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THOMAS DONALD WYNNE M.D.
NPI 1417945106
Radiology - Radiation Oncology in Portland, OR

Active since October 07, 2005PECOS EnrolledAccepts Medicare Assignment
3620 N INTERSTATE AVE, PORTLAND, OR 97227(503) 280-2931(503) 280-2938 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thomas Donald Wynne M.d. NPPES

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

THOMAS DONALD WYNNE M.D. (NPI 1417945106) is an individual radiation oncology provider in Portland, Oregon, licensed in Oregon (MD19191) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Rochester School Of Medicine And Dentistry (1990).

NPPES Registry Identity

NPI1417945106
Entity TypeIndividualMale
Primary Taxonomy2085R0001X
Provider Legal NameTHOMAS DONALD WYNNECredential: M.D.
Location Address3620 N INTERSTATE AVEPortland, OR 97227-1106
Mailing Address3620 N Interstate AvePortland, OR 97227-1106 · (503) 280-2931 · Fax (503) 280-2938
Phone(503) 280-2931
Fax(503) 280-2938
Sole ProprietorNo
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 1990
Enumeration DateOctober 7, 2005
Last NPPES UpdateFebruary 4, 2022
✔ NPI 1417945106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
License✔ Licensed in OR · MD19191
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Also ListedRadiology · Therapeutic RadiologyTaxonomy 2085R0203X · License MD19191 (OR)
3620 N INTERSTATE AVE, Portland, OR 97227
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Thomas Donald 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.

PECOS PAC ID3274529268
PECOS Enrollment IDI20080428000379
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 97227 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
$176.88 typical visit price
range $58.99 – $176.88
Typical copayment $44.22 (range $14.74 – $44.22)
Most-billed visit code 99205
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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 8

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

AARON NATHANIEL SABOLCH MD
Radiology (Radiation Oncology)
3620 N INTERSTATE AVE
PORTLAND, OR 97227
Multnomah County (503) 280-2931
JAISHANKER NAUTIYAL M.D.
Radiology (Radiation Oncology)
3620 N INTERSTATE AVE
PORTLAND, OR 97227
Multnomah County (503) 280-2931
THOMAS HARRY JOHNSON M.D.
Radiology (Radiation Oncology)
3620 N INTERSTATE AVE
PORTLAND, OR 97227
Multnomah County (503) 280-2931
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
Clinic/Center (Oncology, Radiation)
3620 N INTERSTATE AVE
PORTLAND, OR 97227
Multnomah County (503) 280-2931
NINA SCOTT MSW
Counselor
3620 N INTERSTATE AVE
PORTLAND, OR 97227
Multnomah County (971) 710-8647
MS. NATASHA P TOBIAS-WHITE REGISTERED NURSE
Nurse Practitioner (Family)
3620 N INTERSTATE AVE
PORTLAND, OR 97227
Multnomah County (800) 813-2000
DR. DIANE C. TSAI M.D.
Radiology (Radiation Oncology)
3620 N INTERSTATE AVE
PORTLAND, OR 97227
Multnomah County (503) 813-2000
VINAYAK MURALIDHAR MD
Internal Medicine
3620 N INTERSTATE AVE
PORTLAND, OR 97227
Multnomah County (800) 813-2000

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 Thomas Wynne's NPI number?

The NPI number for Thomas Wynne is 1417945106. It was assigned to this individual provider in the NPPES registry on October 7, 2005.

Where is Thomas Wynne located?

Thomas Wynne practices at 3620 N Interstate Ave, Portland, OR 97227. The listed phone number is (503) 280-2931.

What is Thomas Wynne's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Thomas Wynne enrolled in Medicare?

Yes. Thomas 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.

What insurance does Thomas Wynne accept?

Health plans from Kaiser Permanente list Thomas 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.

When was this NPI record last updated?

The NPPES record for Thomas Wynne was last updated on February 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.