JOSEPH M FAWCETT (PA, MHSA, ATC) – Physician Assistant, NPI 1124405717

JOSEPH M FAWCETT (PA, MHSA, ATC) is a healthcare provider. based in Bellefontaine, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA, MHSA, ATC. They hold a License No. 2601001048 (MI). The NPI Number for JOSEPH M FAWCETT (PA, MHSA, ATC) is 1124405717

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
JOSEPH M FAWCETT (PA, MHSA, ATC)
NPI
1124405717
Phone
(937) 292-3494
Address
1134 N MAIN ST STE 2500
Enumeration Date
3 May 2015
Last Update Date
10 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9375924015
Graduation Year
2019 (7 years ago)
PAC ID
3678804424
Group Practice PAC ID
9032013792
Professional Enrollment ID
I20191009003148
Address ID
OH433112281BE205XXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:11State licenses:2Digital endpointsOther names

5,036 PHYSICIAN ASSISTANT in OH

Provider Addresses for JOSEPH M FAWCETT (PA, MHSA, ATC)

  • 1134 N MAIN ST STE 2500

    BELLEFONTAINE, OH 433112382

    Phone: (937) 292-3494

    Fax: (937) 292-3410

    Type: Mailing

  • 1134 N MAIN ST STE 3100

    BELLEFONTAINE, OH 43311

    Phone: (937) 651-6441

    Fax: (937) 651-6442

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $235.

Total Amount is formed as General ($235) + Research ($0) + Ownership ($0) = $235.

Last reported payment date: 2024-01-09 • Largest payer in this snapshot: Smith+Nephew, Inc. ($146).

Total Amount

$235

General + Research + Ownership

Payments

2

Total payment records

General Amount

$235

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-09

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: 2019-10-09

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
I20191009003148IPhysician 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
J7325Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg54411$0
J1100Injection, dexamethasone sodium phosphate, 1 mg26435$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg26435$0
99213Established patient office or other outpatient visit, 20-29 minutes10269$0
20610Aspiration and/or injection of fluid from large joint8044$0
View full utilization report →

Insurance plans in this area (ZIP 43311)

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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: 9032013792View full group profile
NameSpecialtyState
Family PracticeOH
-OH
Physician AssistantOH
Nurse PractitionerOH
Cardiovascular Disease (Cardiology)OH
Nurse PractitionerOH
-OH
A N E S T H E S I O L O G YOH
Plastic And Reconstructive SurgeryOH
General SurgeryOH

Reviews

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Frequently asked questions

Can I verify JOSEPH M FAWCETT (PA, MHSA, ATC) with an NPI only?
You can start verification with NPI 1124405717 for JOSEPH M FAWCETT (PA, MHSA, ATC), then check state licensing separately.
Is JOSEPH M FAWCETT (PA, MHSA, ATC) listed as active for patients and plans?
The listing shows JOSEPH M FAWCETT (PA, MHSA, ATC) as active in the NPI system.
What taxonomy line describes JOSEPH M FAWCETT (PA, MHSA, ATC)?
For research purposes, treat JOSEPH M FAWCETT (PA, MHSA, ATC) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
What area does JOSEPH M FAWCETT (PA, MHSA, ATC) serve?
JOSEPH M FAWCETT (PA, MHSA, ATC)'s listing highlights Bellefontaine, Ohio; more addresses can appear in NPPES.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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