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

Q: 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.

Q: What is Marshall Wareham's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Marshall Wareham was last updated on March 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

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: October 18, 2026.

On this page

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

Phone(937) 433-2300

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

Open in Google Maps ↗

Other Identifiers 7

Other311026469027OH · Caresource

Medicare UPINC03467OH

Other22364OH · Cole Vision

Medicaid0770134OH

Other000000189353OH · Anthem Bc/bs

Other180011133OH · Railroad Medicare

Medicare ID-Type UnspecifiedWA0624574OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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. 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.

Medicare Billing Reassignment

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

Allied Eye Physicians & Surgeons Inc

Same address

Optometrist

5250 FAR HILLS AVE, SUITE 207
Dayton, OH 45429

Reassigned Medicare billing, Ohio enrollment
4 clinicians in this Medicare group

NPI 1326173964 (937) 433-2300

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

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

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

137 services61 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

90 services54 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

68 services68 patients

Ct scan of cornea 92025

A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.

38 services38 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

34 services31 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

25 services25 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

20 services20 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 Interoperability

100

Improvement Activities

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.

KEVIN G MALLOY MD, LLC

Family Medicine

5250 FAR HILLS AVE, STE 250
KETTERING, OH 45429

Montgomery County (937) 435-6500

DONNA LYNN WEEBER ATC

Specialist/Technologist (Athletic Trainer)

5250 FAR HILLS AVE, STE 220
KETTERING, OH 45429

Montgomery County (937) 438-3338

MR. GEORGE GATELEY BURTON MD

Internal Medicine (Pulmonary Disease)

5250 FAR HILLS AVE, SUITE #150
KETTERING, OH 45429

Montgomery County (937) 434-4611

RAMZIEH AZMEH M.D.

Pediatrics

5250 FAR HILLS AVE, SUITE 260
DAYTON, OH 45429

Montgomery County (937) 293-4168

ALLIED EYE PHYSICIANS & SURGEONS INC

Optometrist

5250 FAR HILLS AVE, SUITE 207
DAYTON, OH 45429

Montgomery County (937) 433-2300

DR. RITA WINTON HERITAGE MD

Pediatrics

5250 FAR HILLS AVE
KETTERING, OH 45429

Montgomery County (937) 433-7991

MRS. SHAWON LYNN GULLETTE CERTIFIED HAIR LOSS

Specialist (Prosthetics Case Management)

5250 FAR HILLS AVE
DAYTON, OH 45429

Montgomery County (937) 281-0555

DR. THOMAS R CONNON OD

Optometrist

5250 FAR HILLS AVE, SUITE 207
DAYTON, OH 45429

Montgomery County (937) 433-2300

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.

Which organization bills Medicare for Marshall Wareham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marshall Wareham reassigns Medicare benefits to Allied Eye Physicians & Surgeons Inc (Dayton, OH). 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 Marshall Wareham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marshall Wareham accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.