ARTHUR MACNEILL HORTON III M.D.
NPI 1225474331
Family Medicine in Dayton, OH

Q: What is Arthur Horton's NPI number?

The NPI number for Arthur Horton is 1225474331. It was assigned to this individual provider in the NPPES registry on May 15, 2013.

Q: What is Arthur Horton's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Arthur Horton was last updated on May 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 May 15, 2013PECOS EnrolledAccepts Medicare Assignment

84.95/100

CMS Quality Rating

2200 PHILADELPHIA DR, SUITE 441, DAYTON, OH 45406(937) 734-4690(937) 734-4186 Get Directions Write a Review

NPPES record last updated: May 22, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 22, 2018, Jan 10, 2017 (2 updates tracked since 2017).

On this page

About Arthur Macneill Horton Iii M.d. NPPES

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

ARTHUR MACNEILL HORTON III M.D. (NPI 1225474331) is an individual family medicine provider in Dayton, Ohio, licensed in Ohio (35.130102) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1225474331

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameARTHUR MACNEILL HORTON IIICredential: M.D.

Location Address2200 PHILADELPHIA DR, SUITE 441Dayton, OH 45406

Mailing Address3170 Kettering Blvd Bldg B3Moraine, OH 45439-1924 · (937) 991-3186 · Fax (937) 223-9811

Phone(937) 734-4690

Fax(937) 734-4186

Sole ProprietorNo

Medical School CMSEastern Virginia Medical SchoolGraduated 2013

Enumeration DateMay 15, 2013

Last NPPES UpdateMay 22, 20182 updates tracked since enumeration

✔ NPI 1225474331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OH · 35.130102

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2200 PHILADELPHIA DR, Dayton, OH 45406

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Secondary Practice Locations 3

Location 12200 Philadelphia Dr, Suite 441Dayton, OH 45406-1840 · Phone (937) 734-4690 · Fax (937) 734-4186

Location 21 Medical Center DrMiddletown, OH 45005-2584 · Phone (513) 705-4754 · Fax (513) 420-5156

Location 33130 N County Road 25ATroy, OH 45373-1337 · Phone (937) 440-4466 · Fax (937) 440-4470

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Arthur Macneill Horton Iii M.d. 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 ID8426288192

PECOS Enrollment IDI20170215001869

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 2

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

140 services130 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

22 services22 patients

Hospital Affiliations CMS Care Compare

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360051

LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45406 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

84.95/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

80.68

Promoting Interoperability

100

Improvement Activities

Cost

69.16

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.

JEROME JOHN SCHULTE JR. MD

Psychiatry & Neurology (Psychiatry)

2200 PHILADELPHIA DR, SUITE 4505
DAYTON, OH 45406

Montgomery County (937) 734-2446

TARA J SCHEUFLER DO

Family Medicine

2200 PHILADELPHIA DR, SUITE 441
DAYTON, OH 45406

Montgomery County (937) 734-2230

SUSAN GRANDHI MD

Internal Medicine

2200 PHILADELPHIA DR, 441
DAYTON, OH 45406

Montgomery County (937) 734-4690

MR. RONALD SCOTT MUNN CCP, RN

Perfusionist

2200 PHILADELPHIA DR, SUITE 301
DAYTON, OH 45406

Montgomery County (937) 279-9777

CHIE JEAN KUPPER RNFA

Registered Nurse (Registered Nurse First Assistant)

2200 PHILADELPHIA DR, SUITE 101
DAYTON, OH 45406

Montgomery County (937) 277-8988

ANGELA SUSANNE HOEFLER CCP

Perfusionist

2200 PHILADELPHIA DR, SUITE 301
DAYTON, OH 45406

Montgomery County (937) 279-9777

DAYTON PULMONARY AND CRITICAL CARE, INC

Internal Medicine (Pulmonary Disease)

2200 PHILADELPHIA DR, SUITE 548
DAYTON, OH 45406

Montgomery County (937) 424-3883

LYNN WARREN NPC

Nurse Practitioner (Family)

2200 PHILADELPHIA DR, SUITE 441
DAYTON, OH 45406

Montgomery County (937) 734-4690

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 Arthur Horton's NPI number?

The NPI number for Arthur Horton is 1225474331. It was assigned to this individual provider in the NPPES registry on May 15, 2013.

Where is Arthur Horton located?

Arthur Horton practices at 2200 Philadelphia Dr Suite 441, Dayton, OH 45406. The listed phone number is (937) 734-4690.

What is Arthur Horton's specialty?

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

Is Arthur Horton enrolled in Medicare?

Yes. Arthur Horton 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 Arthur Horton accept?

Health plans from CareSource list Arthur Horton 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 Arthur Horton affiliated with any hospitals?

According to CMS data, Arthur Horton is affiliated with Miami Valley Hospital.

When was this NPI record last updated?

The NPPES record for Arthur Horton was last updated on May 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.