ROD W CALLICOTT (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1720043771
Anatomic Pathology & Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
228 PATHOLOGY in KY
Provider Addresses for ROD W CALLICOTT (MD)
650 Joel Dr
Fort Campbell, KY 422235318
Phone: (270) 798-8117
Type: Location
3000 ARLINGTON AVE STOP 1108
TOLEDO, OH 436142595
Phone: (419) 383-5322
Type: Mailing
3000 ARLINGTON AVE
TOLEDO, OH 436142595
Phone: (419) 383-3482
Fax: (419) 383-6183
Type: Location
Fort Gordon, Augusta, Richmond County, Georgia, 30905, United States
DDEAMC 1K-13
FORT GORDON, GA 309055741
Phone: (706) 787-8498
Type: Mailing
Colonel Florence A Blanchfield Army Community Hospital, 650, Joel Drive, Clarksville, Montgomery County, Tennessee, 42223, United States
FORT CAMPBELL, KY 422235318
Phone: (270) 798-8117
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: 2008-02-08
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 |
|---|---|---|---|---|
| I20080208000143 | I | Pathology | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 332 | 191 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 102 | 26 | $0 |
| 88112 | Cell examination of specimen, selective cellular enhancement technique | 75 | 67 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 64 | 57 | $0 |
| 88177 | Pap test, evaluation of fine needle aspirate, immediate, each additional evaluation episode | 54 | 21 | $0 |
Insurance plans in this area (ZIP 42223)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| P A T H O L O G Y | OH | |
| General Surgery, Critical Care (Intensivists) | MI | |
| - | OH | |
| Nurse Practitioner | OH | |
| - | OH | |
| - | OH | |
| General Surgery | ME | |
| Vascular Surgery, General Surgery | MN | |
| - | OH |
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