JOHN M WHEAT D.O.
NPI 1093733230
Family Medicine in Merrill, WI

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment
83.72/100
CMS Quality Rating
3333 E MAIN ST, MERRILL, WI 54452(715) 539-5600 Get Directions Write a Review

NPPES record last updated: September 22, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John M Wheat D.o. NPPES

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

JOHN M WHEAT D.O. (NPI 1093733230) is an individual family medicine provider in Merrill, Wisconsin, licensed in Wisconsin (44687) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Aspirus Wausau Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1093733230
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHN M WHEATCredential: D.O.
Location Address3333 E MAIN STMerrill, WI 54452-8959
Mailing AddressPo Box 1008Wausau, WI 54402-1008 · (715) 847-2304
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJuly 17, 2006
Last NPPES UpdateSeptember 22, 2009
NPI 1093733230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 44687
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.
3333 E MAIN ST, Merrill, WI 54452

Other Identifiers 4

Medicare ID-Type Unspecified0002337075WI
Medicaid43514400WI
Medicare OSCAR/certification391150001
Medicare UPINI15663WI

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

John M Wheat 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 ID1850369810
PECOS Enrollment IDI20040917001166
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.
73 services62 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.
55 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.
40 services35 patients

Hospital Affiliations CMS Care Compare 2

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

Aspirus Wausau Hospital

Acute Care Hospitals · Wausau, WI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number520030
Location333 Pine Ridge BlvdWausau, WI 54401 · Marathon County
Emergency services Birthing friendly

Aspirus Merrill Hospital

Critical Access Hospitals · Merrill, WI
OwnershipVoluntary non-profit - Church
CMS Certification Number521339
Location601 S Center AveMerrill, WI 54452 · Lincoln County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54452 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

83.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.54
Promoting Interoperability100
Improvement Activities40
Cost58.37

Referred Medical Equipment & Supplies CMS DME claims 3

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
4 suppliers13 claims52 services$4.94 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers17 claims17 services$17.09 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers29 claims29 services$85.92 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 5

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

Family Medicine
3333 E MAIN ST
MERRILL, WI 54452
Clinic/Center
3333 E MAIN ST
MERRILL, WI 54452
Physician Assistant
3333 E MAIN ST
MERRILL, WI 54452
Family Medicine
3333 E MAIN ST
MERRILL, WI 54452
Internal Medicine
3333 E MAIN ST
MERRILL, WI 54452

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 John Wheat's NPI number?

The NPI number for John Wheat is 1093733230. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is John Wheat located?

John Wheat practices at 3333 E Main St, Merrill, WI 54452. The listed phone number is (715) 539-5600.

What is John Wheat's specialty?

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

Is John Wheat enrolled in Medicare?

Yes. John Wheat 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.

What insurance does John Wheat accept?

Health plans from Aspirus Health Plan, HealthPartners and Security Health Plan list John Wheat 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 John Wheat affiliated with any hospitals?

According to CMS data, John Wheat is affiliated with Aspirus Wausau Hospital and Aspirus Merrill Hospital.

When was this NPI record last updated?

The NPPES record for John Wheat was last updated on September 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.