DR. JOHN JOSEPH WILDING (D.O.) – Ophthalmology Physician, NPI 1194720235
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
840 OPHTHALMOLOGY in OH
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Provider Addresses for DR. JOHN JOSEPH WILDING (D.O.)
721, Plum Ridge Trail, Sidney, Shelby County, Ohio, 45365, United States
SIDNEY, OH 453651857
Phone: (937) 498-0788
Type: Mailing
915, Michigan Street, Sidney Walnut Avenue Historic District, Buckeye Terrace, Sidney, Shelby County, Ohio, 45365, United States
SIDNEY, OH 453652401
Phone: (937) 492-8040
Fax: (937) 492-7447
Type: Location
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: 2004-12-03
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041203000089 | I | Ophthalmology | OH | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 45365)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPHTHALMOLOGY | OH | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 110 | 90 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | OH | |
| O P H T H A L M O L O G Y | OH | |
| N E U R O L O G Y | OH | |
| O P T O M E T R Y | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| - | OH | |
| Internal Medicine | TX | |
| N E U R O L O G Y | OH | |
| Nurse Practitioner | OH | |
| Gastroenterology, Internal Medicine | OH |
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