DR. JOHN M. CHILDRESS (M.D.) – Sports Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1134157605

DR. JOHN M. CHILDRESS (M.D.) is a healthcare provider. based in Cincinnati, Ohio. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. ME95727 (FL). The NPI Number for DR. JOHN M. CHILDRESS (M.D.) is 1134157605

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN M. CHILDRESS (M.D.)
NPI
1134157605
Phone
(513) 558-5281
Address
3200 BURNET AVE
Enumeration Date
30 June 2006
Last Update Date
9 March 2021

Doctor Profile

Medical School Name
NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
2122639700
Graduation Year
2000 (26 years ago)
PAC ID
1658307905
Group Practice PAC ID
1355232422
Professional Enrollment ID
I20050708000875
Address ID
NY100061901NE111XXBROA200
Telehealth
Yes

Contacts

Secure Messaging
jchildress354467@nyumc.direct-ci.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience85
Completeness85
Years active:19State licenses:3Other namesUpdated within 12 months

2,673 EMERGENCY MEDICINE in OH

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Provider Addresses for DR. JOHN M. CHILDRESS (M.D.)

  • 3200, Burnet Avenue, Pill Hill, Corryville, Cincinnati, Hamilton County, Ohio, 45229, United States

    3 SOUTH, CREDENTIALING

    CINCINNATI, OH 452293019

    Phone: (513) 558-5281

    Fax: (513) 558-5791

    Type: Mailing

  • University of Cincinnati Medical Center, 234, Goodman Street, Pill Hill, Corryville, Cincinnati, Hamilton County, Ohio, 45219-2364, United States

    CINCINNATI, OH 452192364

    Phone: (513) 558-5281

    Fax: (513) 558-5791

    Type: Location

  • 550 1ST AVE

    NEW YORK, NY 100166402

    Phone: (212) 263-3293

    Fax: (212) 263-3522

    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 $72.

Total Amount is formed as General ($72) + Research ($0) + Ownership ($0) = $72.

Last reported payment date: 2024-10-02 • Largest payer in this snapshot: DJO, LLC ($37).

Total Amount

$72

General + Research + Ownership

Payments

3

Total payment records

General Amount

$72

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-02

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: 2006-08-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20050708000875IEmergency MedicineNYTBD
I20060815000371IEmergency MedicineFLTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes3634$0
99203New patient office or other outpatient visit, 30-44 minutes2626$0
99285Emergency department visit with high level of medical decision making2323$0
99284Emergency department visit with moderate level of medical decision making1716$0
View full utilization report →

Insurance plans in this area (ZIP 45229)

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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: 1355232422View full group profile
NameSpecialtyState
-PA
O B S T E T R I C S/ G Y N E C O L O G YNY
Internal MedicineNY
-NY
A N E S T H E S I O L O G YTX
Physical Therapist In Private PracticeNY
A N E S T H E S I O L O G YNY
-NY
-NY
-NY

Reviews

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Frequently asked questions

What is the registry number for DR. JOHN M. CHILDRESS (M.D.)?
The registry entry for DR. JOHN M. CHILDRESS (M.D.) shows NPI 1134157605.
Is DR. JOHN M. CHILDRESS (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. JOHN M. CHILDRESS (M.D.) as active.
How should patients interpret DR. JOHN M. CHILDRESS (M.D.)'s specialty?
The extract shows Sports Medicine (Physical Medicine & Rehabilitation) Physician for DR. JOHN M. CHILDRESS (M.D.). Clinical services aligned with this taxonomy classification.
Which community is linked to DR. JOHN M. CHILDRESS (M.D.)?
DR. JOHN M. CHILDRESS (M.D.) shows a connection to Cincinnati, Ohio in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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