Active NPI 1619302791 Individual Practitioner Female Practitioner

Gwendolyn Irene Thacker , CNP

Nurse Practitioner • Miamisburg, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Gwendolyn Thacker, CNP is a certified Nurse Practitioner practicing in Miamisburg, OH. With approximately 13 years of clinical experience since graduating from University Of Cincinnati College Of Medicine in 2013, Gwendolyn Thacker delivers high-quality medical care to the local community at 4000 MIAMISBURG CENTERVILLE RD.

Gwendolyn Thacker is affiliated with Kettering Independent Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, aspiration and/or injection of fluid from large joint, established 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

4000 Miamisburg Centerville Rd
Suite 110

Miamisburg, OH 453427615

Telephone 9378659000

Fax 9378659002

Associated Practice Facility / Clinic

🏢 Emergency Medicine Specialists Inc Facility NPI 1366428575

Medicare Profile & Education

Medical School

University Of Cincinnati College Of Medicine

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Miamisburg, OH

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs +4.5 yrs vs City Avg

City Avg: 8.5 Yrs

State Avg: 9.8 Yrs

Regional Practice Density

12 Specialists

Practicing in Miamisburg, OH (4294 Statewide)

Telehealth Adoption Rate

33.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Thacker (13 Years) 13 Yrs

Miamisburg Specialty Average (8.5 Years) 8.5 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
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,393	178	$10.00	$0.97
20610 Aspiration and/or injection of fluid from large joint	402	200	$172.05	$61.30
99213 Established patient office or other outpatient visit, typically 15 minutes	214	172	$188.00	$72.85
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	151	32	$299.00	$119.61
73562 X-ray of knee, 3 views	75	66	$64.68	$30.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	49	43	$113.00	$45.23
73501 X-ray of hip with pelvis, 1 view	37	35	$52.00	$25.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	27	$279.00	$103.34
73030 X-ray of shoulder, minimum of 2 views	21	19	$56.00	$27.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$279.00	$89.85
73502 X-ray of hip, 2-3 views	18	18	$72.00	$35.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,285	173	$10.00	$1.07
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	992	14	$44.00	$9.31
20610 Aspiration and/or injection of fluid from large joint	399	209	$167.17	$59.57
99213 Established patient office or other outpatient visit, typically 15 minutes	270	225	$188.00	$73.14
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	135	38	$299.00	$126.08
73562 X-ray of knee, 3 views	79	66	$66.00	$32.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	55	51	$113.00	$45.92
73501 X-ray of hip with pelvis, 1 view	50	41	$51.48	$26.04
73030 X-ray of shoulder, minimum of 2 views	25	19	$56.00	$27.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$279.00	$104.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$279.00	$87.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,176	171	$9.00	$1.14
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	992	14	$41.00	$10.25
20610 Aspiration and/or injection of fluid from large joint	415	220	$158.62	$61.51
99213 Established patient office or other outpatient visit, typically 15 minutes	244	202	$179.00	$74.53
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	175	43	$284.00	$130.46
73562 X-ray of knee, 3 views	77	61	$62.00	$33.30
73501 X-ray of hip with pelvis, 1 view	46	40	$48.47	$25.77
73030 X-ray of shoulder, minimum of 2 views	31	27	$53.00	$26.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	23	$265.00	$106.36
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	24	15	$1167.00	$850.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	22	$107.00	$46.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$265.00	$93.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	976	12	$41.00	$10.81
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	883	142	$9.00	$1.24
20610 Aspiration and/or injection of fluid from large joint	280	162	$157.22	$61.19
99213 Established patient office or other outpatient visit, typically 15 minutes	260	197	$179.00	$76.32
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	94	29	$284.00	$136.11
73562 X-ray of knee, 3 views	77	57	$62.00	$32.81
0001A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; first dose	57	57	$33.79	$18.87
0011A Adm sarscov2 100mcg/0.5ml1st	51	51	$29.00	$16.19
91301 Sarscov2 vac 100mcg/0.5ml im	51	51	$0.01	$0.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	38	$265.00	$108.50
73501 X-ray of hip with pelvis, 1 view	28	26	$48.13	$25.62
73030 X-ray of shoulder, minimum of 2 views	26	20	$53.00	$27.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$265.00	$94.03
91300 Sarscov2 vac 30mcg/0.3ml im	18	18	$0.01	$0.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	294	53	$9.00	$1.48
99213 Established patient office or other outpatient visit, typically 15 minutes	120	84	$177.71	$62.41
20610 Aspiration and/or injection of fluid from large joint	84	55	$150.94	$56.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	145	103	$174.00	$60.97
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	133	68	$8.93	$1.58
20610 Aspiration and/or injection of fluid from large joint	109	69	$152.44	$55.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	177	79	$9.00	$1.75
99213 Established patient office or other outpatient visit, typically 15 minutes	144	103	$129.83	$58.02
20610 Aspiration and/or injection of fluid from large joint	119	80	$148.64	$54.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	149	114	$117.00	$57.84
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	147	88	$9.00	$1.77
20610 Aspiration and/or injection of fluid from large joint	123	89	$147.62	$53.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$172.00	$87.52

Medical Specialties & State Licenses

CMS Verified: 2020-11-17

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License OH COA.14947-NP

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Kettering Independent Medical Group Inc

4441 Far Hills Ave, Kettering, OH 454292405

Phone: 9372987751

Kettering Independent Medical Group Inc

4403 Far Hills Ave, Kettering, OH 454292405

Phone: 9374335309

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Frank Fasano , MD

Orthopaedic Surgery

NPI 1073560447

Doctor of Medicine (M.D.)

Dr. Raymond Spriggs , MD

Orthopaedic Surgery

NPI 1326091158

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address November 17, 2020

Registered at 4000 MIAMISBURG CENTERVILLE RD STE 110, MIAMISBURG, OH 453423674 (Tel: 9378659000)

✅

NPI Profile Active October 08, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location October 08, 2013

Registered at 4000 MIAMISBURG CENTERVILLE RD, SUITE 110, MIAMISBURG, OH 453427615 (Tel: 9378659000)

📍

Updated Business Mailing Address October 08, 2013

Registered at 1 PRESTIGE PL, SUITE 550, MIAMISBURG, OH 453423794 (Tel: 9377522306)

👤

Provider Name / Credentials Updated October 08, 2013

Recorded as GWENDOLYN THACKER, CNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2013

Nurse Practitioner (License #COA.14947-NP in OH)

🟢

Initial NPI Registration & Enumeration September 09, 2013

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: 1619302791

Entity Type:

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

Enumeration Date: September 09, 2013

Last Update: November 17, 2020

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

4000 Miamisburg Centerville Rd Ste 110

Miamisburg, OH 453423674

Phone: 9378659000

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.