DR. JOSEPH WILLIAM MCCOLLOM (DO) – Hospice and Palliative Medicine (Internal Medicine) Physician, NPI 1467717520
Hospice and Palliative Medicine (Internal Medicine) Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
221 HOSPICE/PALLIATIVE CARE in OH
Provider Addresses for DR. JOSEPH WILLIAM MCCOLLOM (DO)
1 Wyoming St
Dayton, OH 45409
Phone: (937) 208-2124
Type: Location
3702 NEW VISION DR BLDG B
FORT WAYNE, IN 468451703
Phone:
Type: Mailing
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 468451701
Phone:
Type: Mailing
11050 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Phone: (833) 724-8326
Fax: (260) 266-7585
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $808.
Total Amount is formed as General ($808) + Research ($0) + Ownership ($0) = $808.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: HISTOSONICS, INC. ($317).
Total Amount
$808
General + Research + Ownership
Payments
19
Total payment records
General Amount
$808
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| HISTOSONICS, INC. | $317 |
| Seagen Inc. | $170 |
| Janssen Biotech, Inc. | $67 |
| PFIZER INC. | $46 |
| Janssen Scientific Affairs, LLC | $35 |
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: 2019-07-25
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 |
|---|---|---|---|---|
| I20190725000651 | I | Hospice/Palliative Care | 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 |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 307 | 139 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 79 | 65 | $0 |
| 96127 | Assessment of emotional or behavioral problems | 78 | 19 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 36 | 36 | $0 |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or | 19 | 11 | $0 |
Insurance plans in this area (ZIP 45409)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| Nurse Practitioner | NM | |
| - | IN | |
| Nurse Practitioner | IN | |
| Family Practice | IN | |
| - | IN | |
| - | IN | |
| Infectious Disease | IN | |
| Internal Medicine | IN | |
| - | IN |
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