GLORIA CHAFFIN – Anesthesiologist Assistant, NPI 1336339035
Anesthesiologist Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
424 ANESTHESIOLOGY ASSISTANT in OH
Provider Addresses for GLORIA CHAFFIN
3330 Meijer Dr
Toledo, OH 436173103
Phone: (419) 578-2020
Type: Location
4235 Secor Rd
Toledo, OH 436234299
Phone: (419) 473-3561
Type: Location
4922 STARVILLE RD
CHINA, MI 480543021
Phone: (404) 210-5504
Type: Mailing
2540 Windy Hill Rd SE
Marietta, GA 300678605
Phone: (770) 794-0477
Fax: (770) 794-3108
Type: Location
531 Roselane St NW
Suite 830
Marietta, GA 300606913
Phone: (770) 794-0477
Type: Location
8954 Hospital Dr
Douglasville, GA 301342272
Phone: (770) 794-0477
Fax: (770) 794-3108
Type: Location
146 Bill Carruth Pkwy
Hiram, GA 301413749
Phone: (770) 794-0477
Fax: (770) 794-3108
Type: Location
135 S Prospect St
Ypsilanti, MI 481987914
Phone: (734) 547-4700
Type: Location
531, Roselane Street Northwest, Elizabeth, Marietta, Cobb, Georgia, 30060, United States
SUITE 830
MARIETTA, GA 300606913
Phone:
Type: Mailing
677, Church Street Northeast, Elizabeth, Marietta, Cobb, Georgia, 30060, United States
MARIETTA, GA 300601101
Phone: (770) 794-0477
Fax: (770) 794-3108
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $16.
Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.
Last reported payment date: 2023-01-16 • Largest payer in this snapshot: Ethicon US, LLC ($16).
Total Amount
$16
General + Research + Ownership
Payments
1
Total payment records
General Amount
$16
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-01-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ethicon US, LLC | $16 |
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: 2022-08-09
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 |
|---|---|---|---|---|
| I20190625003691 | I | Anesthesiology Assistant | OH | TBD |
| I20220809003512 | I | Anesthesiology Assistant | MI | 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 |
|---|---|---|---|---|
| 00142 | Anesthesia for lens surgery | 45 | 45 | $0 |
Insurance plans in this area (ZIP 43617)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Critical Care (Intensivists), Anesthesiology | MI | |
| A N E S T H E S I O L O G Y | MI | |
| A N E S T H E S I O L O G Y | OH | |
| A N E S T H E S I O L O G Y | MI | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| A N E S T H E S I O L O G Y | MI | |
| - | MI | |
| Anesthesiology, Pain Management | MI | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Anesthesiology, Pain Management | MI |
Reviews
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