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DANIELLE MORGAN WHEELER PA-C
NPI 1386203966
Physician Assistant in Troy, OH

Active since June 07, 2019PECOS EnrolledAccepts Medicare Assignment
90.54/100
CMS Quality Rating
3130 N COUNTY ROAD 25A, TROY, OH 45373(937) 440-4000 Get Directions Write a Review

NPPES record last updated: June 7, 2019. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Danielle Morgan Wheeler Pa-c NPPES

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

DANIELLE MORGAN WHEELER PA-C (NPI 1386203966) is an individual physician assistant in Troy, Ohio, licensed in Ohio (50.005799RX) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1386203966
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDANIELLE MORGAN WHEELERCredential: PA-C
Location Address3130 N COUNTY ROAD 25ATroy, OH 45373-1337
Mailing Address106 S Montgomery St Unit 2Union, OH 45322-3337 · (937) 608-4572
Phone(937) 440-4000
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 7, 2019
✔ NPI 1386203966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OH · 50.005799RX
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3130 N COUNTY ROAD 25A, Troy, OH 45373
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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

Danielle Morgan Wheeler Pa-c 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 ID2769719939
PECOS Enrollment IDI20190809002706
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
118 services80 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
111 services108 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
38 services31 patients
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.
25 services25 patients

Hospital Affiliations CMS Care Compare 2

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

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
$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
$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.

90.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.73
Promoting Interoperability100
Improvement Activities40
Cost87.75

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers18 claims18 services$14.55 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier19 claims19 services$4.72 avg. paid by Medicare
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
2 suppliers18 claims18 services$63.96 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 20

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

CHRISTINE L ASHER PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3130 N COUNTY ROAD 25A
TROY, OH 45373
Miami County (937) 440-7626
SARAH JONES ACNS-BC, AOCNS
Clinical Nurse Specialist (Adult Health)
3130 N COUNTY ROAD 25A, CANCER CARE CENTER
TROY, OH 45373
Miami County (937) 440-4827
SUSAN BETH GRAU MD
Family Medicine
3130 N COUNTY ROAD 25A
TROY, OH 45373
Miami County (937) 440-4466
MRS. KARA SUE BRUSKOTTER CNP
Nurse Practitioner (Family)
3130 N COUNTY ROAD 25A
TROY, OH 45373
Miami County (937) 638-8176
CHARLES N SMITH CRNA
Nurse Anesthetist, Certified Registered
3130 N COUNTY ROAD 25A
TROY, OH 45373
Miami County (614) 459-7830
MARK COOPER LSW
Social Worker
3130 N COUNTY ROAD 25A
TROY, OH 45373
Miami County (937) 440-7001
UPPER VALLEY MEDICAL CENTER
Home Health
3130 N COUNTY ROAD 25A
TROY, OH 45373
Miami County (937) 440-7979
BRIAN ALLEN HAYNES PHARMD
Pharmacist
3130 N COUNTY ROAD 25A
TROY, OH 45373
Miami County (937) 440-4760

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 Danielle Wheeler's NPI number?

The NPI number for Danielle Wheeler is 1386203966. It was assigned to this individual provider in the NPPES registry on June 7, 2019.

Where is Danielle Wheeler located?

Danielle Wheeler practices at 3130 N County Road 25A, Troy, OH 45373. The listed phone number is (937) 440-4000.

What is Danielle Wheeler's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Danielle Wheeler enrolled in Medicare?

Yes. Danielle Wheeler 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 Danielle Wheeler accept?

Health plans from CareSource list Danielle Wheeler 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 Danielle Wheeler affiliated with any hospitals?

According to CMS data, Danielle Wheeler is affiliated with Miami Valley Hospital and Upper Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Danielle Wheeler was last updated on June 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.