DR. PETER CHARLES REVENAUGH (M.D.) – Otolaryngology/Facial Plastic Surgery Physician, NPI 1114198678
Otolaryngology/Facial Plastic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
535 OTOLARYNGOLOGY in OH
Provider Addresses for DR. PETER CHARLES REVENAUGH (M.D.)
Cleveland Clinic Foundation
Cleveland, OH 441950001
Phone: (216) 444-2200
Type: Location
550, West Harrison Street, Greektown, Near West Side, University Village/Little Italy, Chicago, Cook County, Illinois, 60607, United States
CHICAGO, IL 606124861
Phone: (312) 942-6100
Type: Mailing
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 $255.
Total Amount is formed as General ($255) + Research ($0) + Ownership ($0) = $255.
Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Smith+Nephew, Inc. ($147).
Total Amount
$255
General + Research + Ownership
Payments
3
Total payment records
General Amount
$255
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $147 |
| Integra LifeSciences Corporation | $108 |
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: 2014-09-10
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 |
|---|---|---|---|---|
| I20140910001070 | I | Otolaryngology | IL | 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 |
|---|---|---|---|---|
| J0585 | Injection, onabotulinumtoxina, 1 unit | 1,910 | 12 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 86 | 65 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 65 | 53 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 50 | 50 | $0 |
| 14302 | Repair of wound by transferring skin, each additional 30.0 sq cm | 36 | 14 | $0 |
Insurance plans in this area (ZIP 44195)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OTOLARYNGOLOGY | OH | 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 20 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | IL | |
| Internal Medicine | IL | |
| Diagnostic Radiology | WI | |
| Internal Medicine | MI | |
| Hematology/Oncology, Hospice/Palliative Care | IL | |
| Nurse Practitioner | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| O T O L A R Y N G O L O G Y | CT |
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