Individual provider Active NPI

Roger E Wiltfong, M.D.

  • Orthopaedic Hand Surgery Physician
  • Chillicothe, OH
National Provider Identifier
1851602544
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
35.097857 Issued in OH
Practice address
4437 State Route 159 Ste G15
Chillicothe, OH 45601-7065
Phone
(740) 779-4598
NPI assigned
Jun 28, 2010
Last updated
Nov 24, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X 35.097857 OH Primary

Addresses

Primary practice location

4437 State Route 159 Ste G15
Chillicothe, OH 45601-7065

Mailing address

4437 St Route 159 Suite G15
Chillicothe, OH 45601

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adena.abjc@adena.medicity.net

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
I20110307000687 OH Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 8224210778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand Surgery
Education
Albert Einstein College of Medicine of Yeshiva University, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adena Medical Group LLCGroup PAC ID 1153456579, 384 clinicians

Practice addresses (Care Compare)

100 N Walnut St
Chillicothe, OH 45601-9031
Phone (740) 779-4500

110 Vaugh Lane
Suite 20
Chillicothe, OH 45601
Phone (740) 779-7201

12340 State Route 104
Waverly, OH 45690-8968
Phone (740) 941-5180

1430 Columbus Ave
Washington Court House, OH 43160-1703
Phone (740) 335-1210

1450 Columbus Ave
Washington Court House, OH 43160-3701

272 Hospital Rd
Chillicothe, OH 45601-9031

455 N Shawnee Lane
Chillicothe, OH 45601-9031
Phone (740) 779-4888

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.93 of 100Reported as group
Quality
64.42
Promoting interoperability
99
Improvement activities
40
Cost
73.2

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)53
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.097857OHMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adena Medical Group LLC CurrentSince Aug 1, 2016 Accepting new patients

Locations

272 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-4275

4437 State Route 159
Ste 125
Chillicothe, OH 45601
Phone (740) 779-4570

4437 State Route 159
Ste G15
Chillicothe, OH 45601
Phone (740) 779-8580

12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180

1450 Columbus Ave
Ste 201
Wshngtn Ct Hs, OH 43160
Phone (740) 333-2862

Interoperability endpoints

  • Direct secure messaging: rwiltfong1060774@direct.osumc.edu

Organizations & group practices 1

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 5

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": "1277683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1851602544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4437 ST ROUTE 159 SUITE G15",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "45601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4437 STATE ROUTE 159 STE G15",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456017065",
            "telephone_number": "740-779-4598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILTFONG",
        "first_name": "ROGER",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-28",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "OH",
            "license": "35.097857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adena.abjc@adena.medicity.net",
            "affiliation": "N",
            "address_1": "4437 State Route 159 Ste G15",
            "city": "Chillicothe",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456017065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

Verify at the official NPI Registry.