ANTHONY WETHERINGTON M.D.
NPI 1831177302
Hospitalist in Hillsboro, OH

Q: What is Anthony Wetherington's NPI number?

The NPI number for Anthony Wetherington is 1831177302. It was assigned to this individual provider in the NPPES registry on January 5, 2006.

Q: What is Anthony Wetherington's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Active since January 05, 2006PECOS EnrolledAccepts Medicare Assignment

1275 N HIGH ST, HILLSBORO, OH 45133(937) 393-6100(937) 293-2809 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 2, 2026, Dec 2, 2025 (2 updates tracked since 2025).

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About Anthony Wetherington M.d. NPPES

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

ANTHONY WETHERINGTON M.D. (NPI 1831177302) is an individual hospitalist provider in Hillsboro, Ohio, licensed in Ohio (35073826) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1831177302

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameANTHONY WETHERINGTONCredential: M.D.

Location Address1275 N HIGH STHillsboro, OH 45133-8273

Mailing Address610 W Main StreetWilmington, OH 45177 · (513) 865-2246 · Fax (513) 865-5552

Phone(937) 393-6100

Fax(937) 293-2809

Sole ProprietorNo

Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1996

Enumeration DateJanuary 5, 2006

Last NPPES UpdateApril 2, 20262 updates tracked since enumeration

NPPES CertifiedApril 2, 2026

✔ NPI 1831177302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in OH · 35073826

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 35.073826 (OH)

Also ListedFamily MedicineTaxonomy 207Q00000X · License 35073826 (OH)

1275 N HIGH ST, Hillsboro, OH 45133

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Secondary Practice Locations 6

Location 19000 N Main StEnglewood, OH 45415-1180 · Phone (937) 208-8394

Location 23130 N County Road 25ATroy, OH 45373-1337 · Phone (937) 440-4466

Location 3610 W Main StreetWilmington, OH 45177 · Phone (513) 865-2246 · Fax (513) 865-5552

Location 42400 Miami Valley DrCenterville, OH 45459-4774 · Phone (937) 208-8394

Location 51 Wyoming St Ste Se3100BDayton, OH 45409-2722 · Phone (937) 208-8394

Location 61 Medical Center DrMiddletown, OH 45005-2584 · Phone (513) 974-2111

Other Identifiers 6

Other0112146OH · United Health Care

Medicaid2140061OH

Other7722475OH · Aetna

Other284660460002OH · Medical Mutual

Other311674981OH · Health Net Federal Servic

Other000000390305OH · Anthem

Accepted Insurance

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

Anthony Wetherington 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 ID5991708570

PECOS Enrollment IDI20060822000009, I20251212001632, I20260306003355, I20260330000948

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 Reassignments

Medicare enrollment records show Anthony Wetherington reassigns Medicare billing to 14 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Highland District Hospital

Same address

Critical Access

1275 NORTH HIGH STREET
Hillsboro, OH 45133

Reassigned Medicare billing, Ohio enrollment
30 clinicians in this Medicare group

NPI 1225053119 (937) 393-6100

Highland District Hospital Professional Services Corporation

Same address

Family Medicine

1275 N HIGH ST
Hillsboro, OH 45133

Reassigned Medicare billing, Ohio enrollment
31 clinicians in this Medicare group

NPI 1205893351 (937) 393-6101

Highland Health Providers Corp

0.8 mi

Federally Qualified Health Center (FQHC)

1487 N HIGH ST
Hillsboro, OH 45133

Reassigned Medicare billing, Ohio enrollment
30 clinicians in this Medicare group

NPI 1396702445 (937) 393-3406

Mvhe Inc

31 mi

Family Medicine

4940 COTTONVILLE RD, SUITE 100
Jamestown, OH 45335

Reassigned Medicare billing, Ohio enrollment
744 clinicians in this Medicare group

NPI 1982657318 (937) 675-6830

Trihealth H LLC

39 mi

Pulmonary Disease

10496 MONTGOMERY RD
Cincinnati, OH 45242

Reassigned Medicare billing, Ohio enrollment
1,102 clinicians in this Medicare group

NPI 1548695638 (513) 793-2654

Hisey Physician Services, LLC

42 mi

Hospitalist

1 MEDICAL CENTER DR
Middletown, OH 45005

Reassigned Medicare billing, Ohio enrollment
263 clinicians in this Medicare group

NPI 1073380614 (513) 974-2111

The Hospice Of Dayton, Inc.

46 mi

Hospice Care, Community Based

324 WILMINGTON AVE
Dayton, OH 45420

Reassigned Medicare billing, Ohio enrollment
43 clinicians in this Medicare group

NPI 1346220142 (937) 256-4490

Sinclair Physician Services, LLC

47 mi

Hospitalist

1 WYOMING ST
Dayton, OH 45409

Reassigned Medicare billing, Ohio enrollment
270 clinicians in this Medicare group

NPI 1063289601 (937) 208-8000

Upper Valley Professional Corporation

62 mi

Family Medicine

3130 N COUNTY ROAD 25A
Troy, OH 45373

Reassigned Medicare billing, Ohio enrollment
405 clinicians in this Medicare group

NPI 1407872518 (937) 440-7497

Osup Community Outreach LLC

65 mi

Neurology

555 METRO PL N
Dublin, OH 43017

Reassigned Medicare billing, Ohio enrollment
177 clinicians in this Medicare group

NPI 1699179929 (614) 410-9580

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 8

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.

211 services102 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

162 services144 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

140 services124 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

124 services80 patients

Initial hospital care with same-day admission and discharge with moderate level of medical decision making, per day, if using time, at least 70 minutes 99235

This service involves a brief hospital stay for a moderate health issue. You'll be admitted and discharged on the same day, typically within 50 minutes. It's a quick, efficient way to receive necessary care and medical attention.

35 services35 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.

23 services23 patients

Hospital Affiliations CMS Care Compare 5

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

Clinton Memorial Hospital

Acute Care Hospitals · Wilmington, OH

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number360175

Location610 West Main StreetWilmington, OH 45177 · Clinton County

Birthing friendly

Hocking Valley Community Hospital

Critical Access Hospitals · Logan, OH

OwnershipVoluntary non-profit - Other

CMS Certification Number361330

Location601 State Route 664NLogan, OH 43138 · Hocking County

Emergency services

Highland District Hospital

Critical Access Hospitals · Hillsboro, OH

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number361332

Location1275 North High StreetHillsboro, OH 45133 · Highland County

Emergency services

Huron Regional Medical Center

Critical Access Hospitals · Huron, SD

OwnershipVoluntary non-profit - Private

CMS Certification Number431335

Location172 Fourth Street SEHuron, SD 57350 · Beadle County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45133 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

$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 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

5 suppliers100 claims100 services$21.00 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier12 claims12 services$6.05 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

6 suppliers118 claims118 services$112.86 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.

DR. MICHAEL P. PARKER MD

Emergency Medicine