ALEXANDRA PELAEZ (MD) – Family Medicine Physician, NPI 1104238930
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,431 FAMILY PRACTICE in OH
Provider Addresses for ALEXANDRA PELAEZ (MD)
480 S JEFFERSON AVE STE 500
PLAIN CITY, OH 430644137
Phone: (614) 873-3434
Fax: (937) 644-6989
Type: Mailing
17853 STATE ROUTE 31
MARYSVILLE, OH 430408520
Phone: (937) 578-4004
Fax: (937) 578-4024
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $69.
Total Amount is formed as General ($69) + Research ($0) + Ownership ($0) = $69.
Last reported payment date: 2024-01-17 • Largest payer in this snapshot: Novo Nordisk Inc ($30).
Total Amount
$69
General + Research + Ownership
Payments
4
Total payment records
General Amount
$69
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-17
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: 2017-08-29
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 |
|---|---|---|---|---|
| I20170829004190 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 235 | 113 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 38 | 33 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 29 | 21 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 25 | 24 | $0 |
| 81002 | Urinalysis, manual test | 18 | 13 | $0 |
Insurance plans in this area (ZIP 43064)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| G A S T R O E N T E R O L O G Y | OH | |
| - | OH | |
| P S Y C H I A T R Y | OH | |
| - | OH | |
| Physician Assistant | OH | |
| Clinical Social Worker | OH | |
| Sports Medicine | OH | |
| N E U R O L O G Y | OH | |
| General Surgery | OH |
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