DR. CLIFFORD QUINN CABANSAG (MD) – Addiction Medicine (Internal Medicine) Physician, NPI 1003065905
Addiction Medicine (Internal Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. CLIFFORD QUINN CABANSAG (MD)
4075, Old Western Row Road, Mason, Warren County, Ohio, 45040, United States
MASON, OH 450403104
Phone: (513) 536-0232
Fax: (513) 536-0609
Type: Location
200 Daruma Pkwy
Moraine, OH 454397909
Phone: (937) 262-3500
Fax: (937) 496-5274
Type: Location
4302 ROOSEVELT BLVD
MIDDLETOWN, OH 450446697
Phone: (513) 433-1032
Fax: (513) 433-1245
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 85 Open Payments records for all available years, with a total value of $1,557.
Total Amount is formed as General ($1,557) + Research ($0) + Ownership ($0) = $1,557.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: ABBVIE INC. ($377).
Total Amount
$1,557
General + Research + Ownership
Payments
85
Total payment records
General Amount
$1,557
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2017-07-25
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 |
|---|---|---|---|---|
| I20170725002789 | I | Addiction Medicine | 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 45040)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH |
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