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MARIE MIDDLETON NP-C
NPI 1053761627
Nurse Practitioner - Family in Centerville, OH

Active since June 15, 2016PECOS Enrolled
84.95/100
CMS Quality Rating
7740 WASHINGTON VILLAGE DR, STE 120, CENTERVILLE, OH 45459(937) 439-7411(937) 433-8030 Get Directions Write a Review

NPPES record last updated: January 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 13, 2021, Feb 9, 2017, Nov 22, 2016 and 1 more (4 updates tracked since 2016).

About Marie Middleton Np-c NPPES

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

MARIE MIDDLETON NP-C (NPI 1053761627) is an individual family provider in Centerville, Ohio, licensed in Ohio (COA.18955-NP) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053761627
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARIE MIDDLETONCredential: NP-C
Location Address7740 WASHINGTON VILLAGE DR, STE 120Centerville, OH 45459-4056
Mailing Address220 E Spring Valley PikeCenterville, OH 45458-2653 · (937) 436-3117 · Fax (937) 436-0730
Phone(937) 439-7411
Fax(937) 433-8030
Sole ProprietorYes
Enumeration DateJune 15, 2016
Last NPPES UpdateJanuary 13, 20214 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2021
✔ NPI 1053761627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · COA.18955-NP
7740 WASHINGTON VILLAGE DR, Centerville, OH 45459
Open in Google Maps ↗

Other Identifiers 1

Medicaid0181525OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marie Middleton Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims 3

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.
84 services55 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.
26 services20 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45459 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

84.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.68
Promoting Interoperability100
Improvement Activities40
Cost69.16

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers16 claims32 services$5.37 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers12 claims14 services$0.89 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 6

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

MAUREEN O IGBINOBA N.P.
Nurse Practitioner (Family)
7740 WASHINGTON VILLAGE DR, SUITE 120
CENTERVILLE, OH 45459
Montgomery County (937) 439-7411
MARK S JEFFRIES DO
Family Medicine
7740 WASHINGTON VILLAGE DR, SUITE 120
CENTERVILLE, OH 45459
Montgomery County (937) 433-8020
ALLIANCE PHYSICIAN INC
Surgery
7740 WASHINGTON VILLAGE DR, SUITE 110A
DAYTON, OH 45459
Montgomery County (937) 439-4145
AMY MARIE PARK DO
Obstetrics & Gynecology
7740 WASHINGTON VILLAGE DR, SUITE 100
CENTERVILLE, OH 45459
Montgomery County (937) 531-7900
DR. KIMBERLY A WARREN D.O.
Obstetrics & Gynecology
7740 WASHINGTON VILLAGE DR, SUITE 100
CENTERVILLE, OH 45459
Montgomery County (937) 531-7900
JAMES WILLIAM AUGUSTA D.O.
Surgery
7740 WASHINGTON VILLAGE DR, SUITE 110
DAYTON, OH 45459
Montgomery County (937) 439-4145

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 Marie Middleton's NPI number?

The NPI number for Marie Middleton is 1053761627. It was assigned to this individual provider in the NPPES registry on June 15, 2016.

Where is Marie Middleton located?

Marie Middleton practices at 7740 Washington Village Dr Ste 120, Centerville, OH 45459. The listed phone number is (937) 439-7411.

What is Marie Middleton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Marie Middleton enrolled in Medicare?

Yes. Marie Middleton is registered in the Medicare PECOS enrollment system.

What insurance does Marie Middleton accept?

Health plans from CareSource and MedMutual list Marie Middleton 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.

When was this NPI record last updated?

The NPPES record for Marie Middleton was last updated on January 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.