NPIMap

Individual provider Active NPI

Wynndel T Buenger, MD

  • Pain Medicine Physician
  • Alton, IL
National Provider Identifier
1336257245
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
036.092158 Issued in IL
Practice address
3 Professional Dr Ste B
Alton, IL 62002-5067
Phone
(618) 465-7177
NPI assigned
Aug 29, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 036.092158 IL Primary

Addresses

Primary practice location

3 Professional Dr Ste B
Alton, IL 62002-5067

Mailing address

131 Saundersville Rd Ste 160
Hendersonville, TN 37075-8940
Phone (314) 317-0184

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071009000876 IL Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 0143200345 Reassigns benefits to 2 organizations
I20140613000432 MO Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 0143200345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
Saint Louis University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interventional Pain Consultants LLCGroup PAC ID 7618225020, 6 clinicians

Practice addresses (Care Compare)

3 Professional Dr
Suite B
Alton, IL 62002-5011
Phone (618) 465-7177

4121 Veterans Memorial Dr
Mount Vernon, IL 62864-6262
Phone (618) 242-3778

4594 S Lindbergh Blvd
Sunset Hills SC
Saint Louis, MO 63127-1810
Phone (618) 465-7177

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.58 of 100Reported as group
Quality
91.56
Promoting interoperability
96
Improvement activities
40
Cost
74.2

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.092158ILMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Cervical Care of Alton LLC CurrentSince Dec 30, 2011 Accepting new patients
Orthopaedic Center of Southern Illinois, LTD. CurrentSince Apr 1, 2025 Accepting new patients
N & W Associates Inc Current Accepting new patients
Orthopaedic Center of Southern Illinois, LTD. CurrentSince Apr 1, 2025 Accepting new patients
Piasa Anesthesia LLC Pain Medicine PastSince Feb 5, 2002 Accepting new patients

Locations

3 Professional Dr
Ste B
Alton, IL 62002
Phone (618) 219-0855

4121 Veterans Memorial Dr
Mount Vernon, IL 62864
Phone (618) 242-8887

777 S New Ballas Rd
Ste 302W
Saint Louis, MO 63141
Phone (314) 942-7333

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AIJEBD/Endpoint/AIJEBD
  • Direct secure messaging: wbuenger@yourcarecommunity.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1336257245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 SAUNDERSVILLE RD STE 160",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370758940",
            "telephone_number": "314-317-0184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 PROFESSIONAL DR STE B",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620025067",
            "telephone_number": "618-465-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUENGER",
        "first_name": "WYNNDEL",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "IL",
            "license": "036.092158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alton, IL

Sources for this page

Verify at the official NPI Registry.