James Wilmarth, OD
NPI 1225092166 · Optometrist · Danville, PA
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
James Wilmarth, OD is a Optometrist provider in Danville, PA (NPI 1225092166).
Provider details
- NPI number
- 1225092166
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- License
- OE001013 (PA)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
425 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Complete Exam of Visual System92014 | 241 | $71 |
| New Patient Complete Exam of Visual System92004 | 61 | $87 |
| Imaging of Optic Nerve92133 | 34 | $20 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 22 | $63 |
| Exam of Visual Field With Extended Testing92083 | 19 | $25 |
| Imaging of Retina92134 | 19 | $23 |
| Established Patient Problem Focused Exam of Visual System |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 4 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Latanoprost | 61 | 28 |
| Erythromycin Basebrand: Erythromycin | 17 | 17 |
| Timolol Maleate | 15 | — |
| Cyclosporinebrand: Restasis | 11 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-04-17
- Last updated
- 2021-02-11
- Certified
- 2021-02-11
Frequently asked questions
- What is James Wilmarth's NPI number?
- James Wilmarth's National Provider Identifier (NPI) is 1225092166, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is James Wilmarth's specialty?
- James Wilmarth is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is James Wilmarth located?
- James Wilmarth's practice location on file with NPPES is 16 Woodbine Lane, Danville, PA 17822-2360.
- What is James Wilmarth's phone number?
- The practice phone number listed in the NPPES registry for James Wilmarth is (570) 271-6531.
- Does James Wilmarth accept Medicare?
- James Wilmarth is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is James Wilmarth's NPI active?
- Yes — James Wilmarth's NPI (1225092166) is active in the NPPES registry as of the last update on 2021-02-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.