JOHN P IMM (MD) – Family Medicine Physician, NPI 1215939848
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 JOHN P IMM (MD)
3430 Secor Rd Ste 415
Toledo, OH 436061547
Phone: (567) 585-0225
Fax: (419) 214-3564
Type: Location
6755 W Central Ave
Toledo, OH 436171109
Phone: (567) 585-0075
Fax: (419) 517-7105
Type: Location
217 Golden Gate Plz
Maumee, OH 435372881
Phone: (567) 585-0210
Fax: (419) 794-4604
Type: Location
6711 Airport Hwy
Holland, OH 435288104
Phone: (567) 585-0070
Fax: (567) 703-8685
Type: Location
3316 Navarre Ave # F
Oregon, OH 436163314
Phone: (419) 291-1420
Fax: (419) 214-3841
Type: Location
410, Birchard Avenue, Downtown Fremont Historic District, Fremont, Sandusky County, Ohio, 43420, United States
FREMONT, OH 434202967
Phone: (419) 334-8943
Fax: (419) 334-8619
Type: Mailing
Monroe Street, Franklin Park, Sylvania, Lucas County, Ohio, 43560, United States
SYLVANIA, OH 435602779
Phone: (567) 585-0005
Fax: (567) 585-0007
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 92 Open Payments records for all available years, with a total value of $1,620.
Total Amount is formed as General ($1,620) + Research ($0) + Ownership ($0) = $1,620.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Novo Nordisk Inc ($330).
Total Amount
$1,620
General + Research + Ownership
Payments
92
Total payment records
General Amount
$1,620
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $330 |
| ABBVIE INC. | $283 |
| AstraZeneca Pharmaceuticals LP | $179 |
| Lilly USA, LLC | $116 |
| GlaxoSmithKline, LLC. | $83 |
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: 2004-01-28
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 |
|---|---|---|---|---|
| I20040128001205 | I | Family Practice | 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 | 124 | 76 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 89 | 51 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 40 | 31 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 34 | 34 | $0 |
Insurance plans in this area (ZIP 43606)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| - | OH | |
| - | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| - | OH | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| - | OH | |
| - | OH |
Reviews
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