Individual provider Active NPI

Andrew Jack Wherley, MD

  • Ophthalmology Physician
  • Dover, OH
National Provider Identifier
1912986951
Registry record updated Jan 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35064274W Issued in OH
Practice address
658 Boulevard St
Dover, OH 44622-2027
Phone
(330) 343-3213
Fax
(330) 364-2729
NPI assigned
Jan 10, 2006
Last updated
Jan 28, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2011

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 35064274W OH Primary

Addresses

Primary practice location

658 Boulevard St
Dover, OH 44622-2027

Mailing address

658 Boulevard St
Dover, OH 44622-2027
Phone (330) 343-3213

Other identifiers 1

IdentifierTypeStateIssuer
2055672MedicaidOH

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
I20110901000468 OH Practitioner - Ophthalmology 0941339998 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Ohio State University College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

658 Boulevard St
Dover, OH 44622-2027
Phone (330) 343-3213

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
82.39 of 100Reported as group
Quality
68.19
Promoting interoperability
83
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery480

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35064274WOHMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew J. Wherley, M.D., LTD. Ophthalmology CurrentSince Jul 1, 1999 Accepting new patients
Trinity Hospital Twin City CurrentSince Sep 22, 2021 Accepting new patients
Trinity Hospital Twin City CurrentSince Sep 22, 2021 Accepting new patients

Locations

819 N 1st St
Dennison, OH 44621
Phone (740) 922-0000

658 Boulevard St
Dover, OH 44622
Phone (330) 343-3213

Interoperability endpoints

  • Direct secure messaging: andrewwherley@ajwherley.direct.emds.com

Organizations & group practices 3

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": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296172800000",
    "number": "1912986951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "658 BOULEVARD ST",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446222027",
            "telephone_number": "330-343-3213",
            "fax_number": "330-364-2729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 BOULEVARD ST",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446222027",
            "telephone_number": "330-343-3213",
            "fax_number": "330-364-2729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHERLEY",
        "first_name": "ANDREW",
        "middle_name": "JACK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2011-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35064274W",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2055672",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, OH

Sources for this page

Verify at the official NPI Registry.