JONATHAN T EATON (PA, AT) – Surgical Physician Assistant, NPI 1093270548

JONATHAN T EATON (PA, AT) is a healthcare provider. based in Wapakoneta, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA, AT. They hold a License No. 50.007148RX (OH). The NPI Number for JONATHAN T EATON (PA, AT) is 1093270548

Main info

Male
Sole Proprietor
5 Years Of Experience
Name
JONATHAN T EATON (PA, AT)
NPI
1093270548
Phone
(567) 356-7361
Address
18471 FREYBURG EAST RD
Enumeration Date
8 February 2019
Last Update Date
10 September 2025

Doctor Profile

Medical School Name
LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Secondary Phone
4199988234
Graduation Year
2021 (5 years ago)
PAC ID
7810395704
Group Practice PAC ID
1254232184
Professional Enrollment ID
I20211006003394
Address ID
OH458041868LI1003XAVEX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:7State licenses:1Digital endpointsOther names

5,032 PHYSICIAN ASSISTANT in OH

Provider Addresses for JONATHAN T EATON (PA, AT)

  • 18471 FREYBURG EAST RD

    WAPAKONETA, OH 458958765

    Phone: (567) 356-7361

    Type: Mailing

  • 3700 Southern Blvd Ste 300

    Kettering, OH 454291265

    Phone: (937) 643-9299

    Fax: (937) 643-2343

    Type: Location

  • 1001 BELLEFONTAINE AVE

    LIMA, OH 458042800

    Phone: (419) 998-4575

    Fax: (419) 998-4586

    Type: Mailing

  • 1003 BELLEFONTAINE AVE STE 125

    LIMA, OH 458041867

    Phone: (419) 998-8207

    Fax: (419) 998-8216

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $77.

Total Amount is formed as General ($77) + Research ($0) + Ownership ($0) = $77.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($54).

Total Amount

$77

General + Research + Ownership

Payments

3

Total payment records

General Amount

$77

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2021-10-06

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211006003394IPhysician AssistantOHTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes4739$0
99213Established patient office or other outpatient visit, 20-29 minutes4433$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes2221$0
99203New patient office or other outpatient visit, 30-44 minutes1616$0
99212Established patient office or other outpatient visit, 10-19 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 45895)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254232184View full group profile
NameSpecialtyState
Radiation OncologyOH
-OH
Family PracticeOH
Physician AssistantOH
Physician AssistantOH
Nurse PractitionerOH
Internal MedicineOH
Colorectal Surgery (Proctology)OH
Physician AssistantOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

What unique ID ties claims to JONATHAN T EATON (PA, AT)?
NPI 1093270548 is assigned to JONATHAN T EATON (PA, AT) under the national enumeration system.
Does this profile mean JONATHAN T EATON (PA, AT) is currently active?
Yes — JONATHAN T EATON (PA, AT) appears active in the national provider directory.
What does JONATHAN T EATON (PA, AT) treat or focus on?
Patients typically see JONATHAN T EATON (PA, AT) under the specialty Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for JONATHAN T EATON (PA, AT)?
The page summarizes Wapakoneta, Ohio for JONATHAN T EATON (PA, AT); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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