2026 NPPES data Surgery Physician NPI 1609822816 M.D.
Verify on CMS →

TIMOTHY WHEELER, M.D.

Surgery Physician in ASHLAND, Kentucky. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
337
Medicare Part D claims · 159 beneficiaries · Surgery Physician avg: 169
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
82.9435/100
▼ 0 pts below national avg 83.1 · [object Object]
Industry payments
$1.7K
47 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

TIMOTHY WHEELER, M.D. reported a CMS MIPS final score of 82.9435/100 — below the 83.1 national average — and filed 337 Medicare Part D claims in 2023.

82.9435/100
MIPS score · 0 vs avg
337
Part D claims, 2023
86%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

TIMOTHY WHEELER, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

83 39th percentile higher than 39% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

TIMOTHY WHEELER, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about TIMOTHY WHEELER, M.D.?

Near national average

NPI registry status

Active

Issued 05/26/2006

NPI 1609822816

Primary specialty

Surgery Physician

Mid-sized

36,191 US NPIs in this specialty

Medicare Part D claims

337 99% vs specialty avg

2023 prescription claims

Specialty avg: 169

MIPS final score

82.9435/100 0.1564999999999941% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Kentucky

How Surgery Physician compares to other specialties among Kentucky providers

Kentucky providers

Surgery Physician share within Kentucky

1. Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Surgery Physician share within Kentucky

Medicare quality performance — MIPS

TIMOTHY WHEELER, M.D.'s 2023 MIPS final score plotted against the Surgery Physician national average

Near national average
MIPS Final Score
82.9435/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Surgery Physician) — 82.9435/100 vs national avg 83.1

0%100%National avg83%82.9%
MIPS final score (Surgery Physician) — 82.9435/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

TIMOTHY WHEELER, M.D. is a Surgery Physician provider practicing in ASHLAND, Kentucky, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1609822816. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

TIMOTHY WHEELER, M.D. appears in the CMS NPPES registry as a Surgery Physician provider holding M.D. credentials at 613 23RD ST STE 440, ASHLAND, KY, 41101, with a listed phone of (606) 329-2888. NPI 1609822816 was issued on 05/26/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what WHEELER most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 337 prescription claims written by this provider, covering 159 Medicare beneficiaries and totaling roughly $53K in drug spend, split 14% brand-name and 86% generic by claim count, with an opioid prescribing rate of 35.3%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 82.9435/100 for the 2023 performance year (Quality 70.0105, Cost 65.5754), compared with the national average of 83.1.

Surgery Physician is a mid-sized specialty nationwide, with 36,191 enrolled providers across 56 states and an average of 169 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

613 23RD ST STE 440
ASHLAND, KY 41101

Provider Details

NPI 1609822816
Specialty Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 05/26/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

82.9435
Final Score
Avg: 83.1
70.0105
Quality
65.5754
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where TIMOTHY WHEELER, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

KINGS DAUGHTERS MEDICAL SPECIALTIES INC
ASHLAND, KY
THREE RIVERS MEDICAL CLINICS INC
LOUISA, KY

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for TIMOTHY WHEELER, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$1.7K

Largest payer

Davol Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Typical

TIMOTHY WHEELER, M.D. — brand share 14.0%
Specialty average (est.)

14% brand-name claims vs 86% generic, on 337 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

337
Total Claims
$53K
Total Drug Cost
159
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
354
Total Day Supply
4,745
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$51K
Generic Drug Cost
$2K
Opioid Claims
119 (35.3% rate)
Antibiotic Claims
15

Patient Demographics

Average Patient Age
66.4 years
Avg HCC Risk Score
1.30
Gender Split
60% female / 40% male
Age Distribution
<65: 54, 65-74: 67, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
115
Ondansetron Hcl
99
Ozempic
Semaglutide
39
Topiramate
26

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Surgery Physician Overview

How TIMOTHY WHEELER, M.D. fits within the Surgery Physician landscape nationally.

36,191
Surgery Physician Providers in US
56
States with Surgery Physician
169
Avg Claims per Provider

TIMOTHY WHEELER, M.D.'s 337 claims are above the specialty average of 169.

Nearby Surgery Physician Providers in Kentucky

Other clinicians with the same primary specialty enrolled in Kentucky, drawn from the same CMS NPPES roster as WHEELER.

Compare Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is TIMOTHY WHEELER, M.D.'s specialty?
TIMOTHY WHEELER, M.D. specializes in Surgery Physician and practices in ASHLAND, Kentucky. Credentials: M.D..
How much does TIMOTHY WHEELER, M.D. prescribe under Medicare Part D?
In 2023, TIMOTHY WHEELER, M.D. wrote 337 Medicare Part D claims totaling $53K in drug costs for 159 beneficiaries.
What is TIMOTHY WHEELER, M.D.'s Medicare quality score?
TIMOTHY WHEELER, M.D. has a CMS MIPS Final Score of 82.9435/100 (Quality: 70.0105, Cost: 65.5754). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is TIMOTHY WHEELER, M.D. located?
TIMOTHY WHEELER, M.D. is located at 613 23RD ST STE 440, ASHLAND, KY, 41101. Phone: (606) 329-2888.
What is TIMOTHY WHEELER, M.D.'s NPI number?
TIMOTHY WHEELER, M.D.'s National Provider Identifier (NPI) is 1609822816, issued on 05/26/2006.
Does TIMOTHY WHEELER, M.D. prescribe more brand-name or generic drugs?
TIMOTHY WHEELER, M.D.'s prescribing is 14% brand-name and 86% generic drugs by claim count, with $51K in brand drug costs.
Does TIMOTHY WHEELER, M.D. prescribe opioids?
Yes, TIMOTHY WHEELER, M.D. had 119 opioid claims in 2023 with an opioid prescribing rate of 35.3%.
How many Surgery Physician providers are there in the US?
There are 36,191 Surgery Physician providers across 56 states in the US. The average Surgery Physician provider writes 169 Medicare Part D claims per year.
What drugs does TIMOTHY WHEELER, M.D. prescribe most often?
Based on 2023 Medicare Part D data, TIMOTHY WHEELER, M.D.'s most frequently prescribed drugs include Oxycodone-Acetaminophen, Ondansetron Hcl, Ozempic. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does TIMOTHY WHEELER, M.D. accept Medicare?
TIMOTHY WHEELER, M.D. appears in CMS Medicare data with 337 Part D claims and 159 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify TIMOTHY WHEELER, M.D.'s credentials?
TIMOTHY WHEELER, M.D.'s NPI is 1609822816 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology