DOROTHY WHEATON PA
NPI 1194859074
Physician Assistant in Seneca, PA

Q: What is Dorothy Wheaton's NPI number?

The NPI number for Dorothy Wheaton is 1194859074. It was assigned to this individual provider in the NPPES registry on March 15, 2007.

Q: What is Dorothy Wheaton's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Dorothy Wheaton was last updated on February 3, 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.

Active since March 15, 2007PECOS EnrolledAccepts Medicare Assignment

100 FAIRFIELD DR, SENECA, PA 16346(814) 676-7900(814) 676-7887 Get Directions Write a Review

NPPES record last updated: February 3, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Feb 3, 2021, Jun 22, 2020 (2 updates tracked since 2020).

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About Dorothy Wheaton Pa NPPES

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

DOROTHY WHEATON PA (NPI 1194859074) is an individual physician assistant in Seneca, Pennsylvania, licensed in Pennsylvania (MA052492) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Upmc Northwest, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1194859074

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameDOROTHY WHEATONCredential: PA

Location Address100 FAIRFIELD DRSeneca, PA 16346-2130

Mailing Address100 Fairfield DrSeneca, PA 16346-2130 · (814) 676-7900 · Fax (814) 676-7887

Phone(814) 676-7900

Fax(814) 676-7887

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateMarch 15, 2007

Last NPPES UpdateFebruary 3, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 3, 2021

✔ NPI 1194859074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in PA · MA052492

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

100 FAIRFIELD DR, Seneca, PA 16346

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Other Identifiers 1

OtherMA052492PA · Medical License

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

Dorothy Wheaton Pa 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 ID7214010859

PECOS Enrollment IDI20080206000061

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.

91 services84 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

47 services33 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.

24 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Upmc Northwest

Acute Care Hospitals · Seneca, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390091

Location100 Fairfield DriveSeneca, PA 16346 · Venango County

Emergency services Birthing friendly

Upmc Horizon

Acute Care Hospitals · Greenville, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390178

Location110 North Main StreetGreenville, PA 16125 · Mercer County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16346 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

Other Providers at the Same Location NPPES 20

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

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