MR. WILLIAM INGRAM (PA-C) – Physician Assistant, NPI 1366415283
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
5,032 PHYSICIAN ASSISTANT in OH
Provider Addresses for MR. WILLIAM INGRAM (PA-C)
4881 SUGAR MAPLE DR
WPAFB, OH 454335529
Phone: (937) 257-0770
Type: Location
1130 S MAIN ST
ENGLEWOOD, OH 453222819
Phone: (937) 208-6879
Fax: (937) 208-6886
Type: Location
4881 Sugar Maple Dr
Wpafb, OH 454335529
Phone: (937) 257-0770
Type: Location
9776, Olde Georgetown Way, Yankee Trace, Centerville, Washington Township, Montgomery County, Ohio, 45458, United States
CENTERVILLE, OH 454586103
Phone: (937) 938-8187
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: 2022-09-30
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 |
|---|---|---|---|---|
| I20110510000924 | I | Physician Assistant | OH | TBD |
| I20220930001419 | I | Physician Assistant | IN | 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 | 94 | 90 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 89 | 86 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 76 | 70 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 71 | 71 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 60 | 59 | $0 |
Insurance plans in this area (ZIP 45433)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Physician Assistant | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | NY | |
| Nurse Practitioner | OH | |
| - | OH | |
| Nurse Practitioner | OH |
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