Individual provider Active NPI

Gail M Wynn, MD

  • Surgery Physician
  • Newark, DE
National Provider Identifier
1891723540
Registry record updated Jul 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
DE-C1-0005855 Issued in DE
Practice address
537 Stanton Christiana Rd
Suite 102
Newark, DE 19713-2146
Phone
(302) 892-9900
Fax
(302) 892-9980
NPI assigned
Jun 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X DE-C1-0005855 DE Primary

Addresses

Primary practice location

537 Stanton Christiana Rd
Suite 102
Newark, DE 19713-2146

Mailing address

537 Stanton Christiana Rd
Suite 102
Newark, DE 19713-2146
Phone (302) 892-9900

Other identifiers 7

IdentifierTypeStateIssuer
179796OtherDECOVENTRY
2015899000OtherDEPERSONAL CHOICE
06-1641497OtherDEBLUE CROSS BLUE SHIELD
2015899000OtherDEAMERIHEALTH
2015899000OtherDEKEYSTONE
0001097101MedicaidDE
2947383OtherDEAETNA MANAGED CARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110106000319 DE Practitioner - General Surgery 3678610110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Southern Illinois University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Christiana Institute of Advanced Surgery PAGroup PAC ID 8224016241, 9 clinicians

Practice addresses (Care Compare)

537 Stanton Christiana Rd
Suite 102
Newark, DE 19713-2145
Phone (302) 892-9900

Hospital & facility affiliations

  • St Francis Hospital Hospital, Wilmington, DE, CCN 080003
  • Christiana Hospital Hospital, Newark, DE, CCN 080001

Merit-based Incentive Payment System (MIPS)

Final score
91.95 of 100Reported as apm
Quality
81.71
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy14
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DE-C1-0005855DEMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Institute of Advanced Surgery, PA Surgery CurrentSince Nov 1, 2002 Accepting new patients
Wilmington Ambulatory Surgical Center, LLC Surgery PastSince Jul 19, 1999 Accepting new patients
Christiana Care Health Services, Inc Surgery Past Accepting new patients

Locations

1113 S State St
Ste 201
Dover, DE 19901
Phone (302) 735-9811

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

537 Stanton Christiana Rd
Ste 102
Newark, DE 19713
Phone (302) 892-9900

600 Delaware Ave
Wilmington, DE 19801
Phone (302) 261-5600

Organizations & group practices 3

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

Hospital & facility affiliations 2

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436486400000",
    "number": "1891723540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 STANTON CHRISTIANA RD",
            "address_2": "SUITE 102",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132146",
            "telephone_number": "302-892-9900",
            "fax_number": "302-892-9980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 STANTON CHRISTIANA RD",
            "address_2": "SUITE 102",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132146",
            "telephone_number": "302-892-9900",
            "fax_number": "302-892-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYNN",
        "first_name": "GAIL",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2015-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "DE",
            "license": "DE-C1-0005855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "179796",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "2015899000",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "06-1641497",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2015899000",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "2015899000",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001097101",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA MANAGED CARE",
            "identifier": "2947383",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.