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DR. THOMAS F WILSHIRE III D.O.
NPI 1033167630
Family Medicine in Grafton, WV

Active since May 05, 2006PECOS EnrolledAccepts Medicare Assignment
1 HOSPITAL PLZ, GRAFTON, WV 26354(304) 265-7406 Get Directions Write a Review

NPPES record last updated: March 5, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Thomas F Wilshire Iii D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THOMAS F WILSHIRE III D.O. (NPI 1033167630) is an individual family medicine provider in Grafton, West Virginia, licensed in West Virginia (1865) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Grafton City Hospital, Inc, and is a graduate of West Virginia School Of Osteopathic Medicine (1997).

NPPES Registry Identity

NPI1033167630
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. THOMAS F WILSHIRE IIICredential: D.O.
Location Address1 HOSPITAL PLZGrafton, WV 26354-1283
Mailing Address1893 Grafton RdMorgantown, WV 26508-3817 · (304) 296-3741
Phone(304) 265-7406
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 1997
Enumeration DateMay 5, 2006
Last NPPES UpdateMarch 5, 2014
✔ NPI 1033167630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WV · 1865
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1 HOSPITAL PLZ, Grafton, WV 26354
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Other Identifiers 2

Medicare PINWI4051052
Medicare UPINH37427

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Thomas F Wilshire Iii D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810936382
PECOS Enrollment IDI20050426000282
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Thomas Wilshire reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grafton City Hospital Inc
Same address
Critical Access
1 HOSPITAL PLZ
Grafton, WV 26354
  • Reassigned Medicare billing, West Virginia enrollment
  • Also billed through NPI 1336200344 (West Virginia)
  • 26 clinicians in this Medicare group
NPI 1265484893 (304) 265-0400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Grafton City Hospital, Inc

Critical Access Hospitals · Grafton, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511307
Location1 Hospital PlazaGrafton, WV 26354 · Taylor County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26354 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRAFTON CITY HOSPITAL INC
General Practice
1 HOSPITAL PLZ
GRAFTON, WV 26354
Taylor County (304) 265-7406
MR. DUSTIN JAY LAWRENCE BALDWIN MSW, LCSW
Social Worker (Clinical)
1 HOSPITAL PLZ
GRAFTON, WV 26354
Taylor County (304) 265-0400
MRS. CATHERINE P MOREHEAD PA
Physician Assistant (Medical)
1 HOSPITAL PLZ
GRAFTON, WV 26354
Taylor County (304) 265-6416
MRS. CARRIE LEACH PA-C
Physician Assistant
1 HOSPITAL PLZ
GRAFTON, WV 26354
Taylor County (304) 265-6416
GRAFTON CITY HOSPITAL INC
General Acute Care Hospital (Critical Access)
1 HOSPITAL PLZ
GRAFTON, WV 26354
Taylor County (304) 265-0400
UNITED HOSPITAL CENTER, INC.
Orthopaedic Surgery
1 HOSPITAL PLZ
GRAFTON, WV 26354
Taylor County (681) 342-3500
DR. EDWARD P BRENNAN II DO
Family Medicine
1 HOSPITAL PLZ
GRAFTON, WV 26354
Taylor County (304) 265-0400
MS. NANCI J MORGAN MS PAC
Physician Assistant
1 HOSPITAL PLZ
GRAFTON, WV 26354
Taylor County (304) 265-7406

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Wilshire's NPI number?

The NPI number for Thomas Wilshire is 1033167630. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Thomas Wilshire located?

Thomas Wilshire practices at 1 Hospital Plz, Grafton, WV 26354. The listed phone number is (304) 265-7406.

What is Thomas Wilshire's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Thomas Wilshire enrolled in Medicare?

Yes. Thomas Wilshire is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Thomas Wilshire's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Wilshire reassigns Medicare benefits to Grafton City Hospital Inc (Grafton, WV). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thomas Wilshire's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Thomas Wilshire affiliated with any hospitals?

According to CMS data, Thomas Wilshire is affiliated with Grafton City Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Thomas Wilshire was last updated on March 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.