DR. ROBERT EDWIN JR. EXTEN (MD) – Hematology (Internal Medicine) Physician, NPI 1205832375
Hematology (Internal Medicine) Physician
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Profile Insights
NPPES metrics only — not quality of care.
7,199 INTERNAL MEDICINE in OH
Provider Addresses for DR. ROBERT EDWIN JR. EXTEN (MD)
1510 Columbus Ave Ste 130
Washington Court House, OH 431601986
Phone: (740) 333-2878
Type: Location
475, Lexington Avenue, Mansfield, Richland County, Ohio, 44907, United States
MANSFIELD, OH 449071501
Phone: (419) 756-2003
Fax: (419) 756-3637
Type: Mailing
803 W MARKET ST STE 200
LIMA, OH 458052796
Phone: (419) 222-3737
Fax: (419) 229-3234
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $148.
Total Amount is formed as General ($148) + Research ($0) + Ownership ($0) = $148.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: PFIZER INC. ($25).
Total Amount
$148
General + Research + Ownership
Payments
8
Total payment records
General Amount
$148
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2006-01-03
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 |
|---|---|---|---|---|
| I20060103000850 | I | Hematology/Oncology | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 296 | 179 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 75 | 65 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 34 | 34 | $0 |
Insurance plans in this area (ZIP 43160)
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