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DR. TIMOTHY WYMAN M.D.
NPI 1508210188
Emergency Medicine in Chicago, IL

Active since April 20, 2016PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1969 W OGDEN AVE, CHICAGO, IL 60612(312) 864-1111 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 9, 2025, Sep 3, 2025, Mar 31, 2025 and 1 more (4 updates tracked since 2020).

About Dr. Timothy Wyman M.d. NPPES

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

DR. TIMOTHY WYMAN M.D. (NPI 1508210188) is an individual emergency medicine provider in Chicago, Illinois, licensed in Pennsylvania (MD489606C) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1508210188
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. TIMOTHY WYMANCredential: M.D.
Location Address1969 W OGDEN AVEChicago, IL 60612-3765
Mailing Address1901 W Harrison StChicago, IL 60612-3714 · (312) 864-6000
Phone(312) 864-1111
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 20, 2016
Last NPPES UpdateOctober 9, 20254 updates tracked since enumeration
NPPES CertifiedOctober 9, 2025
✔ NPI 1508210188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in PA · MD489606C✔ Licensed in MA · 1025069✔ Licensed in IN · 01087883A✔ Licensed in CT · 80609✔ Licensed in IL · 036152760
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1969 W OGDEN AVE, Chicago, IL 60612
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellSense Health Plan.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. Timothy Wyman 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 ID941598957
PECOS Enrollment IDI20200827002629, I20250911002703
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

4

Medicare enrollment records show Timothy Wyman reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cepamerica Illinois LLP
1.3 mi
Emergency Medicine
1500 S FAIRFIELD AVE
Chicago, IL 60608
  • Reassigned Medicare billing, Illinois enrollment
  • 982 clinicians in this Medicare group
NPI 1265954465 (773) 542-2000
Vituity - Illinois Auc LLP
195 mi
Emergency Medicine
801 W TEMPLE AVE
Effingham, IL 62401
  • Reassigned Medicare billing, Illinois enrollment
  • 119 clinicians in this Medicare group
NPI 1306334198 (217) 347-1690
Cep America LLC
756 mi
Emergency Medicine
56 FRANKLIN ST
Waterbury, CT 06706
  • Reassigned Medicare billing, Connecticut enrollment
  • 100 clinicians in this Medicare group
NPI 1700681202 (203) 709-6000
Vituity-Massachusetts PLLC
776 mi
Emergency Medicine
271 CAREW ST
Springfield, MA 01104
  • Reassigned Medicare billing, Massachusetts enrollment
  • 62 clinicians in this Medicare group
NPI 1083404313 (413) 748-9000

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 5

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
314 services295 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
127 services123 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
91 services88 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
31 services31 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
27 services26 patients

Hospital Affiliations CMS Care Compare 2

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

St Josephs Hospital

Acute Care Hospitals · Breese, IL
OwnershipVoluntary non-profit - Church
CMS Certification Number140145
Location9515 Holy Cross LnBreese, IL 62230 · Clinton County
Emergency services Birthing friendly

Mercy Medical Ctr

Acute Care Hospitals · Springfield, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220066
Location271 Carew StreetSpringfield, MA 01104 · Hampden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost94.69

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. VIGNESH CHIDAMBARAM MD, MPH
Internal Medicine (Cardiovascular Disease)
1969 W OGDEN AVE
CHICAGO, IL 60612
Cook County (312) 864-6000
LUCAS KUZMANIC DO
Internal Medicine
1969 W OGDEN AVE
CHICAGO, IL 60612
Cook County (312) 864-6000
KEERTHIKA VIJAYAKUMAR MBBS
Internal Medicine
1969 W OGDEN AVE
CHICAGO, IL 60612
Cook County (312) 864-6000
NABEEL ZIA AHMED
Internal Medicine
1969 W OGDEN AVE
CHICAGO, IL 60612
Cook County (312) 864-6000
DR. VAMSI KRISHNA KAZA M.D., MBBS
Internal Medicine
1969 W OGDEN AVE
CHICAGO, IL 60612
Cook County (312) 864-6000
CHRISTINE MARIA WHIPPLE LCSW
Social Worker (Clinical)
1969 W OGDEN AVE, ROOM 1698
CHICAGO, IL 60612
Cook County (312) 864-1466
LESLIE FENIO PA-C
Physician Assistant
1969 W OGDEN AVE
CHICAGO, IL 60612
Cook County (312) 864-7761
DR. JACOB DUDZINSKI MD
Dermatology
1969 W OGDEN AVE
CHICAGO, IL 60612
Cook County (312) 864-6000

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 Timothy Wyman's NPI number?

The NPI number for Timothy Wyman is 1508210188. It was assigned to this individual provider in the NPPES registry on April 20, 2016.

Where is Timothy Wyman located?

Timothy Wyman practices at 1969 W Ogden Ave, Chicago, IL 60612. The listed phone number is (312) 864-1111.

What is Timothy Wyman's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Timothy Wyman enrolled in Medicare?

Yes. Timothy Wyman 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 Timothy Wyman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Wyman reassigns Medicare benefits to 4 organizations: Cepamerica Illinois LLP (Chicago, IL), Vituity - Illinois Auc LLP (Effingham, IL), Cep America LLC (Waterbury, CT) and Vituity-Massachusetts PLLC (Springfield, MA). 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 Timothy Wyman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Timothy Wyman accept?

Health plans from WellSense Health Plan list Timothy Wyman 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.

Is Timothy Wyman affiliated with any hospitals?

According to CMS data, Timothy Wyman is affiliated with St Josephs Hospital and Mercy Medical Ctr.

When was this NPI record last updated?

The NPPES record for Timothy Wyman was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.