Medicare billing address
CMS Medicare provider billing file
5250 Far Hills AveSuite 207
Dayton, OH 45429
CMS public data · NPI 1114925112
CMS public files list billing, prescribing, location, and participation fields for this NPI. Current plan networks, appointment availability, clinical outcomes, and patient-specific medical advice require separate verification.
CMS display name
Marshall C Wareham, MD
Specialty
Credential
MD
NPI
1114925112
Primary source state
OH
Data retrieval date
July 26, 2026
Where these numbers come from, and what they cannot tell you
Public CMS records, 2024 reporting year. These are historical Medicare fields, not proof of current coverage, appointment availability, quality, or what someone will pay.
This page shows Medicare billing and Part D prescribing data for Marshall C Wareham, MD from CMS public files. It covers 2024 claims data: services billed, the beneficiary panel, and the most-prescribed Part D drugs. It does not show current coverage, appointment availability, or quality ratings.
A licensed agent, not a call center
Peter Abilla, Licensed Medicare Insurance Sales Agent, NPN 22265186. Bring the doctors and prescriptions that matter to you, then check the details before you enroll.
Medicare participating
Yes
Individual assignment
Yes
Group assignment
Yes
CMS opt-out records
0
When CMS files list more than one address for the same NPI, each address stays tied to the CMS file that reported it.
CMS Medicare provider billing file
5250 Far Hills AveCMS Doctors & Clinicians file
5250 Far Hills AveIn the 2024 CMS provider billing file, this NPI had 1,269 Medicare beneficiaries and 2,879 total services. The average beneficiary age was 77, and the average HCC risk score was 1.1.
Total Medicare allowed amount
$299,404.16
Total Medicare payment amount
$212,154.29
Medicare beneficiaries
1,269
Total services
2,879
These percentages describe the Medicare beneficiary panel in the CMS utilization file. They are not a diagnosis for any individual patient and are not a quality score.
Hyperlipidemia
75%
CMS beneficiary-panel share
Hypertension
73%
CMS beneficiary-panel share
Diabetes
30%
CMS beneficiary-panel share
Ischemic heart disease
27%
CMS beneficiary-panel share
Chronic kidney disease
24%
CMS beneficiary-panel share
Mood disorders
20%
CMS beneficiary-panel share
Where these service numbers come from, and what they cannot tell you
Amounts shown are average Medicare-approved amounts per billed unit in CMS records. What a person pays depends on current coverage and cannot be read from this table alone.
| CMS service description | Services | Avg allowed |
|---|---|---|
| Established patient complete exam of visual system | 961 | $116.59 |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 421 | $85.47 |
| Imaging of retina | 365 | $37.19 |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 340 | $120.88 |
| Imaging of optic nerve | 189 | $33.72 |
| Exam of visual field with extended testing | 152 | $57.95 |
| Measurement of corneal curvature and depth of eye | 137 | $23.53 |
| Removal of cataract with insertion of prosthetic lens | 90 | $503.51 |
| New patient complete exam of visual system | 68 | $138.67 |
| Ct scan of cornea | 38 | $31.45 |
Where these Part D numbers come from, and what they cannot tell you
CMS data reports historical prescription drug events attributed to NPI 1114925112. Formularies, copays, prior authorization, and step therapy rules vary by current coverage.
| Rank | Drug | Generic name | Total claims | 30-day fills | Total drug cost |
|---|---|---|---|---|---|
| 1 | Latanoprost | Latanoprost | 751 | 1,554.9 | $5,481.24 |
| 2 | Timolol Maleate | Timolol Maleate | 415 | 861.9 | $3,098.15 |
| 3 | Prednisolone Acetate | Prednisolone Acetate | 123 | 169.8 | $4,169.81 |
| 4 | Dorzolamide-Timolol | Dorzolamide Hcl/Timolol Maleat | 92 | 229.7 | $787.69 |
| 5 | Erythromycin | Erythromycin Base | 82 | 82 | $750.38 |
| 6 | Tobramycin-Dexamethasone | Tobramycin/Dexamethasone | 53 | 56.3 | $1,916.42 |
| 7 | Lumigan | Bimatoprost | 49 | 103.2 | $24,590.90 |
| 8 | Doxycycline Hyclate | Doxycycline Hyclate | 42 | 50 | $221.43 |
| 9 | Brimonidine Tartrate | Brimonidine Tartrate | 39 | 66.7 | $3,159.88 |
| 10 | Dorzolamide Hcl | Dorzolamide Hcl | 33 | 55.6 | $353.49 |
CMS Part D records are historical aggregate claims data. They do not include current formulary status, pharmacy price, prior-authorization rules, network-directory status, or clinical-outcome data.
Medical school
Loma Linda University School Of Medicine
Graduation year
1982
Group/practice field
Allied Eye Physicians And Surgeons Inc
Telehealth reported
Not reported
Verify plan-directory status, drug formulary rules, pharmacy pricing, appointment availability, and clinical questions against current plan documents and the relevant provider or care team.
The numbers above come from CMS public-use files for this NPI. Each link identifies the CMS release used and the retrieval date.