GREGORY J. MICKUNAS (M.D.) – Emergency Medicine Physician, NPI 1225076458

GREGORY J. MICKUNAS (M.D.) is a healthcare provider. based in Marietta, Ohio. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 21326 (WV). The NPI Number for GREGORY J. MICKUNAS (M.D.) is 1225076458

Main info

Male
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
GREGORY J. MICKUNAS (M.D.)
NPI
1225076458
Phone
(740) 568-2000
Address
1106 Colegate Dr
Enumeration Date
2 June 2006
Last Update Date
26 February 2024

Doctor Profile

Medical School Name
WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Secondary Phone
7403958420
Graduation Year
1998 (28 years ago)
PAC ID
7517058886
Group Practice PAC ID
5890606008
Professional Enrollment ID
I20070801000512
Address ID
OH456409360JA500XXRDXX300

Contacts

Secure Messaging
emergency.providers@mmhs.medicity.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience77
Completeness85
Years active:20State licenses:3Other namesUpdated within 12 months

2,673 EMERGENCY MEDICINE in OH

Provider Addresses for GREGORY J. MICKUNAS (M.D.)

  • 1106 Colegate Dr

    Marietta, OH 457501323

    Phone: (740) 568-2000

    Type: Location

  • 799 Farson St

    Belpre, OH 457141082

    Phone: (740) 401-1150

    Type: Location

  • 206 Columbus Rd

    Athens, OH 457011316

    Phone: (740) 885-4064

    Fax: (740) 885-4027

    Type: Location

  • 90 JACKSON PIKE

    GALLIPOLIS, OH 456311560

    Phone: (740) 446-5201

    Fax: (740) 446-5761

    Type: Mailing

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: 2007-08-01

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
I20070801000512IEmergency MedicineOHTBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only450349$0
99285Emergency department visit with high level of medical decision making354312$0
99284Emergency department visit with moderate level of medical decision making6059$0
View full utilization report →

Insurance plans in this area (ZIP 45750)

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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: 5890606008View full group profile

Reviews

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Frequently asked questions

How do payers reference GREGORY J. MICKUNAS (M.D.)?
For GREGORY J. MICKUNAS (M.D.), use NPI 1225076458 as the unique 10-digit identifier.
Is GREGORY J. MICKUNAS (M.D.) still an active registrant?
GREGORY J. MICKUNAS (M.D.) carries an active NPI according to the public dataset.
What area of care is associated with GREGORY J. MICKUNAS (M.D.)?
GREGORY J. MICKUNAS (M.D.)'s record emphasizes Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with GREGORY J. MICKUNAS (M.D.)?
Directory geography for GREGORY J. MICKUNAS (M.D.) centers on Marietta, Ohio.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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