WALTER L WYNNE M.D.
NPI 1396797817
Hospitalist in Los Angeles, CA
About Walter L Wynne M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WALTER L WYNNE M.D. (NPI 1396797817) is an individual hospitalist provider in Los Angeles, California, licensed in California (A043607) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Cincinnati College Of Medicine (1985).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Walter L Wynne 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.
Medicare Billing Reassignments
3Medicare enrollment records show Walter Wynne reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gridley, CA 95948
- Reassigned Medicare billing, California enrollment
- 17 clinicians in this Medicare group
Willows, CA 95988
- Reassigned Medicare billing, California enrollment
- 53 clinicians in this Medicare group
Yreka, CA 96097
- Reassigned Medicare billing, California enrollment
- 140 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90057 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 7
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
LOS ANGELES, CA 90057
LOS ANGELES, CA 90057
LOS ANGELES, CA 90057
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 Walter Wynne's NPI number?
The NPI number for Walter Wynne is 1396797817. It was assigned to this individual provider in the NPPES registry on May 16, 2006.
Where is Walter Wynne located?
Walter Wynne practices at 2131 W 3rd St St Vincent Medical Center, Los Angeles, CA 90057. The listed phone number is (310) 874-0623.
What is Walter Wynne's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Walter Wynne enrolled in Medicare?
Yes. Walter 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 Walter Wynne's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Walter Wynne reassigns Medicare benefits to 3 organizations: Orchard Hospital (Gridley, CA), Glenn Medical Center, LLC (Willows, CA) and Siskiyou Hospital, Inc. (Yreka, 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 Walter Wynne'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 Walter Wynne was last updated on May 13, 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.
# Walter L Wynne, M.D. · NPI 1396797817
Hospitalist physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since May 16, 2006.
## Identity
- **NPI:** 1396797817 (Entity type: Individual)
- **Enumerated:** May 16, 2006
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** A043607 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2131 W 3RD ST, ST VINCENT MEDICAL CENTER, Los Angeles, CA 90057-1901
- **Phone:** (310) 874-0623
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Orchard Hospital (NPI 1295882819, Gridley, CA); Glenn Medical Center, LLC (NPI 1336187178, Willows, CA); Siskiyou Hospital, Inc. (NPI 1093892275, Yreka, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Cincinnati College Of Medicine, class of 1985
## Record status
- **NPPES last updated:** May 13, 2010
- **Other identifiers:** Other A043607 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1396797817) · Data from the CMS NPPES public registry.