MR. WILEY DOUGLAS BUNN JR. MD
NPI 1902982473
Obstetrics & Gynecology - Gynecologic Oncology in Syracuse, NY
About Mr. Wiley Douglas Bunn Jr. Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. WILEY DOUGLAS BUNN JR. MD (NPI 1902982473) is an individual gynecologic oncology provider in Syracuse, New York, licensed in New York (200121) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Crouse Hospital, and is a graduate of University Of Southern California Keck School Of Medicine (1985).
NPPES Registry Identity
Specialties & Licenses
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
Mr. Wiley Douglas Bunn Jr. Md 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 Reassignment
Medicare enrollment records show Wiley Bunn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Syracuse, NY 13210
- Reassigned Medicare billing, New York enrollment
- 66 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.
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Crouse Hospital
Acute Care Hospitals · Syracuse, NYUniversity Hospital S U N Y Health Science Center
Acute Care Hospitals · Syracuse, NYCommunity Memorial Hospital, Inc
Critical Access Hospitals · Hamilton, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 13210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Wiley Bunn's NPI number?
The NPI number for Wiley Bunn is 1902982473. It was assigned to this individual provider in the NPPES registry on October 27, 2006.
Where is Wiley Bunn located?
Wiley Bunn practices at 475 Irving Avenue Suite 204, Syracuse, NY 13210. The listed phone number is (315) 634-4112.
What is Wiley Bunn's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.
Is Wiley Bunn enrolled in Medicare?
Yes. Wiley Bunn 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 organization bills Medicare for Wiley Bunn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Wiley Bunn reassigns Medicare benefits to University Ob/Gyn Associates (Syracuse, NY). The 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 Wiley Bunn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Wiley Bunn affiliated with any hospitals?
According to CMS data, Wiley Bunn is affiliated with Crouse Hospital, University Hospital S U N Y Health Science Center and Community Memorial Hospital, Inc.
When was this NPI record last updated?
The NPPES record for Wiley Bunn was last updated on January 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mr. Wiley Douglas Bunn Jr., MD · NPI 1902982473
Gynecologic Oncology physician in Syracuse, New York. Individual provider, active in the CMS NPPES registry since October 27, 2006.
## Identity
- **NPI:** 1902982473 (Entity type: Individual)
- **Enumerated:** October 27, 2006
- **Primary specialty:** Obstetrics & Gynecology - Gynecologic Oncology · taxonomy 207VX0201X
- **State license:** 200121 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 475 IRVING AVENUE, SUITE 204, Syracuse, NY 13210
- **Phone:** (315) 634-4112 · **Fax:** (315) 634-4117
## 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:** University Ob/Gyn Associates (NPI 1235170150, Syracuse, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Southern California Keck School Of Medicine, class of 1985
## Record status
- **NPPES last updated:** January 17, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1902982473) · Data from the CMS NPPES public registry.