Individual provider Active NPI

Peter B Wittstein, MD

  • Ophthalmology Physician
  • Springfield, OH
National Provider Identifier
1104824580
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35068089W Issued in OH
Practice address
2254 Olympic St
Springfield, OH 45503-2737
Phone
(937) 399-8287
NPI assigned
Jul 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 35068089W OH Primary

Addresses

Primary practice location

2254 Olympic St
Springfield, OH 45503-2737

Mailing address

2254 Olympic St
Springfield, OH 45503-2737
Phone (937) 399-8287

Other identifiers 1

IdentifierTypeStateIssuer
0123539MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20100825000277 OH Practitioner - Ophthalmology 4284758400 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Connecticut School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Physicians of Springfield, IncGroup PAC ID 3072546373, 3 clinicians

Practice addresses (Care Compare)

2254 Olympic St
Springfield, OH 45503-2737
Phone (937) 399-8287

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
9 of 100Reported as individual
Quality
15
Improvement activities
0
Cost
10

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35068089WOHMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Physicians of Springfield, Inc Ophthalmology CurrentSince Nov 12, 1996 Accepting new patients
Ohio Valley Medical Center, LLC Current Accepting new patients

Locations

2254 Olympic St
Springfield, OH 45503
Phone (937) 399-8287

900 Scioto St
Ste 1
Urbana, OH 43078
Phone (937) 653-4666

Interoperability endpoints

  • Direct secure messaging: pwittstein@direct.ovsurgical.com

Organizations & group practices 2

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 1

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": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204675200000",
    "number": "1104824580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2254 OLYMPIC ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455032737",
            "telephone_number": "937-399-8287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2254 OLYMPIC ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455032737",
            "telephone_number": "937-399-8287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTSTEIN",
        "first_name": "PETER",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2008-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35068089W",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0123539",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

Verify at the official NPI Registry.