NPPES file of Aug 9, 2026

Timothy Michael Wheeler, M.D.

Surgery Physician · Ashland, KY

Timothy Michael Wheeler, M.D. is a surgery physician with a practice address in Ashland, Kentucky, and NPI 1609822816, issued on May 26, 2006. Check the license (Kentucky 36483, as entered in NPPES) on the Kentucky Board of Medical Licensure; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1609822816
Name
Timothy Michael Wheeler
Credential
M.D.
Primary taxonomy
Surgery Physician 208600000X
License number
36483 KY
Self-reported in NPPES; status is on the state search
Practice location
613 23RD St Ste 440, Ashland, KY 41101
Phone
(606) 329-2888
Enumerated
May 26, 2006
Record last updated
Jul 21, 2022
Fax
(606) 329-2890
Medicaid IDs
1805837000 WV
2228379 OH
64028103 KY
Medicare enrollment
Enrolled (PECOS I20110228000452); accepts Medicare assignment
Medical or professional school
University Of Louisville School Of Medicine, 1994
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 613 23RD St Ste 440

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Darren Barker, APRNFamily Nurse Practitioner1033755145
  2. Michael Canty, M.D.Gastroenterology Physician1003912783
  3. Melissa Emery, APRN- FNP-BCFamily Nurse Practitioner1700275260
  4. Sara Everman, PA-CPhysician Assistant1851669048
  5. Kimberly Kiser, APRNFamily Nurse Practitioner1841716636
  6. Sean Ryan, MDSurgery Physician1780904706

Verify Timothy Michael Wheeler in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersKentucky Board of Medical Licensure
    Search for license 36483
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Kentucky license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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3.1 times the Medicare Part D claims of the average surgery physician in 2024

463 Medicare Part D claims for 196 beneficiaries, against an average of 147 among the 20,115 providers of this specialty who prescribed in Part D. Brand-name drugs were 17% of claims. 169 claims were for opioids.

  1. Timothy Wheeler463
  2. Specialty average147

Most prescribed

  1. Oxycodone-Acetaminophen160 claims
  2. Ondansetron Hcl129 claims
  3. Ozempic61 claims
  4. Topiramate21 claims
  5. Metronidazole13 claims
  6. Mounjaro12 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 82.9 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score70.0
  2. Costout of 100 · 30%65.6
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $1,650.52

47 payments; by number, the most common kind was food and beverage; the largest payer was Davol Inc. The 17,103 providers of this specialty with any payment received $3,513.80 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Timothy Wheeler$1,650.52
  2. Specialty average$3,513.80

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through 2 group practices

  1. Kings Daughters Medical Specialties IncAshland, KY
  2. Three Rivers Medical Clinics IncLouisa, KY

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Timothy Michael Wheeler among 459 surgery physician records in Kentucky

Timothy Michael Wheeler, M.D. is one of 459 surgery physician records with a practice address in Kentucky. 77% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 18% of them.

  • NPI issued2006 · 18% of these records are older, 51% newer
  • In a Medicare fileYes · 77% of these records are
  • In the CMS Doctors and Clinicians fileYes · 64% of these records are
  • Graduated1994 · median 2005 among the 292 with a school on file
  • Record last updated2022 · 58% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208600000X and a Kentucky practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Surgery Physician providers in Kentucky

There are 459 surgery physician records in Kentucky.

The 8 surgery physician records with the nearest ZIP codes

  1. Timothy Demshar, D.O.Ashland, KY 411011730716986
  2. William Dunlop, MDAshland, KY 411011669547626
  3. Tyler Grant, D.O.Ashland, KY 411011902221823
  4. Sonja Lichtenstein-Zayneh, MDAshland, KY 411011821175274
  5. James Martin, M.D.Ashland, KY 411011669529327
  6. John Miller, M.D.Ashland, KY 411011063642205
  7. Sean Ryan, MDAshland, KY 411011780904706
  8. Khalid ShalabyAshland, KY 411011336297522

Common questions

What is Timothy Michael Wheeler, M.D.'s NPI number?

Timothy Michael Wheeler, M.D.'s National Provider Identifier (NPI) is 1609822816, issued on May 26, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Timothy Michael Wheeler, M.D. located?

The NPPES record lists a practice address at 613 23RD St Ste 440, Ashland, KY, 41101. Phone: (606) 329-2888. Providers update this record themselves, so call before visiting.

How can I verify Timothy Michael Wheeler, M.D.'s license?

NPPES lists Kentucky license number 36483, as entered by the provider. Search the Kentucky Board of Medical Licensure at https://web1.ky.gov/GenSearch/LicenseSearch.aspx?AGY=5. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Timothy Michael Wheeler, M.D. prescribe under Medicare Part D?

In 2024, Timothy Michael Wheeler, M.D. had 463 Medicare Part D claims for 196 beneficiaries; the average among surgery physician prescribers was 147. Part D covers Medicare prescriptions only.

What is Timothy Michael Wheeler, M.D.'s MIPS final score?

The 2023 MIPS final score is 82.9 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.