MIRANDA ELIZABETH ROSE (M.D.) – Family Medicine Physician, NPI 1215357991
Family Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MIRANDA ELIZABETH ROSE (M.D.)
545 METRO PL S STE 100
DUBLIN, OH 430175353
Phone: (415) 671-2165
Type: Mailing
2600 SIXTH ST SW
CANTON, OH 447101702
Phone: (330) 363-2319
Fax: (330) 580-5509
Type: Mailing
4860 FRANK AVE NW
NORTH CANTON, OH 447207426
Phone: (330) 494-7099
Fax: (330) 494-7099
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: 2022-05-25
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 |
|---|---|---|---|---|
| I20170920002507 | I | Family Practice | OH | TBD |
| I20220525002251 | I | Family Practice | WV | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 138 | 130 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 62 | 62 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 60 | 29 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 44 | 44 | $0 |
| 87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 23 | 23 | $0 |
Insurance plans in this area (ZIP 43017)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology) | OH | |
| Nurse Practitioner | OH | |
| Cardiovascular Disease (Cardiology), Internal Medicine | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Internal Medicine | OH | |
| Vascular Surgery, General Surgery | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH |
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