Individual provider Active NPI

Timothy Michael Wheeler, M.D.

  • Surgery Physician
  • Ashland, KY
National Provider Identifier
1609822816
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
36483 Issued in KY
Practice address
613 23Rd St Ste 440
Ashland, KY 41101-2885
Phone
(606) 329-2888
Fax
(606) 329-2890
NPI assigned
May 26, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 36483 KY Primary

Addresses

Primary practice location

613 23Rd St Ste 440
Ashland, KY 41101-2885

Mailing address

PO Box 2379
Ashland, KY 41105-2379
Phone (606) 408-6200

Other identifiers 3

IdentifierTypeStateIssuer
1805837000MedicaidWV
2228379MedicaidOH
64028103MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20110228000452 KY Practitioner - General SurgeryPractitioner - General Practice 7618880972 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: General Practice
Education
University of Louisville School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Three Rivers Medical Clinics IncGroup PAC ID 7315845047, 30 clinicians

Practice addresses (Care Compare)

2483 Hwy 644
Suite 203
Louisa, KY 41230-9242
Phone (606) 638-3813

613 23Rd St
Suite 440
Ashland, KY 41101-2885
Phone (606) 329-2888

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.04 of 100Reported as group
Quality
60.55
Promoting interoperability
100
Improvement activities
40
Cost
78.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Three Rivers Medical Clinics Inc CurrentSince Apr 1, 2019 Accepting new patients
Three Rivers Medical Clinics Inc Surgery CurrentSince Apr 1, 2019 Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince Jul 17, 2017 Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince Jul 17, 2017 Accepting new patients
Kings Daughters Medical Specialties Inc Current Accepting new patients
Holmes Chiropractic PSC Past Accepting new patients
Chiro One Wellness Center of Beaumont PLLC PastSince Jun 20, 2017 Accepting new patients
Ashland Hospital Corporation Past Accepting new patients

Locations

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

613 23rd St
Ste 340
Ashland, KY 41101
Phone (606) 326-1101

613 23rd St
Ste 440
Ashland, KY 41101
Phone (606) 329-2888

2483 Highway 644
Ste 107
Louisa, KY 41230
Phone (606) 638-1154

2483 Highway 644
Ste 203
Louisa, KY 41230
Phone (606) 638-3813

Interoperability endpoints

  • Direct secure messaging: twheeler12078@direct.kdhealth.us

Organizations & group practices 9

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 2

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1609822816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2379",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411052379",
            "telephone_number": "606-408-6200",
            "fax_number": "606-408-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 23RD ST STE 440",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012885",
            "telephone_number": "606-329-2888",
            "fax_number": "606-329-2890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "TIMOTHY",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "36483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1805837000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2228379",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64028103",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.