Individual provider Active NPI

Allison Elizabeth Pepple, M.D.

  • Family Medicine Physician
  • Botkins, OH
National Provider Identifier
1194259150
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.140865 Issued in OH
Practice address
111 E Lynn St
Botkins, OH 45306-8011
Phone
(937) 693-1541
Fax
(937) 693-1546
NPI assigned
Apr 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.140865 OH Primary

Addresses

Primary practice location

111 E Lynn St
Botkins, OH 45306-8011

Mailing address

915 Michigan St
Sidney, OH 45365-2401
Phone (937) 498-5491

Other practice location 1

602 W Pike St
Jackson Center, OH 45334-6011
Phone (937) 596-6123

Other practice location 2

500 Gypsy Ln
Youngstown, OH 44504-1315
Phone (330) 884-3983

Other identifiers 1

IdentifierTypeStateIssuer
D8523342MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address apepple@wilsonhealth.org
Direct Messaging Address apepple@wilsonhealth.org

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
I20201208000230 OH Practitioner - Family Practice 1557635802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio State University College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wilson Care, LLCGroup PAC ID 4385549666, 58 clinicians

Practice addresses (Care Compare)

111 E Lynn St
Botkins, OH 45306-8011
Phone (937) 693-1541

Hospital & facility affiliations

  • Wilson Home Health Care Home health agency, Sidney, OH, CCN 367238
  • Kettering Homecare Home health agency, Kettering, OH, CCN 367778
  • Wilson Memorial Hospital Hospital, Sidney, OH, CCN 360013
  • Mercy Health St Ritas Medical Center Hospital, Lima, OH, CCN 360066
  • Grand Lake Health System Hospital, Saint Marys, OH, CCN 360032
  • Lima Memorial Health System Hospital, Lima, OH, CCN 360009
  • Upper Valley Medical Center Hospital, Troy, OH, CCN 360174

Merit-based Incentive Payment System (MIPS)

Final score
86.07 of 100Reported as group
Quality
72.51
Promoting interoperability
100
Improvement activities
40
Cost
81.06

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.140865OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wilson Care, LLC Family Medicine CurrentSince Nov 13, 2020 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

111 E Lynn St
Botkins, OH 45306
Phone (937) 693-1541

1255 E Ash St
Piqua, OH 45356
Phone (513) 773-0980

915 Michigan St
Sidney, OH 45365
Phone (937) 498-2311

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/107/brand/1/csg/1/fhir/r4
  • Direct secure messaging: apepple13324@direct.osumc.edu

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 8

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": "1492387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1194259150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 MICHIGAN ST",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453652401",
            "telephone_number": "937-498-5491",
            "fax_number": "937-497-9917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E LYNN ST",
            "city": "BOTKINS",
            "state": "OH",
            "postal_code": "453068011",
            "telephone_number": "937-693-1541",
            "fax_number": "937-693-1546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "602 W Pike St",
            "address_purpose": "LOCATION",
            "city": "Jackson Center",
            "state": "OH",
            "postal_code": "453346011",
            "country_code": "US",
            "telephone_number": "937-596-6123",
            "fax_number": "937-596-6057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Gypsy Ln",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445041315",
            "country_code": "US",
            "telephone_number": "330-884-3983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEPPLE",
        "first_name": "ALLISON",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-17",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.140865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D8523342",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "apepple@wilsonhealth.org",
            "affiliation": "N",
            "address_1": "111 E Lynn St",
            "city": "Botkins",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453068011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "apepple@wilsonhealth.org",
            "affiliation": "N",
            "address_1": "602 W Pike St",
            "city": "Jackson Center",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453346011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Botkins, OH

Sources for this page

Verify at the official NPI Registry.