Active NPI 1114925112 Individual Practitioner Male Practitioner

Dr. Marshall Claude Wareham , MD

Ophthalmology • Dayton, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Marshall Wareham, MD is a certified Ophthalmology practicing in Dayton, OH. With approximately 44 years of clinical experience since graduating from Loma Linda University School Of Medicine in 1982, Dr. Wareham delivers high-quality medical care to the local community at 5250 FAR HILLS AVE.

Dr. Wareham is affiliated with Allied Eye Physicians And Surgeons Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient outpatient office visit, imaging of retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5250 Far Hills Ave
Suite 207

Dayton, OH 454292382

Telephone 9374332300

Fax 9374330210

Associated Practice Facility / Clinic

🏢 Allied Eye Physicians & Surgeons Inc Facility NPI 1326173964

Medicare Profile & Education

Medical School

Loma Linda University School Of Medicine

Graduation Year

1982

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Dayton, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

44 Yrs +15.7 yrs vs City Avg

City Avg: 28.3 Yrs

State Avg: 27.9 Yrs

Regional Practice Density

24 Specialists

Practicing in Dayton, OH (803 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

53.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wareham (44 Years) 44 Yrs

Dayton Specialty Average (28.3 Years) 28.3 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
92014 Established patient complete exam of visual system	961	943	$150.00	$116.59
99213 Established patient office or other outpatient visit, typically 15 minutes	421	317	$110.00	$85.47
92134 Imaging of retina	365	345	$140.00	$37.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	340	200	$155.00	$120.88
92133 Imaging of optic nerve	189	123	$140.00	$33.72
92083 Exam of visual field with extended testing	152	147	$100.00	$57.95
92136 Measurement of corneal curvature and depth of eye	137	61	$120.00	$23.53
66984 Removal of cataract with insertion of lens	90	54	$1600.00	$503.51
92004 New patient complete exam of visual system	68	68	$180.00	$138.67
92025 Ct scan of cornea	38	38	$75.00	$31.45
66821 Removal of recurring cataract in lens capsule using a laser	34	31	$565.00	$287.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$200.00	$158.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$140.00	$105.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	959	940	$150.00	$120.46
99213 Established patient office or other outpatient visit, typically 15 minutes	381	301	$110.00	$87.05
92134 Imaging of retina	381	367	$140.00	$38.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	361	226	$155.00	$123.30
92133 Imaging of optic nerve	213	135	$140.00	$34.87
92136 Measurement of corneal curvature and depth of eye	156	76	$120.00	$24.96
92083 Exam of visual field with extended testing	134	133	$100.00	$58.77
66984 Removal of cataract with insertion of lens	119	70	$1600.00	$517.27
92004 New patient complete exam of visual system	75	75	$180.00	$143.12
66821 Removal of recurring cataract in lens capsule using a laser	30	24	$565.00	$296.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$200.00	$161.88
92012 Established patient problem focused exam of visual system	23	22	$110.00	$85.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$70.00	$54.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$140.00	$108.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	981	969	$150.00	$122.09
99213 Established patient office or other outpatient visit, typically 15 minutes	419	307	$110.00	$88.59
92134 Imaging of retina	398	382	$139.77	$39.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	364	232	$154.92	$125.36
92133 Imaging of optic nerve	207	136	$140.00	$35.40
92136 Measurement of corneal curvature and depth of eye	174	77	$120.00	$24.97
92083 Exam of visual field with extended testing	148	144	$100.00	$59.69
66984 Removal of cataract with insertion of lens	125	73	$1600.00	$525.11
92004 New patient complete exam of visual system	86	86	$179.60	$144.82
92012 Established patient problem focused exam of visual system	31	30	$110.00	$85.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$200.00	$164.73
66821 Removal of recurring cataract in lens capsule using a laser	23	22	$565.00	$298.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$142.35	$104.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$70.00	$55.23
67820 Removal of eyelashes using forceps	12	11	$140.00	$18.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,026	1,006	$149.97	$122.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	409	247	$153.90	$128.06
92134 Imaging of retina	393	379	$140.00	$39.69
99213 Established patient office or other outpatient visit, typically 15 minutes	380	295	$109.32	$90.12
92133 Imaging of optic nerve	242	160	$140.00	$36.06
92083 Exam of visual field with extended testing	156	154	$100.00	$61.01
92136 Measurement of corneal curvature and depth of eye	120	75	$120.00	$26.02
66984 Removal of cataract with insertion of lens	106	62	$1600.00	$533.66
92004 New patient complete exam of visual system	80	80	$180.00	$146.59
92012 Established patient problem focused exam of visual system	76	71	$110.00	$86.91
66821 Removal of recurring cataract in lens capsule using a laser	24	23	$565.00	$303.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$200.00	$166.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	12	$69.38	$55.10
67820 Removal of eyelashes using forceps	11	11	$140.00	$20.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,148	1,115	$150.00	$122.94
92012 Established patient problem focused exam of visual system	596	400	$110.00	$85.69
92134 Imaging of retina	320	302	$139.88	$39.68
92133 Imaging of optic nerve	244	166	$140.00	$36.18
92083 Exam of visual field with extended testing	160	159	$99.76	$60.33
92136 Measurement of corneal curvature and depth of eye	150	78	$120.00	$30.50
66984 Removal of cataract with insertion of lens	118	76	$1600.00	$528.73
92004 New patient complete exam of visual system	99	99	$179.41	$146.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	24	$130.00	$103.10
66821 Removal of recurring cataract in lens capsule using a laser	20	19	$565.00	$306.25
92002 New patient problem focused exam of visual system	17	17	$115.00	$81.46
67820 Removal of eyelashes using forceps	16	14	$140.00	$26.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$60.00	$44.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,387	1,329	$149.92	$122.08
92012 Established patient problem focused exam of visual system	757	487	$110.00	$85.08
92133 Imaging of optic nerve	263	181	$140.00	$35.92
92083 Exam of visual field with extended testing	189	183	$100.00	$60.98
92136 Measurement of corneal curvature and depth of eye	179	99	$120.00	$34.82
92134 Imaging of retina	137	123	$140.00	$39.60
66984 Removal of cataract with insertion of lens	130	83	$1600.00	$626.75
92004 New patient complete exam of visual system	112	112	$180.00	$146.29
67820 Removal of eyelashes using forceps	32	24	$140.00	$31.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	30	$130.00	$105.81
66821 Removal of recurring cataract in lens capsule using a laser	23	20	$565.00	$303.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	15	$60.00	$43.48
92002 New patient problem focused exam of visual system	14	14	$104.29	$80.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,361	1,309	$149.97	$120.37
92012 Established patient problem focused exam of visual system	787	513	$109.97	$83.50
92133 Imaging of optic nerve	298	197	$140.00	$35.94
92083 Exam of visual field with extended testing	186	179	$100.00	$60.14
92004 New patient complete exam of visual system	145	145	$180.00	$143.87
92136 Measurement of corneal curvature and depth of eye	116	79	$120.00	$39.99
66984 Removal of cataract with insertion of lens	112	71	$1600.00	$614.77
92134 Imaging of retina	59	50	$140.00	$39.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	28	$130.00	$103.64
66821 Removal of recurring cataract in lens capsule using a laser	28	27	$565.00	$298.96
67820 Removal of eyelashes using forceps	23	17	$140.00	$38.38
92002 New patient problem focused exam of visual system	21	21	$100.00	$79.71
99213 Established patient office or other outpatient visit, typically 15 minutes	19	14	$90.00	$70.27
66982 Complex removal of cataract with insertion of prosthetic lens	14	12	$1910.00	$770.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$60.00	$41.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,244	1,194	$149.98	$117.47
92012 Established patient problem focused exam of visual system	733	484	$110.00	$81.10
92133 Imaging of optic nerve	314	208	$140.00	$35.51
92004 New patient complete exam of visual system	241	241	$179.91	$140.78
92083 Exam of visual field with extended testing	214	207	$100.00	$60.30
92136 Measurement of corneal curvature and depth of eye	187	107	$120.00	$42.05
66984 Removal of cataract with insertion of lens	125	85	$1600.00	$614.50
92134 Imaging of retina	44	37	$140.00	$38.95
92002 New patient problem focused exam of visual system	33	33	$100.00	$77.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	30	$130.00	$103.19
67820 Removal of eyelashes using forceps	25	13	$140.00	$48.30
66821 Removal of recurring cataract in lens capsule using a laser	22	21	$565.00	$296.35
66982 Complex removal of cataract with insertion of prosthetic lens	19	15	$1910.00	$765.06
99213 Established patient office or other outpatient visit, typically 15 minutes	15	11	$90.00	$70.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$60.00	$41.38

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License OH 35-05-0634-W

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0770134 (OH)

Commercial Insurance / Payer ID Caresource

311026469027 (OH)

Commercial Insurance / Payer ID Railroad Medicare

180011133 (OH)

Commercial Insurance / Payer ID Cole Vision

22364 (OH)

Commercial Insurance / Payer ID Anthem Bc/bs

000000189353 (OH)

Hospital & Practice Group Affiliations

Allied Eye Physicians And Surgeons Inc

5250 Far Hills Ave, Dayton, OH 454292382

Phone: 9374332300

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Adam Cloud , MD

Ophthalmology

NPI 1194989582

Doctor of Medicine (M.D.)

Dr. Thomas Connon , OD

Optometrist

NPI 1386642205

Doctor of Optometry

Dr. Leah Cloud , MD

Ophthalmology

NPI 1871738146

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 12, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location March 12, 2012

Registered at 5250 FAR HILLS AVE, SUITE 207, DAYTON, OH 454292382 (Tel: 9374332300)

📍

Updated Business Mailing Address March 12, 2012

Registered at 5250 FAR HILLS AVE, SUITE 207, DAYTON, OH 454292382 (Tel: 9374332300)

👤

Provider Name / Credentials Updated March 12, 2012

Recorded as MARSHALL WAREHAM, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 12, 2012

Ophthalmology (License #35-05-0634-W in OH)

🟢

Initial NPI Registration & Enumeration July 13, 2005

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: 1114925112

Entity Type:

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

Enumeration Date: July 13, 2005

Last Update: March 12, 2012

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

5250 Far Hills Ave, Suite 207

Dayton, OH 454292382

Phone: 9374332300

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.