WILLIAM BRADLEY WAINRIGHT M.D.
NPI 1336407253
Ophthalmology in Marion, OH

Active since April 28, 2012PECOS EnrolledAccepts Medicare Assignment
87.65/100
CMS Quality Rating
1040 DELAWARE AVE, MARION, OH 43302(740) 383-8050(740) 383-7084 Get Directions Write a Review

NPPES record last updated: March 17, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 15, 2021, Jul 7, 2020, Sep 6, 2019 and 1 more (4 updates tracked since 2017).

About William Bradley Wainright M.d. NPPES

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

WILLIAM BRADLEY WAINRIGHT M.D. (NPI 1336407253) is an individual ophthalmology provider in Marion, Ohio, licensed in Ohio (35.139689) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Marion General Hospital, and is a graduate of Duke University School Of Medicine (2012).

NPPES Registry Identity

NPI1336407253
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameWILLIAM BRADLEY WAINRIGHTCredential: M.D.
Location Address1040 DELAWARE AVEMarion, OH 43302-6416
Mailing AddressPo Box 7527Dublin, OH 43017-0727 · (419) 520-2495 · Fax (614) 544-6370
Fax(740) 383-7084
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 2012
Enumeration DateApril 28, 2012
Last NPPES UpdateMarch 17, 20224 updates tracked since enumeration
NPPES CertifiedMarch 17, 2022
NPI 1336407253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in OH · 35.139689 Licensed in GA · 082089 Licensed in CT · 55897
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedInternal MedicineTaxonomy 207R00000X · License 183352 (NC)
1040 DELAWARE AVE, Marion, OH 43302

Other Identifiers 1

Medicaid0409361OH

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

William Bradley Wainright 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 ID9032402995
PECOS Enrollment IDI20200710002553
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 9

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.
220 services194 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.
182 services121 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
74 services72 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
71 services65 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
61 services61 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
58 services35 patients

Hospital Affiliations CMS Care Compare

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

Marion General Hospital

Acute Care Hospitals · Marion, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360011
Location1000 Mckinley Park DriveMarion, OH 43302 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43302 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.

87.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.45
Promoting Interoperability96.03
Improvement Activities40

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.

Orthopaedic Surgery
1040 DELAWARE AVE
MARION, OH 43302
Ophthalmology
1040 DELAWARE AVE
MARION, OH 43302
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1040 DELAWARE AVE
MARION, OH 43302
Surgery
1040 DELAWARE AVE
MARION, OH 43302
Obstetrics & Gynecology
1040 DELAWARE AVE
MARION, OH 43302
Nurse Practitioner (Family)
1040 DELAWARE AVE
MARION, OH 43302
Pharmacist
1040 DELAWARE AVE
MARION, OH 43302
Nurse Practitioner (Pediatrics)
1040 DELAWARE AVE
MARION, OH 43302

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 William Wainright's NPI number?

The NPI number for William Wainright is 1336407253. It was assigned to this individual provider in the NPPES registry on April 28, 2012.

Where is William Wainright located?

William Wainright practices at 1040 Delaware Ave, Marion, OH 43302. The listed phone number is (740) 383-8050.

What is William Wainright's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is William Wainright enrolled in Medicare?

Yes. William Wainright 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 William Wainright accept?

Health plans from CareSource, MedMutual and Molina Healthcare list William Wainright 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 William Wainright affiliated with any hospitals?

According to CMS data, William Wainright is affiliated with Marion General Hospital.

When was this NPI record last updated?

The NPPES record for William Wainright was last updated on March 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.