DR. DAVID A SHALL (D.D.S., MD) – Oral & Maxillofacial Surgery (D.M.D.), NPI 1194968347
Oral & Maxillofacial Surgery (D.M.D.)
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
74 ORAL SURGERY in OH
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Provider Addresses for DR. DAVID A SHALL (D.D.S., MD)
5690, Monroe Street, Franklin Park, Sylvania, Lucas County, Ohio, 43560, United States
SYLVANIA, OH 435602736
Phone: (419) 479-3939
Fax: (419) 479-3933
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $1,319.
Total Amount is formed as General ($1,319) + Research ($0) + Ownership ($0) = $1,319.
Last reported payment date: 2024-05-18 • Largest payer in this snapshot: ZIMVIE INC. ($1,294).
Total Amount
$1,319
General + Research + Ownership
Payments
10
Total payment records
General Amount
$1,319
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ZIMVIE INC. | $1,294 |
| KLS-Martin L.P. | $25 |
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: 2016-10-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20151119002945 | I | Maxillofacial Surgery | MI | TBD |
| I20161013001042 | I | Oral Surgery | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 27 | 17 | $0 |
Insurance plans in this area (ZIP 43560)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Oral Surgery | OH |
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