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DANIEL JOHN DILWORTH MD
NPI 1336219484
Obstetrics & Gynecology in Troy, OH

Active since November 08, 2006PECOS EnrolledAccepts Medicare Assignment
84.78/100
CMS Quality Rating
3130 N DIXIE HIGHWAY, SUITE 203, TROY, OH 45373(937) 339-7982(937) 339-7842 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Daniel John Dilworth Md NPPES

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

DANIEL JOHN DILWORTH MD (NPI 1336219484) is an individual obstetrics & gynecology provider in Troy, Ohio, licensed in Ohio (35073592D) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Wilson Memorial Hospital, and is a graduate of Ohio State University College Of Medicine (1995).

NPPES Registry Identity

NPI1336219484
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDANIEL JOHN DILWORTHCredential: MD
Location Address3130 N DIXIE HIGHWAY, SUITE 203Troy, OH 45373
Mailing Address3130 N Dixie Highway, Suite 203Troy, OH 45373 · (937) 339-7982 · Fax (937) 339-7842
Phone(937) 339-7982
Fax(937) 339-7842
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1995
Enumeration DateNovember 8, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1336219484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in OH · 35073592D
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
3130 N DIXIE HIGHWAY, Troy, OH 45373
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Other Identifiers 3

Medicare ID-Type UnspecifiedDI0888451
Medicaid2314043OH
Medicare UPINH02242

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Daniel John Dilworth 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 ID7911183900
PECOS Enrollment IDI20110509000281
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 4

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.
38 services23 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
29 services29 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
15 services12 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Wilson Memorial Hospital

Acute Care Hospitals · Sidney, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360013
Location915 West Michigan StreetSidney, OH 45365 · Shelby County
Emergency services Birthing friendly

Upper Valley Medical Center

Acute Care Hospitals · Troy, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360174
Location3130 North County Road 25ATroy, OH 45373 · Miami County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45373 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.

84.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.09
Promoting Interoperability100
Improvement Activities40
Cost74.18

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 Daniel Dilworth's NPI number?

The NPI number for Daniel Dilworth is 1336219484. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is Daniel Dilworth located?

Daniel Dilworth practices at 3130 N Dixie Highway Suite 203, Troy, OH 45373. The listed phone number is (937) 339-7982.

What is Daniel Dilworth's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Daniel Dilworth enrolled in Medicare?

Yes. Daniel Dilworth 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 Daniel Dilworth accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Daniel Dilworth 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 Daniel Dilworth affiliated with any hospitals?

According to CMS data, Daniel Dilworth is affiliated with Wilson Memorial Hospital and Upper Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Daniel Dilworth was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.