Active NPI 1609822816 Individual Practitioner Male Practitioner

Dr. Timothy Michael Wheeler , MD

Surgery • Ashland, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Timothy Wheeler, MD is a certified Surgery practicing in Ashland, KY. With approximately 32 years of clinical experience since graduating from University Of Louisville School Of Medicine in 1994, Dr. Wheeler delivers high-quality medical care to the local community at 613 23RD ST STE 440.

Dr. Wheeler maintains professional affiliations with Kings Daughters Medical Specialties Inc, Three Rivers Medical Clinics Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

613 23rd St Ste 440

Ashland, KY 411012885

Telephone 6063292888

Fax 6063292890

Associated Practice Facility / Clinic

🏢 Roderick J. Tompkins Jr Md Psc Facility NPI 1225208150

Medicare Profile & Education

Medical School

University Of Louisville School Of Medicine

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Ashland, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +9.6 yrs vs City Avg

City Avg: 22.4 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

13 Specialists

Practicing in Ashland, KY (495 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wheeler (32 Years) 32 Yrs

Ashland Specialty Average (22.4 Years) 22.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	68	43	$141.76	$90.78
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	61	38	$190.00	$70.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$257.36	$124.71
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	43	42	$311.84	$122.17
47562 Removal of gallbladder using an endoscope	35	35	$2347.89	$588.90
99213 Established patient office or other outpatient visit, typically 15 minutes	31	28	$81.87	$61.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$144.95	$76.72
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$417.00	$161.55
99231 Follow-up hospital inpatient care per day, typically 15 minutes	13	13	$119.00	$46.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	33	$141.24	$92.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$250.09	$126.31
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	49	46	$288.57	$123.58
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	47	29	$163.79	$75.19
99213 Established patient office or other outpatient visit, typically 15 minutes	45	26	$85.82	$62.58
47562 Removal of gallbladder using an endoscope	30	30	$2071.83	$597.73
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$387.71	$165.01
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	11	$99.29	$47.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$133.38	$78.54
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$426.64	$96.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	71	34	$98.39	$64.08
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	65	41	$134.77	$67.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$247.41	$129.91
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	53	51	$256.40	$128.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	35	$149.00	$94.35
47562 Removal of gallbladder using an endoscope	34	34	$2012.15	$584.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$160.09	$80.16
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$489.00	$80.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	92	46	$94.00	$65.30
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	56	37	$134.71	$69.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$245.65	$131.81
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	43	43	$256.81	$130.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	35	$146.00	$96.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$142.00	$80.91
47562 Removal of gallbladder using an endoscope	24	24	$1956.58	$564.35
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$489.00	$112.63
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	11	$378.75	$192.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	103	58	$97.03	$50.40
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	92	61	$134.76	$69.66
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	79	78	$256.71	$133.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	48	$147.97	$77.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$253.61	$126.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$142.00	$74.17
47562 Removal of gallbladder using an endoscope	32	32	$1869.13	$501.16
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	24	23	$502.58	$107.44
49561 Repair of trapped incisional or abdominal hernia	19	19	$2601.53	$826.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$53.27	$25.11
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$376.00	$198.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$355.73	$142.87
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$97.55	$49.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	187	97	$94.56	$49.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	95	77	$146.00	$76.42
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	94	52	$134.00	$69.33
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	89	88	$257.46	$130.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	76	76	$144.74	$73.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	67	67	$244.94	$125.07
47562 Removal of gallbladder using an endoscope	44	44	$1917.39	$510.71
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	38	37	$493.29	$126.59
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	34	31	$17.00	$5.44
15734 Creation of muscle graft to trunk	26	14	$3719.00	$1120.69
49561 Repair of trapped incisional or abdominal hernia	21	21	$2601.86	$866.44
46947 Repair of prolapsing hemorrhoids	18	18	$1051.78	$340.88
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$376.73	$196.15
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$93.00	$49.04
49655 Repair of trapped incisional hernia using an endoscope	13	13	$2800.62	$545.32
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$618.00	$184.01
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	11	11	$3685.91	$655.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	130	93	$94.80	$49.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	93	93	$144.24	$73.59
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	78	48	$134.00	$69.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	77	63	$148.96	$75.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$244.88	$124.16
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	65	63	$258.71	$131.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	51	44	$50.69	$24.40
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	47	44	$17.00	$5.37
47562 Removal of gallbladder using an endoscope	47	47	$2098.45	$498.41
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	42	42	$556.71	$129.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$221.44	$151.91
43999 Stomach procedure	29	20	$356.00	$100.37
15734 Creation of muscle graft to trunk	28	15	$3501.32	$1102.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$169.60	$98.96
49561 Repair of trapped incisional or abdominal hernia	23	23	$2907.83	$774.44
47000 Needle biopsy of liver through skin	20	20	$294.00	$43.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	16	$169.00	$98.91
99213 Established patient office or other outpatient visit, typically 15 minutes	18	18	$122.00	$65.91
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$366.50	$194.22
46947 Repair of prolapsing hemorrhoids	13	13	$1187.38	$238.75
49655 Repair of trapped incisional hernia using an endoscope	13	13	$2846.92	$760.52
47100 Partial removal of liver tissue	13	13	$1980.00	$582.34
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	12	12	$3604.00	$677.65
45171 Removal of rectal growth	12	12	$1715.33	$524.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	144	111	$131.07	$67.36
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	113	68	$130.18	$68.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	96	96	$183.56	$98.91
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	96	94	$280.75	$130.64
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	65	63	$817.15	$135.97
99213 Established patient office or other outpatient visit, typically 15 minutes	55	47	$95.89	$48.01
47562 Removal of gallbladder using an endoscope	43	43	$2987.44	$431.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	35	$191.20	$100.26
47100 Partial removal of liver tissue	39	39	$2019.00	$505.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$142.00	$73.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	31	$149.35	$74.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$229.00	$153.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$246.94	$123.64
49561 Repair of trapped incisional or abdominal hernia	30	30	$2489.67	$787.14
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	29	28	$17.00	$5.34
15734 Creation of muscle graft to trunk	28	18	$3240.11	$938.53
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	27	25	$358.22	$11.89
43999 Stomach procedure	23	14	$312.17	$100.44
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	23	23	$7280.70	$696.30
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	16	16	$794.00	$175.05
43332 Repair of paraesophageal hernia	14	14	$3582.00	$1046.53
46947 Repair of prolapsing hemorrhoids	12	12	$1552.00	$362.43

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License KY 36483

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1805837000 (WV)

Medicaid State Provider ID

2228379 (OH)

Medicaid State Provider ID

64028103 (KY)

Hospital & Practice Group Affiliations

Three Rivers Medical Clinics Inc

2483 Hwy 644, Louisa, KY 412309242

Phone: 6066383813

Kings Daughters Medical Specialties Inc

613 23rd St, Ashland, KY 411012885

Phone: 6063292888

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners

Darren Barker , APRN

Nurse Practitioner - Family

NPI 1033755145

Advanced Practice Registered Nurse

Dr. Roderick Tompkins , MD

Surgery

NPI 1306892559

Doctor of Medicine (M.D.)

Leslie Fannin

Nurse Practitioner - Family

NPI 1356215396

Dr. Eric Smith , DO

Surgery

NPI 1548216245

Doctor of Osteopathic Medicine (D.O.)

Matthew Maze , APRN

Nurse Practitioner - Family

NPI 1679848543

Advanced Practice Registered Nurse

Robert Logan , PA-C

Physician Assistant

NPI 1699105304

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

✅

NPI Profile Active July 15, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location July 15, 2017

Registered at 613 23RD ST STE 440, ASHLAND, KY 411012885 (Tel: 6063292888)

📍

Updated Business Mailing Address July 15, 2017

Registered at PO BOX 2379, ASHLAND, KY 411052379 (Tel: (606) 408-6200)

👤

Provider Name / Credentials Updated July 15, 2017

Recorded as TIMOTHY WHEELER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2017

Surgery (License #36483 in KY)

✅

NPI Profile Active May 20, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location May 20, 2013

Registered at 613 23RD ST, SUITE 440, ASHLAND, KY 411012876 (Tel: 6063292888)

📍

Updated Business Mailing Address May 20, 2013

Registered at PO BOX 2437, ASHLAND, KY 411052437 (Tel: 6063292888)

👤

Provider Name / Credentials Updated May 20, 2013

Recorded as TIMOTHY WHEELER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2013

Surgery (License #36483 in KY)

🟢

Initial NPI Registration & Enumeration May 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609822816

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 26, 2006

Last Update: July 21, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 2379

Ashland, KY 411052379

Phone: 6064086200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.