DR. MICHAEL WHEELER M.D.
NPI 1043605454
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Dallas, TX

Active since April 02, 2015Opted out of Medicare · through Dec 23, 2027
90.9/100
CMS Quality Rating
8210 WALNUT HILL LN STE 130, DALLAS, TX 75231(214) 750-1207(214) 750-8504 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 25, 2021, Jul 15, 2020 (2 updates tracked since 2020).

About Dr. Michael Wheeler M.d. NPPES

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

DR. MICHAEL WHEELER M.D. (NPI 1043605454) is an individual orthopaedic surgery of the spine provider in Dallas, Texas, licensed in Texas (R6504) and active in the NPI registry since April 2015. He has opted out of Medicare through December 23, 2027 and remains eligible to order and refer, is affiliated with Hunt Regional Medical Center, and is a graduate of University Of Texas Medical Branch At Galveston (2015).

NPPES Registry Identity

NPI1043605454
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameDR. MICHAEL WHEELERCredential: M.D.
Location Address8210 WALNUT HILL LN STE 130Dallas, TX 75231-4418
Mailing Address8210 Walnut Hill Ln Ste 130Dallas, TX 75231-4418 · (214) 750-1207 · Fax (214) 750-8504
Fax(214) 750-8504
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2015
Enumeration DateApril 2, 2015
Last NPPES UpdateApril 22, 20252 updates tracked since enumeration
NPPES CertifiedApril 22, 2025
NPI 1043605454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License Licensed in TX · R6504
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License R6504 (TX)
8210 WALNUT HILL LN STE 130, Dallas, TX 75231

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Michael Wheeler M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 23, 2025 through December 23, 2027.

Opt-Out Effective DateDecember 23, 2025
Opt-Out In Effect ThroughDecember 23, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Areas of Expertise CMS Part B claims 26

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
667 services452 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
410 services394 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
330 services273 patients
X-ray of upper spine, 4-5 views 72050
An X-ray of the upper spine with 4-5 views is a non-invasive imaging test. It uses radiation to capture detailed images of the bones and structures in your neck and upper back. This procedure helps identify issues like fractures, infections, or deformities.
140 services139 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
112 services66 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
104 services61 patients

Hospital Affiliations CMS Care Compare 4

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

Hunt Regional Medical Center

Acute Care Hospitals · Greenville, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450352
Location4215 Joe Ramsey Blvd EGreenville, TX 75401 · Hunt County
Emergency services Birthing friendly

Texas Health Presbyterian Hospital Dallas

Acute Care Hospitals · Dallas, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450462
Location8200 Walnut Hill LaneDallas, TX 75231 · Dallas County
Emergency services Birthing friendly

Texas Institute For Surgery At Presbyterian Hospit

Acute Care Hospitals · Dallas, TX
OwnershipPhysician
CMS Certification Number450889
Location7115 Greenville Avenue Suite 100Dallas, TX 75231 · Dallas County
Emergency services

Methodist Hospital For Surgery

Acute Care Hospitals · Addison, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number670073
Location17101 Dallas ParkwayAddison, TX 75001 · Dallas County
Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality83.46
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Advance Care Plan
93%901 patients4/55-star benchmark: 100%
Breast Cancer Screening
68%531 patients3/55-star benchmark: 93%
Cervical Cancer Screening
65%512 patients3/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
31%464 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
63%1,112 patients3/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
84%3,342 patients4/55-star benchmark: 100%
e-Prescribing
99%565 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
86%879 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
73%1,904 patients3/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 86% · 1,422 patients
Patients screened: 87% · 1,422 patients
70%46 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
90%686 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
73%470 patients3/55-star benchmark: 98%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
80%20 patients4/55-star benchmark: 91%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
1 supplier11 claims11 services$43.36 avg. paid by Medicare
Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L0627
DME-Orthotic Devices · category DF007N
3 suppliers23 claims23 services$313.50 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

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

Orthopaedic Surgery (Sports Medicine)
8210 WALNUT HILL LN STE 130
DALLAS, TX 75231
Physician Assistant (Surgical)
8210 WALNUT HILL LN STE 130
DALLAS, TX 75231
Orthopaedic Surgery (Sports Medicine)
8210 WALNUT HILL LN STE 130
DALLAS, TX 75231
Physician Assistant
8210 WALNUT HILL LN STE 130
DALLAS, TX 75231
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
8210 WALNUT HILL LN STE 130
DALLAS, TX 75231
Physician Assistant (Surgical)
8210 WALNUT HILL LN STE 130
DALLAS, TX 75231
Physician Assistant (Surgical)
8210 WALNUT HILL LN STE 130
DALLAS, TX 75231
Orthopaedic Surgery
8210 WALNUT HILL LN STE 130
DALLAS, TX 75231

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 Michael Wheeler's NPI number?

The NPI number for Michael Wheeler is 1043605454. It was assigned to this individual provider in the NPPES registry on April 2, 2015.

Where is Michael Wheeler located?

Michael Wheeler practices at 8210 Walnut Hill Ln Ste 130, Dallas, TX 75231. The listed phone number is (214) 750-1207.

What is Michael Wheeler's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Michael Wheeler enrolled in Medicare?

No. Michael Wheeler has opted out of Medicare through December 23, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Michael Wheeler accept?

Health plans from Imperial Insurance Companies, Inc. and Molina Healthcare list Michael Wheeler as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michael Wheeler affiliated with any hospitals?

According to CMS data, Michael Wheeler is affiliated with Hunt Regional Medical Center, Texas Health Presbyterian Hospital Dallas, Texas Institute For Surgery At Presbyterian Hospit and Methodist Hospital For Surgery.

When was this NPI record last updated?

The NPPES record for Michael Wheeler was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.