Theodore Crisostomo-Wynne, MD
NPI 1316486186ActiveIndividual· Urology· Tacoma, WA
Urology (MD) in Tacoma, Washington, trained at Uniformed Services Uhs Fe Hebert School of Med (class of 2017). Their prescriptions cost Medicare Part D more than their services did: $5,832 for 74 claims, against $3,026 paid for services in 2024. Boston Scientific Corporation reported $15.71 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1316486186 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Feb 14, 2017 |
| Last updated in NPPES | Oct 15, 2026 |
| Certified by provider | Oct 15, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Urology Primary | 208800000X | MD61305294 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Urology (OR); Practitioner - Urology (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 22 |
|---|---|
| Services billed | 29 across 16 procedure codes |
| Paid by Medicare | $3,026 |
Part D prescriptions in 2024
| Prescriptions (claims) | 74 · 126 30-day fills |
|---|---|
| Patients | 31 |
| Total drug cost | $5,832 |
| Generic share | 96% of claims |
Education and affiliations
| Medical school | Uniformed Services Uhs Fe Hebert School of Med |
|---|---|
| Graduation year | 2017 |
| Medicare specialty | Urology |
Medical group
- Salem HealthSalem, OR · 454 clinicians
Hospital affiliations
- Salem HospitalSalem, OR
- Tacoma General Allenmore HospitalTacoma, WA
Industry payments (Open Payments)
- 2025$15.71 · 1 payment from 1 company
- 2024$247.27 · 6 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Boston Scientific Corporation | $15.71 | 1 |
What the 2025 payments were for
- Food and Beverage$15.71 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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