DAVID A HADLEY MD
NPI 1225223043
Urology in Kettering, OH

Active since September 14, 2007PECOS EnrolledAccepts Medicare Assignment
84.5/100
CMS Quality Rating
3737 SOUTHERN BLVD STE 4200, KETTERING, OH 45429(937) 294-1489(937) 297-6468 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 1, 2024, Jan 27, 2021, Sep 5, 2018 and 1 more (4 updates tracked since 2018).

About David A Hadley Md NPPES

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

DAVID A HADLEY MD (NPI 1225223043) is an individual urology provider in Kettering, Ohio, licensed in Ohio (353134423) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS, is affiliated with Kettering Health Main Campus, and maintains a secondary practice location in Twin Falls.

NPPES Registry Identity

NPI1225223043
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDAVID A HADLEYCredential: MD
Location Address3737 SOUTHERN BLVD STE 4200Kettering, OH 45429-0135
Mailing Address3737 Southern Blvd Ste 4200Kettering, OH 45429-0135 · (937) 294-1489 · Fax (937) 297-6468
Fax(937) 297-6468
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2005
Enumeration DateSeptember 14, 2007
Last NPPES UpdateMay 1, 20244 updates tracked since enumeration
NPPES CertifiedMay 1, 2024
NPI 1225223043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses Licensed in OH · 353134423 Licensed in ID · M-12740
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Also ListedUrology · Urogynecology and Reconstructive Pelvic SurgeryTaxonomy 2088F0040X · License 35.134423 (OH), M-12740 (ID)
3737 SOUTHERN BLVD STE 4200, Kettering, OH 45429

Secondary Practice Location 1

Location 1775 Pole Line Rd W Ste 301Twin Falls, ID 83301-5823 · Phone (208) 814-8700 · Fax (208) 933-4914

Other Identifiers 3

Medicaid1225223043ID
Medicaid69707740CO
Medicaid0305503OH

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

David A Hadley 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 ID446382865
PECOS Enrollment IDI20180829004467, I20260226004027
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 27

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 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.
297 services262 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
244 services225 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
241 services216 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.
194 services174 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
61 services58 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
56 services36 patients

Hospital Affiliations CMS Care Compare 4

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

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360079
Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County
Emergency services Birthing friendly

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360133
Location405 Grand AvenueDayton, OH 45405 · Montgomery County
Birthing friendly

Soin Medical Center

Acute Care Hospitals · Beaver Creek, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360360
Location3535 Pentagon Park BlvdBeaver Creek, OH 45431 · Greene County
Emergency services Birthing friendly

Kettering Health Troy

Acute Care Hospitals · Troy, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360368
Location600 West Main StreetTroy, OH 45373 · Miami County
Emergency services

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.

84.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.16
Promoting Interoperability100
Improvement Activities40
Cost67.18

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.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
4 suppliers18 claims4,840 services$1.40 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
1 supplier17 claims17 services$64.25 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier17 claims17 services$30.20 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 7

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

Urology
3737 SOUTHERN BLVD STE 4200
KETTERING, OH 45429
Nurse Practitioner (Family)
3737 SOUTHERN BLVD STE 4200
KETTERING, OH 45429
Nurse Practitioner (Family)
3737 SOUTHERN BLVD STE 4200
KETTERING, OH 45429
Nurse Practitioner (Family)
3737 SOUTHERN BLVD STE 4200
KETTERING, OH 45429
Urology
3737 SOUTHERN BLVD STE 4200
KETTERING, OH 45429
Urology
3737 SOUTHERN BLVD STE 4200
DAYTON, OH 45429
Nurse Practitioner (Family)
3737 SOUTHERN BLVD STE 4200
KETTERING, 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 David Hadley's NPI number?

The NPI number for David Hadley is 1225223043. It was assigned to this individual provider in the NPPES registry on September 14, 2007.

Where is David Hadley located?

David Hadley practices at 3737 Southern Blvd Ste 4200, Kettering, OH 45429. The listed phone number is (937) 294-1489.

What is David Hadley's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is David Hadley enrolled in Medicare?

Yes. David Hadley 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 David Hadley accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 4 other insurers list David Hadley 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 David Hadley affiliated with any hospitals?

According to CMS data, David Hadley is affiliated with Kettering Health Main Campus, Kettering Health Dayton, Soin Medical Center and Kettering Health Troy.

When was this NPI record last updated?

The NPPES record for David Hadley was last updated on May 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.