1. Home
  2. Directory
  3. Maryland
  4. Westminster
  5. Family Medicine
  6. NPI Profile

DR. JOHN WAYNE MIDDLETON M.D.
NPI 1306829320
Family Medicine in Westminster, MD

Active since November 23, 2005PECOS Enrolled
688C POOLE RD, WESTMINSTER, MD 21157(410) 857-8202 Get Directions Write a Review

NPPES record last updated: May 4, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. John Wayne Middleton M.d. NPPES

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

DR. JOHN WAYNE MIDDLETON M.D. (NPI 1306829320) is an individual family medicine provider in Westminster, Maryland, licensed in Maryland (D25443) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306829320
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOHN WAYNE MIDDLETONCredential: M.D.
Location Address688C POOLE RDWestminster, MD 21157-6003
Mailing Address3525 Halter RdWestminster, MD 21158-1901 · (410) 857-8202
Phone(410) 857-8202
Sole ProprietorYes
Enumeration DateNovember 23, 2005
Last NPPES UpdateMay 4, 2009
✔ NPI 1306829320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MD · D25443
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.
688C POOLE RD, Westminster, MD 21157
Open in Google Maps ↗

Other Identifiers 3

Medicare UPIND75277MD
Medicaid337321500MD
Medicare PIN652L252D

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John Wayne Middleton M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21157 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

Reported Quality Measures

Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse)
Percentage of patients aged 18 years and older with a diagnosis of acute sinusitis who had a computerized tomography (CT) scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosis
Lower rates are better for this measure.
1%68 patients
Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
50%179 patients3/55-star benchmark: 92%
Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
56%300 patients3/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
21%386 patients2/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
12%81 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%1,502 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims

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

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 supplier11 claims11 services$65.13 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 2

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

JOHN W. MIDDLETON, MD
Family Medicine
688C POOLE RD
WESTMINSTER, MD 21157
Carroll County (410) 857-8202
JACQUELINE HEARN CRNP
Nurse Practitioner (Adult Health)
688C POOLE RD
WESTMINSTER, MD 21157
Carroll County (410) 857-8202

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 John Middleton's NPI number?

The NPI number for John Middleton is 1306829320. It was assigned to this individual provider in the NPPES registry on November 23, 2005.

Where is John Middleton located?

John Middleton practices at 688C Poole Rd, Westminster, MD 21157. The listed phone number is (410) 857-8202.

What is John Middleton's specialty?

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

Is John Middleton enrolled in Medicare?

Yes. John Middleton is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Middleton was last updated on May 4, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.