DR. JEFFREY ROBERT WILBERT (PH.D.) – Psychologist, NPI 1144217688

DR. JEFFREY ROBERT WILBERT (PH.D.) is a healthcare provider. based in Dayton, Ohio. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 3747 (OH). The NPI Number for DR. JEFFREY ROBERT WILBERT (PH.D.) is 1144217688

Main info

Male
Sole Proprietor
40 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEFFREY ROBERT WILBERT (PH.D.)
NPI
1144217688
Phone
(937) 435-1911
Address
2717 MIAMISBURG CENTERVILLE RD
Enumeration Date
30 September 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9374351911
Graduation Year
1986 (40 years ago)
PAC ID
0840464343
Professional Enrollment ID
I20111118000356
Address ID
OH454593704DA2717XRDXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,139 CLINICAL PSYCHOLOGIST in OH

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Provider Addresses for DR. JEFFREY ROBERT WILBERT (PH.D.)

  • Miamisburg Centerville Road, South Dayton, Miamisburg, Montgomery County, Ohio, 45342, United States

    SUITE 218

    DAYTON, OH 454593797

    Phone: (937) 435-1911

    Fax: (937) 435-9977

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-11-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111118000356IClinical PsychologistOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90791Psychiatric diagnostic evaluation155155$0
96130Evaluation of psychological test, first hour150150$0
96136Administration of psychological or neuropsychological test, first 30 minutes150150$0
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Insurance plans in this area (ZIP 45459)

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Reviews

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Frequently asked questions

How is DR. JEFFREY ROBERT WILBERT (PH.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. JEFFREY ROBERT WILBERT (PH.D.) with NPI 1144217688.
Is DR. JEFFREY ROBERT WILBERT (PH.D.) still practicing?
DR. JEFFREY ROBERT WILBERT (PH.D.) is currently listed as active in the public NPI registry.
What is DR. JEFFREY ROBERT WILBERT (PH.D.)'s primary classification?
Psychologist is the headline specialty for DR. JEFFREY ROBERT WILBERT (PH.D.) here. Clinical services aligned with this taxonomy classification.
What area does DR. JEFFREY ROBERT WILBERT (PH.D.) serve?
DR. JEFFREY ROBERT WILBERT (PH.D.)'s listing highlights Dayton, Ohio; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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