Individual provider Active NPI

Anson T Miedel, MD

  • Ophthalmology Physician
  • Wooster, OH
National Provider Identifier
1457348518
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35.089887 Issued in OH
Practice address
3519 Friendsville Rd
Wooster, OH 44691-1241
Phone
(330) 345-7200
Fax
(330) 345-8029
NPI assigned
Oct 4, 2005
Last updated
Oct 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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 35.089887 OH Primary

Addresses

Primary practice location

3519 Friendsville Rd
Wooster, OH 44691-1241

Mailing address

3519 Friendsville Rd
Wooster, OH 44691-1241
Phone (330) 345-7200

Other identifiers 1

IdentifierTypeStateIssuer
2757584MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amiedel@woostereyecenter.ecldirect.net Direct

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
I20070723000103 OH Practitioner - Ophthalmology 8628093374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Jefferson Medical College of Thomas Jefferson University, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wooster Ophthalmologists, Inc.Group PAC ID 5395740807, 6 clinicians

Practice addresses (Care Compare)

3519 Friendsville Rd
Wooster, OH 44691-1241
Phone (330) 345-7200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.19 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
77.29

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery304
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wooster Ophthalmologists, Inc. Current Accepting new patients
Wooster Ophthalmologists, Inc. Ophthalmology CurrentSince Aug 13, 2007 Accepting new patients
Vistar Eye Center, Inc Past Accepting new patients
Wooster ENT Associates Inc Past Accepting new patients
Vistar Eye Center, Inc Past Accepting new patients
Alliance Community Medical Foundation LLC Past Accepting new patients

Locations

1197 Glen Dr
Unit C
Millersburg, OH 44654
Phone (330) 264-9699

832 S Main St
Ste 105
Orrville, OH 44667
Phone (330) 345-7200

3519 Friendsville Rd
Wooster, OH 44691
Phone (330) 345-7200

Interoperability endpoints

  • Direct secure messaging: amiedel@woostereyecenter.ecldirect.net
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1457348518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3519 FRIENDSVILLE RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446911241",
            "telephone_number": "330-345-7200",
            "fax_number": "330-345-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3519 FRIENDSVILLE RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446911241",
            "telephone_number": "330-345-7200",
            "fax_number": "330-345-8029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIEDEL",
        "first_name": "ANSON",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35.089887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2757584",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amiedel@woostereyecenter.ecldirect.net",
            "affiliation": "N",
            "endpointDescription": "Exchange of summaries of care",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3519 Friendsville Rd",
            "city": "Wooster",
            "state": "OH",
            "country_code": "US",
            "postal_code": "446911241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wooster, OH

Sources for this page

Verify at the official NPI Registry.