Kelvin Earl Wynn, MD
NPI 1104928639ActiveIndividual· Family Medicine· Peoria, IL
Family Medicine (MD) in Peoria, Illinois, trained at Howard University College of Medicine (class of 1988). Their prescriptions cost Medicare Part D more than their services did: $132,309 for 990 claims, against $23,060 paid for services in 2024. Organon LLC reported $22.28 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1104928639 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Sep 4, 2006 |
| Last updated in NPPES | Feb 4, 2026 |
| Certified by provider | Feb 4, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 34210 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 126 |
|---|---|
| Services billed | 459 across 39 procedure codes |
| Paid by Medicare | $23,060 |
Part D prescriptions in 2024
| Prescriptions (claims) | 990 · 2,267 30-day fills |
|---|---|
| Patients | 75 |
| Total drug cost | $132,309 |
| Generic share | 82% of claims |
Education and affiliations
| Medical school | Howard University College of Medicine |
|---|---|
| Graduation year | 1988 |
| Medicare specialty | Family Practice |
Medical groups
- Carle Health Care IncorporatedUrbana, IL · 1,666 clinicians
- Methodist Medical Center of IllinoisPeoria, IL · 382 clinicians
Hospital affiliations
- Carle Health Methodist HospitalPeoria, IL
- Saint Francis Medical CenterPeoria, IL
Industry payments (Open Payments)
- 2025$22.28 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Organon LLC | $22.28 | 1 |
What the 2025 payments were for
- Food and Beverage$22.28 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 146 family medicine physicians in Peoria · All family medicine physicians in Illinois