ALLISON M GREENE (PA-C) – Physician Assistant, NPI 1063718625
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,032 PHYSICIAN ASSISTANT in OH
Provider Addresses for ALLISON M GREENE (PA-C)
715 E WESTERN RESERVE RD
POLAND, OH 445143358
Phone: (330) 726-3204
Fax: (330) 729-9316
Type: Location
PO BOX 636988
CINCINNATI, OH 452636988
Phone: (888) 940-2722
Fax: (513) 632-8898
Type: Mailing
100 DEBARTOLO PL STE 200
YOUNGSTOWN, OH 445126095
Phone: (330) 729-8146
Fax: (330) 965-5229
Type: Mailing
1995 E State St
Salem, OH 444602423
Phone: (330) 642-8989
Fax: (330) 758-0669
Type: Location
250 DEBARTOLO PL STE 2750
YOUNGSTOWN, OH 445126026
Phone: (330) 642-8989
Fax: (330) 758-0669
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $14.
Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.
Last reported payment date: 2023-03-15 • Largest payer in this snapshot: Medtronic, Inc. ($14).
Total Amount
$14
General + Research + Ownership
Payments
1
Total payment records
General Amount
$14
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $14 |
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: 2011-02-24
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 |
|---|---|---|---|---|
| I20110224000447 | I | Physician Assistant | 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 44514)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology) | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| Nurse Practitioner | OH | |
| Physician Assistant | PA | |
| - | PA | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| Physician Assistant | OH | |
| Internal Medicine | OH | |
| Nurse Practitioner | OH | |
| General Surgery | OH |
Reviews
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