DR. ROGER E WILTFONG M.D.
NPI 1851602544
Orthopaedic Surgery - Hand Surgery in Chillicothe, OH

Active since June 28, 2010PECOS EnrolledAccepts Medicare Assignment
83.28/100
CMS Quality Rating
4437 STATE ROUTE 159 STE G15, CHILLICOTHE, OH 45601(740) 779-4598 Get Directions Write a Review

NPPES record last updated: November 24, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 24, 2020, Sep 12, 2017 (2 updates tracked since 2017).

About Dr. Roger E Wiltfong M.d. NPPES

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

DR. ROGER E WILTFONG M.D. (NPI 1851602544) is an individual hand surgery provider in Chillicothe, Ohio, licensed in Ohio (35.097857) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Adena Regional Medical Center, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2010).

NPPES Registry Identity

NPI1851602544
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameDR. ROGER E WILTFONGCredential: M.D.
Location Address4437 STATE ROUTE 159 STE G15Chillicothe, OH 45601-7065
Mailing Address4437 St Route 159 Suite G15Chillicothe, OH 45601
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2010
Enumeration DateJune 28, 2010
Last NPPES UpdateNovember 24, 20202 updates tracked since enumeration
NPPES CertifiedNovember 24, 2020
NPI 1851602544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License Licensed in OH · 35.097857
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
4437 STATE ROUTE 159 STE G15, Chillicothe, OH 45601

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

Dr. Roger E Wiltfong 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 ID8224210778
PECOS Enrollment IDI20110307000687
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 10

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
234 services234 patients
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.
112 services99 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
82 services68 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
71 services41 patients
Release of wrist ligament using an endoscope 29848
This procedure involves using a small camera, called an endoscope, to view and treat a tight wrist ligament. The endoscope is inserted through a tiny incision, reducing recovery time and scarring. It helps to relieve pain and improve wrist function.
66 services46 patients
Aspiration and/or injection of fluid from small joint 20600
This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.
55 services35 patients

Hospital Affiliations CMS Care Compare 4

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

Adena Regional Medical Center

Acute Care Hospitals · Chillicothe, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360159
Location272 Hospital RoadChillicothe, OH 45601 · Ross County
Emergency services Birthing friendly

Greenfield Area Medical Center

Critical Access Hospitals · Greenfield, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361304
Location550 Mirabeau StreetGreenfield, OH 45123 · Highland County
Emergency services

Adena Fayette Medical Center

Critical Access Hospitals · Washington Ch, OH
OwnershipGovernment - Local
CMS Certification Number361331
Location1430 Columbus AvenueWashington Ch, OH 43160 · Fayette County
Emergency services

Adena Pike Medical Center

Critical Access Hospitals · Waverly, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361334
Location100 Dawn LaneWaverly, OH 45690 · Pike County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45601 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.

83.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality58.73
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
1 supplier18 claims18 services$49.60 avg. paid by Medicare
Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf L3924
DME-Orthotic Devices · category DF000N
1 supplier12 claims12 services$67.52 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 5

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

Physical Medicine & Rehabilitation
4437 STATE ROUTE 159 STE G15
CHILLICOTHE, OH 45601
Otolaryngology
4437 STATE ROUTE 159 STE G15
CHILLICOTHE, OH 45601
Family Medicine (Sports Medicine)
4437 STATE ROUTE 159 STE G15
CHILLICOTHE, OH 45601
Physical Medicine & Rehabilitation
4437 STATE ROUTE 159 STE G15
CHILLICOTHE, OH 45601
Physician Assistant
4437 STATE ROUTE 159 STE G15
CHILLICOTHE, OH 45601

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 Roger Wiltfong's NPI number?

The NPI number for Roger Wiltfong is 1851602544. It was assigned to this individual provider in the NPPES registry on June 28, 2010.

Where is Roger Wiltfong located?

Roger Wiltfong practices at 4437 State Route 159 Ste G15, Chillicothe, OH 45601. The listed phone number is (740) 779-4598.

What is Roger Wiltfong's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Roger Wiltfong enrolled in Medicare?

Yes. Roger Wiltfong 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 Roger Wiltfong accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 3 other insurers list Roger Wiltfong 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 Roger Wiltfong affiliated with any hospitals?

According to CMS data, Roger Wiltfong is affiliated with Adena Regional Medical Center, Greenfield Area Medical Center, Adena Fayette Medical Center and Adena Pike Medical Center.

When was this NPI record last updated?

The NPPES record for Roger Wiltfong was last updated on November 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.