Ohio Group Practice LLC

57 mi

Internal Medicine

18697 BAGLEY RD
Middleburg Heights, OH 44130

Reassigned Medicare billing, Ohio enrollment
238 clinicians in this Medicare group

NPI 1063575462 (440) 542-5000

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

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

192 services88 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

65 services49 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

42 services28 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

38 services38 patients

Injection of substance into lower spine canal using imaging guidance 62323

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

32 services25 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

23 services23 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Elizabeth Youngstown Hospital

Acute Care Hospitals · Youngstown, OH

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360064

Location1044 Belmont AvenueYoungstown, OH 44501 · Mahoning County

Emergency services

Hmhp St Elizabeth Boardman Health Center

Acute Care Hospitals · Boardman, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360276

Location8401 Market StreetBoardman, OH 44512 · Mahoning County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44484 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) A4595

DME-Other DME · category DE000N

1 supplier24 claims24 services$13.30 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

ALLYSSA BOHANAN

Nurse Practitioner (Adult Health)