Kelvin Wynn, MD
NPI 1104928639 · Family Medicine Physician · Peoria, IL
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelvin Wynn, MD is a Family Medicine Physician provider in Peoria, IL (NPI 1104928639).
Provider details
- NPI number
- 1104928639
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 34210 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
348 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 108 | $9 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 86 | $123 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 42 | $76 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 35 | $87 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 30 | $124 |
| Hemoglobin A1c Level83036 | 19 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 30 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 48 | 18 |
| Amlodipine Besylate | 37 | 12 |
| Hydrochlorothiazide | 34 | 12 |
| Lisinopril | 32 | — |
| Rosuvastatin Calcium | 27 | — |
| Levothyroxine Sodium | 25 | — |
| Empagliflozin |
Practice location
Mailing address
Additional practice locations (1)
- 2148 Vadalabene DrMaryville, IL 62062-5632Phone: (618) 877-4420
Registry dates
- Enumerated
- 2006-09-04
- Last updated
- 2026-02-04
- Certified
- 2026-02-04
Frequently asked questions
- What is Kelvin Wynn's NPI number?
- Kelvin Wynn's National Provider Identifier (NPI) is 1104928639, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelvin Wynn's specialty?
- Kelvin Wynn is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kelvin Wynn located?
- Kelvin Wynn's practice location on file with NPPES is 815 Main St Ste a, Peoria, IL 61602-1080.
- What is Kelvin Wynn's phone number?
- The practice phone number listed in the NPPES registry for Kelvin Wynn is (309) 672-4977.
- Does Kelvin Wynn accept Medicare?
- Kelvin Wynn is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelvin Wynn's NPI active?
- Yes — Kelvin Wynn's NPI (1104928639) is active in the NPPES registry as of the last update on 2026-02-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.