MALLORY RADVANSKY (CFNP) – Family Nurse Practitioner, NPI 1376881607
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
Provider Addresses for MALLORY RADVANSKY (CFNP)
380 SUMMIT AVE
MSO PHYSICIAN BILLING
STEUBENVILLE, OH 439522667
Phone: (740) 283-7597
Fax: (740) 283-7190
Type: Mailing
1800 FRANKLIN ST
TORONTO, OH 439641949
Phone: (740) 537-3898
Fax: (740) 537-3956
Type: Location
425 W 5TH ST
EAST LIVERPOOL, OH 439202405
Phone: (330) 386-5279
Fax: (330) 386-5866
Type: Location
15655 State Route 170 Ste B
East Liverpool, OH 439209672
Phone: (330) 932-0909
Fax: (330) 932-0769
Type: Location
PO BOX 645409
PITTSBURGH, PA 152645252
Phone: (330) 386-6442
Fax: (330) 386-3660
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $57.
Total Amount is formed as General ($57) + Research ($0) + Ownership ($0) = $57.
Last reported payment date: 2023-05-24 • Largest payer in this snapshot: Organogenesis Inc. ($27).
Total Amount
$57
General + Research + Ownership
Payments
3
Total payment records
General Amount
$57
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organogenesis Inc. | $27 |
| Integra LifeSciences Corporation | $15 |
| Medline Industries LP | $15 |
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: 2022-07-18
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 |
|---|---|---|---|---|
| I20130312000336 | I | Nurse Practitioner | OH | TBD |
| I20220718003372 | I | Nurse Practitioner | WV | 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 | 96 | 20 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 45 | 12 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 44 | 43 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 16 | 15 | $0 |
Insurance plans in this area (ZIP 43952)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | CT | |
| - | OH | |
| - | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| Nurse Practitioner | WV | |
| A N E S T H E S I O L O G Y | MD | |
| A N E S T H E S I O L O G Y | PA | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| A N E S T H E S I O L O G Y | PA | |
| A N E S T H E S I O L O G Y | OH |
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