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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ZACHARY RAYMOND WYNNE MD
NPI 1417583436
Internal Medicine - Critical Care Medicine in Baltimore, MD

Active since March 21, 2020PECOS Enrolled
22 S GREENE ST RM N3E09, BALTIMORE, MD 21201(570) 994-4520 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 11, 2026, Aug 28, 2020, Mar 21, 2020 (3 updates tracked since 2020).

About Zachary Raymond Wynne Md NPPES

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

ZACHARY RAYMOND WYNNE MD (NPI 1417583436) is an individual critical care medicine provider in Baltimore, Maryland, licensed in Maryland (D0105490) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania State University College Of Medicine (2020).

NPPES Registry Identity

NPI1417583436
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameZACHARY RAYMOND WYNNECredential: MD
Location Address22 S GREENE ST RM N3E09Baltimore, MD 21201-1544
Mailing Address22 S Greene St Rm N3e09Baltimore, MD 21201-1544 · (410) 328-6110
Phone(570) 994-4520
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 2020
Enumeration DateMarch 21, 2020
Last NPPES UpdateAugust 11, 20263 updates tracked since enumeration
NPPES CertifiedAugust 11, 2026
✔ NPI 1417583436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in MD · D0105490
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedEmergency MedicineTaxonomy 207P00000X · License D0105490 (MD)
22 S GREENE ST RM N3E09, Baltimore, MD 21201
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Zachary Raymond Wynne Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204246283
PECOS Enrollment IDI20260720001437
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 21201 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

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.

DR. KATHERINE MICHAELA PANAGOS MD
Student in an Organized Health Care Education/Training Program
22 S GREENE ST RM N3E09
BALTIMORE, MD 21201
Baltimore City (410) 328-6110
RENUKA MEENU RAMCHANDRAN MD
Student in an Organized Health Care Education/Training Program
22 S GREENE ST RM N3E09
BALTIMORE, MD 21201
Baltimore City (410) 328-6110
MEGAN BURIN
Student in an Organized Health Care Education/Training Program
22 S GREENE ST RM N3E09
BALTIMORE, MD 21201
Baltimore City (410) 328-6110
ROHAN SINGH MD
Student in an Organized Health Care Education/Training Program
22 S GREENE ST RM N3E09
BALTIMORE, MD 21201
Baltimore City (410) 328-6110
BRADLEY RYBINSKI
Student in an Organized Health Care Education/Training Program
22 S GREENE ST RM N3E09
BALTIMORE, MD 21201
Baltimore City (410) 328-6110
ETHAN KOTLOFF MD
Student in an Organized Health Care Education/Training Program
22 S GREENE ST RM N3E09
BALTIMORE, MD 21201
Baltimore City (410) 328-6110
NIDHI ELSA MATHEW MD
Student in an Organized Health Care Education/Training Program
22 S GREENE ST RM N3E09
BALTIMORE, MD 21201
Baltimore City (410) 328-6610
ROHAN SHARMA MD
Student in an Organized Health Care Education/Training Program
22 S GREENE ST RM N3E09
BALTIMORE, MD 21201
Baltimore City (410) 328-6110

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 Zachary Wynne's NPI number?

The NPI number for Zachary Wynne is 1417583436. It was assigned to this individual provider in the NPPES registry on March 21, 2020.

Where is Zachary Wynne located?

Zachary Wynne practices at 22 S Greene St Rm N3e09, Baltimore, MD 21201. The listed phone number is (570) 994-4520.

What is Zachary Wynne's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Zachary Wynne enrolled in Medicare?

Yes. Zachary Wynne is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Zachary Wynne was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 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.