1. Home
  2. Directory
  3. Ohio
  4. Marysville
  5. Family Medicine
  6. NPI Profile

TODD MICHAEL WILEY MD
NPI 1295838134
Family Medicine in Marysville, OH

Active since September 06, 2006PECOS EnrolledAccepts Medicare Assignment
14210 SCOTTSLAWN RD, MARYSVILLE, OH 43041(937) 578-5555(937) 578-2642 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Todd Michael Wiley Md NPPES

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

TODD MICHAEL WILEY MD (NPI 1295838134) is an individual family medicine provider in Marysville, Ohio, licensed in Ohio (35079429W) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, and is a graduate of University Of South Carolina School Of Medicine (1999).

NPPES Registry Identity

NPI1295838134
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTODD MICHAEL WILEYCredential: MD
Location Address14210 SCOTTSLAWN RDMarysville, OH 43041-0001
Mailing Address14210 Scottslawn RdMarysville, OH 43041-0001 · (937) 578-5555 · Fax (937) 578-2642
Phone(937) 578-5555
Fax(937) 578-2642
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 1999
Enumeration DateSeptember 6, 2006
Last NPPES UpdateMay 6, 2024
NPPES CertifiedOctober 16, 2023
✔ NPI 1295838134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35079429W
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.
14210 SCOTTSLAWN RD, Marysville, OH 43041
Open in Google Maps ↗

Other Identifiers 1

Medicaid2280660OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual 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

Todd Michael Wiley 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 ID7416000526
PECOS Enrollment IDI20090806000158
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 Todd Wiley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Union County Physician Corporation
3.3 mi
Otolaryngology
500 LONDON AVE
Marysville, OH 43040
  • Reassigned Medicare billing, Ohio enrollment
  • 144 clinicians in this Medicare group
NPI 1992941108 (937) 578-2020

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 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.

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.
36 services27 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.
32 services25 patients

Hospital Affiliations CMS Care Compare

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

Memorial Hospital

Acute Care Hospitals · Marysville, OH
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number360092
Location500 London AvenueMarysville, OH 43040 · Union County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43041 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.

Referred Medical Equipment & Supplies CMS DME claims 18

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers44 claims94 services$5.22 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers14 claims15 services$0.99 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers22 claims22 services$38.55 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers14 claims14 services$109.28 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers33 claims57 services$43.05 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
5 suppliers12 claims46 services$22.26 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 6

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

PREMISE HEALTH OF OHIO MEDICAL, P.A
Clinic/Center (Primary Care)
14210 SCOTTSLAWN RD
MARYSVILLE, OH 43041
Union County (937) 578-5555
KARA KISH PHARMD
Pharmacist
14210 SCOTTSLAWN RD
MARYSVILLE, OH 43041
Union County (937) 578-5800
PREMISE HEALTH OF OHIO MEDICAL PA
Clinic/Center (Primary Care)
14210 SCOTTSLAWN RD
MARYSVILLE, OH 43041
Union County (937) 578-5870
MRS. KIMBERLY LYNN THORLEY CNP
Nurse Practitioner (Family)
14210 SCOTTSLAWN RD
MARYSVILLE, OH 43041
Union County (937) 578-5555
DR. KEVIN P HENZEL MD
Internal Medicine
14210 SCOTTSLAWN RD
MARYSVILLE, OH 43041
Union County (937) 578-4288
AMANDA MYERS
Nurse Practitioner (Family)
14210 SCOTTSLAWN RD
MARYSVILLE, OH 43041
Union County (937) 578-5555

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 Todd Wiley's NPI number?

The NPI number for Todd Wiley is 1295838134. It was assigned to this individual provider in the NPPES registry on September 6, 2006.

Where is Todd Wiley located?

Todd Wiley practices at 14210 Scottslawn Rd, Marysville, OH 43041. The listed phone number is (937) 578-5555.

What is Todd Wiley's specialty?

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

Is Todd Wiley enrolled in Medicare?

Yes. Todd Wiley 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 Todd Wiley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Todd Wiley reassigns Medicare benefits to Union County Physician Corporation (Marysville, 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 Todd Wiley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Todd Wiley accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance list Todd Wiley 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 Todd Wiley affiliated with any hospitals?

According to CMS data, Todd Wiley is affiliated with Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Todd Wiley was last updated on May 6, 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.