DR. MARSHALL CLAUDE WAREHAM MD
NPI 1114925112
Ophthalmology in Dayton, OH

Active since July 13, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
5250 FAR HILLS AVE, SUITE 207, DAYTON, OH 45429(937) 433-2300(937) 433-0210 Get Directions Write a Review

NPPES record last updated: March 12, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Marshall Claude Wareham Md NPPES

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

DR. MARSHALL CLAUDE WAREHAM MD (NPI 1114925112) is an individual ophthalmology provider in Dayton, Ohio, licensed in Ohio (35-05-0634-W) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (1982).

NPPES Registry Identity

NPI1114925112
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. MARSHALL CLAUDE WAREHAMCredential: MD
Location Address5250 FAR HILLS AVE, SUITE 207Dayton, OH 45429-2382
Mailing Address5250 Far Hills Ave, Suite 207Dayton, OH 45429-2382 · (937) 433-2300 · Fax (937) 433-0210
Fax(937) 433-0210
Sole ProprietorYes
Medical School CMSLoma Linda University School Of MedicineGraduated 1982
Enumeration DateJuly 13, 2005
Last NPPES UpdateMarch 12, 2012
NPI 1114925112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in OH · 35-05-0634-W
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

5250 FAR HILLS AVE, Dayton, OH 45429

Other Identifiers 7

Other311026469027OH · Caresource
Medicare UPINC03467OH
Other22364OH · Cole Vision
Medicaid0770134OH
Other000000189353OH · Anthem Bc/bs
Other180011133OH · Railroad Medicare
Medicare ID-Type UnspecifiedWA0624574OH

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

Dr. Marshall Claude Wareham Md 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 ID2961435425
PECOS Enrollment IDI20100824000265
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 13

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
961 services943 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.
421 services317 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
365 services345 patients
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.
340 services200 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
189 services123 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
152 services147 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45429 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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.

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

Reported Quality Measures

Provide Patients Electronic Access to Their Health Information
100%1,572 patients5/55-star benchmark: 100%
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.

Other Providers at the Same Location NPPES 17

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

Family Medicine
5250 FAR HILLS AVE, STE 250
KETTERING, OH 45429
Specialist/Technologist (Athletic Trainer)
5250 FAR HILLS AVE, STE 220
KETTERING, OH 45429
Internal Medicine (Pulmonary Disease)
5250 FAR HILLS AVE, SUITE #150
KETTERING, OH 45429
Pediatrics
5250 FAR HILLS AVE, SUITE 260
DAYTON, OH 45429
Optometrist
5250 FAR HILLS AVE, SUITE 207
DAYTON, OH 45429
Pediatrics
5250 FAR HILLS AVE
KETTERING, OH 45429
Specialist (Prosthetics Case Management)
5250 FAR HILLS AVE
DAYTON, OH 45429
Optometrist
5250 FAR HILLS AVE, SUITE 207
DAYTON, OH 45429

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 Marshall Wareham's NPI number?

The NPI number for Marshall Wareham is 1114925112. It was assigned to this individual provider in the NPPES registry on July 13, 2005.

Where is Marshall Wareham located?

Marshall Wareham practices at 5250 Far Hills Ave Suite 207, Dayton, OH 45429. The listed phone number is (937) 433-2300.

What is Marshall Wareham's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Marshall Wareham enrolled in Medicare?

Yes. Marshall Wareham 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 Marshall Wareham accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Marshall Wareham 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 Marshall Wareham was last updated on March 12, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.