MICHELLE MARIE GRIDER (PA-C) – Physician Assistant, NPI 1134996077
Physician Assistant
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
5,032 PHYSICIAN ASSISTANT in OH
Provider Addresses for MICHELLE MARIE GRIDER (PA-C)
812 Redskin Trl Ste D
Wapakoneta, OH 458958545
Phone: (419) 549-5607
Fax: (419) 754-2523
Type: Location
5775 Perimeter Dr Ste 200
Dublin, OH 430173224
Phone: (614) 845-0418
Fax: (614) 389-3841
Type: Location
2200 TIMBER TRL
BELLEFONTAINE, OH 433119039
Phone: (937) 441-3889
Fax: (937) 518-7770
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $657.
Total Amount is formed as General ($657) + Research ($0) + Ownership ($0) = $657.
Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Dermavant Sciences, Inc. ($194).
Total Amount
$657
General + Research + Ownership
Payments
22
Total payment records
General Amount
$657
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dermavant Sciences, Inc. | $194 |
| ABBVIE INC. | $182 |
| Incyte Corporation | $143 |
| Novartis Pharmaceuticals Corporation | $65 |
| Verrica Pharmaceuticals Inc. | $31 |
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: 2024-05-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240506000607 | I | Physician Assistant | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 45895)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH |
Reviews
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