THEODORE DOUGLAS CHROBAK (DO) – Family Medicine Physician, NPI 1245218478
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,431 FAMILY PRACTICE in OH
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Provider Addresses for THEODORE DOUGLAS CHROBAK (DO)
332, West 6th Street, Diamond Historic District, Jethro, East Liverpool, Columbiana County, Ohio, 43920, United States
EAST LIVERPOOL, OH 439202812
Phone: (330) 386-6339
Fax: (330) 386-1224
Type: Location
PO BOX 856
EAST LIVERPOOL, OH 439205856
Phone: (330) 386-6339
Fax: (330) 386-1224
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $446.
Total Amount is formed as General ($446) + Research ($0) + Ownership ($0) = $446.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($98).
Total Amount
$446
General + Research + Ownership
Payments
25
Total payment records
General Amount
$446
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
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: 2010-06-26
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 |
|---|---|---|---|---|
| I20100626000161 | 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 | 510 | 109 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 103 | 36 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 64 | 36 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 27 | 14 | $0 |
| 87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 14 | 14 | $0 |
Insurance plans in this area (ZIP 43920)
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