MICHAEL DOTTERER (CRNA) – Certified Registered Nurse Anesthetist, NPI 1194120493

MICHAEL DOTTERER (CRNA) is a healthcare provider. based in Elyria, Ohio. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN-333220 (OH). The NPI Number for MICHAEL DOTTERER (CRNA) is 1194120493

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL DOTTERER (CRNA)
NPI
1194120493
Phone
(440) 323-8515
Address
860 EAST BROAD STREET
Enumeration Date
29 October 2014
Last Update Date
1 October 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3302638100
Graduation Year
2014 (12 years ago)
PAC ID
3678897618
Group Practice PAC ID
9537222138
Professional Enrollment ID
I20150121001707
Address ID
OH446912342WO1761XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

3,016 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OH

Provider Addresses for MICHAEL DOTTERER (CRNA)

  • 860 EAST BROAD STREET

    SUITE I

    ELYRIA, OH 440356542

    Phone: (440) 323-8515

    Fax: (440) 323-7900

    Type: Mailing

  • 1761 BEALL AVE

    WOOSTER, OH 446912342

    Phone: (330) 263-8100

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2015-01-21

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
I20150121001707ICertified Registered Nurse Anesthetist (Crna)OHTBD

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
00142Anesthesia for lens surgery4646$0
View full utilization report →

Insurance plans in this area (ZIP 44035)

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Provider's Procedures

MICHAEL DOTTERER (CRNA) performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETOH01402Anesthesia for open or endoscopic total knee joint replacement2828

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: 9537222138View full group profile
NameSpecialtyState
Anesthesiology AssistantOH
Certified Registered Nurse Anesthetist (Crna)OH
Anesthesiology AssistantOH
-OH
Certified Registered Nurse Anesthetist (Crna)WV
Certified Registered Nurse Anesthetist (Crna)OH
-OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH

Reviews

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Frequently asked questions

Is MICHAEL DOTTERER (CRNA) listed with a National Provider Identifier?
Yes — MICHAEL DOTTERER (CRNA) has NPI 1194120493 on file in the registry.
Is MICHAEL DOTTERER (CRNA) shown as active in public data?
Registry records indicate MICHAEL DOTTERER (CRNA) maintains an active NPI.
What clinical focus is listed for MICHAEL DOTTERER (CRNA)?
At a glance, MICHAEL DOTTERER (CRNA) is tied to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where in Ohio is MICHAEL DOTTERER (CRNA) registered?
Use Elyria, Ohio as the headline location for MICHAEL DOTTERER (CRNA) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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