MR. MARK WALTER THIEMANN (P.A.C.) – Surgical Physician Assistant, NPI 1386634046
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,032 PHYSICIAN ASSISTANT in OH
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Provider Addresses for MR. MARK WALTER THIEMANN (P.A.C.)
2454, Kipling Avenue, Fox Acres, Cincinnati, Hamilton County, Ohio, 45239, United States
STE 120
CINCINNATI, OH 452396600
Phone: (513) 981-6784
Fax: (513) 853-4095
Type: Mailing
3301 MERCY HEALTH BLVD STE 450
CINCINNATI, OH 452111106
Phone: (513) 347-9999
Fax: (513) 215-9397
Type: Mailing
2454 Kipling Avenue
Ste 120
Cincinnati, OH 452396600
Phone: (513) 981-6784
Fax: (513) 853-4095
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $1,787.
Total Amount is formed as General ($1,787) + Research ($0) + Ownership ($0) = $1,787.
Last reported payment date: 2024-08-26 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($1,616).
Total Amount
$1,787
General + Research + Ownership
Payments
10
Total payment records
General Amount
$1,787
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| DePuy Synthes Sales Inc. | $1,616 |
| Stryker Corporation | $49 |
| Medical Device Business Services, Inc. | $49 |
| Ferring Pharmaceuticals Inc. | $33 |
| Curonix LLC | $20 |
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: 2007-10-08
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 |
|---|---|---|---|---|
| I20071008000426 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| J7318 | Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg | 2,160 | 27 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1,171 | 150 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 321 | 169 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 318 | 209 | $0 |
| 73564 | X-ray of knee, 4 or more views | 84 | 63 | $0 |
Insurance plans in this area (ZIP 45239)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | OH | 20610 | Aspiration and/or injection of large joint or joint capsule | 222 | 121 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease, Critical Care (Intensivists), Internal Medicine | OH | |
| Infectious Disease | OH | |
| P S Y C H I A T R Y | OH | |
| N E U R O L O G Y | OH | |
| General Surgery | OH | |
| Orthopedic Surgery, Sports Medicine | OH | |
| Surgical Oncology | OH | |
| Vascular Surgery | OH | |
| Thoracic Surgery | CA | |
| General Surgery | OH |
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