Doctor profile · Federal record
Dr. James Wilmarth, OD
Optometrist (CMS: Optometry) · Danville, PA
- NPI 1225092166
- Accepts Medicare
- 38 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
16 Woodbine Lane
Danville, PA 178222360
(570) 271-6531 - Mailing address
-
100 N Academy Ave
Danville, PA 178224903
Credentials & registration
- NPI registered
- April 2006 — 20 yrs on file
- Profile last updated
- February 11, 2021
- Year of graduation
- 1988 — 38 yrs since
- Specialty taxonomy
- 152W00000X — NUCC code
- State license (1)
- Pennsylvania #OE001013
- Medicaid
- PA #0015339430005
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1225092166. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
427
Distinct HCPCS
6
Medicare allowed
$29,183
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
92014 |
Established patient complete exam of visual system | 235 | 233 | $73 | |
92004 |
New patient complete exam of visual system | 87 | 87 | $90 | |
92012 |
Established patient problem focused exam of visual system | 31 | 30 | $48 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 26 | 25 | $64 | |
92133 |
Imaging of optic nerve | 25 | 25 | $21 | |
92134 |
Imaging of retina | 23 | 22 | $23 |
In context: peer comparison
Among 3 peers in Danville Optometrist, average services per provider: 55. This provider delivers 7.8× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
38
Patients
0
Total drug cost
$460
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Latanoprost | Generic | 26 | 0 | $328 |
| Erythromycin (Erythromycin Base) | Brand | 12 | 0 | $131 |
Hospital affiliations
Frequently asked questions
What is Dr. James Wilmarth's medical specialty?
Dr. James Wilmarth practices Optometrist in Danville, PA.
Where does Dr. James Wilmarth practice?
Dr. James Wilmarth practices at 16 Woodbine Lane, Danville, PA 178222360. Office phone: 5702716531.
What is Dr. James Wilmarth's NPI?
Dr. James Wilmarth's National Provider Identifier (NPI) is 1225092166, issued by NPPES.
Does Dr. James Wilmarth accept Medicare assignment?
Yes. Dr. James Wilmarth accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. James Wilmarth commonly perform?
Top Medicare-reported procedures in 2023: Established patient complete exam of visual system (HCPCS 92014); New patient complete exam of visual system (HCPCS 92004); Established patient problem focused exam of visual system (HCPCS 92012). Source: CMS Medicare Physician & Other Practitioners file.