AMY COGAN (PA-C) – Physician Assistant, NPI 1083147102
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,032 PHYSICIAN ASSISTANT in OH
Provider Addresses for AMY COGAN (PA-C)
12251 S 80TH AVE STE 1520
PALOS HEIGHTS, IL 604631290
Phone: (708) 923-4200
Fax: (708) 923-4201
Type: Mailing
3533 Southern Blvd Ste 5650
Kettering, OH 454291263
Phone: (937) 294-3611
Fax: (937) 294-9010
Type: Location
12251 S 80th Ave Ste 1520
Palos Heights, IL 604631290
Phone: (708) 923-4200
Fax: (708) 923-4201
Type: Location
9945, Crestwood Drive, Twinsburg, Summit County, Ohio, 44087, United States
TWINSBURG, OH 440871204
Phone: (216) 337-1397
Type: Mailing
Cleveland Clinic Akron General, 1, Akron General Avenue, Hospital District, Sherbondy Hill, Akron, Summit County, Ohio, 44307, United States
AKRON, OH 443072432
Phone: (330) 344-6000
Type: Location
10590 N MERIDIAN ST STE 105
CARMEL, IN 462901028
Phone: (317) 583-7800
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $357.
Total Amount is formed as General ($357) + Research ($0) + Ownership ($0) = $357.
Last reported payment date: 2024-09-13 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($169).
Total Amount
$357
General + Research + Ownership
Payments
9
Total payment records
General Amount
$357
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Edwards Lifesciences Corporation | $169 |
| Abbott Laboratories | $113 |
| ATRICURE, INC. | $38 |
| Getinge USA Sales, LLC | $21 |
| ABIOMED | $17 |
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: 2025-04-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20220310001320 | I | Physician Assistant | CO | TBD |
| I20220804003363 | I | Physician Assistant | IL | TBD |
| I20231220004286 | I | Physician Assistant | FL | TBD |
| I20241007001888 | I | Physician Assistant | OH | TBD |
| I20250422000134 | I | Physician Assistant | IN | 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 60463)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| - | IN | |
| Pulmonary Disease, Critical Care (Intensivists) | IN | |
| General Surgery, Thoracic Surgery | IN | |
| - | IN | |
| - | NY | |
| Interventional Radiology | IN | |
| - | IN | |
| G A S T R O E N T E R O L O G Y | TX | |
| Nurse Practitioner | IN |
Reviews
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