LORI A IVERSON (PA) – Internal Medicine Physician, NPI 1497895395

LORI A IVERSON (PA) is a healthcare provider. based in Canton, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 50-001381 (OH). The NPI Number for LORI A IVERSON (PA) is 1497895395

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
LORI A IVERSON (PA)
NPI
1497895395
Phone
(330) 493-4443
Address
4535 DRESSLER RD NW
Enumeration Date
8 February 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1999 (27 years ago)
PAC ID
9234183559
Group Practice PAC ID
1557266129
Professional Enrollment ID
I20050309000928
Address ID
OH452423755Bl4460XDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,032 PHYSICIAN ASSISTANT in OH

Provider Addresses for LORI A IVERSON (PA)

  • 4535 DRESSLER RD NW

    CANTON, OH 447182545

    Phone: (330) 493-4443

    Type: Mailing

  • 1492 E BROAD ST

    COLUMBUS, OH 432051546

    Phone: (330) 493-4443

    Type: Location

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: 2005-03-09

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050309000928IPhysician AssistantOHTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes195186$0
99204New patient office or other outpatient visit, 45-59 minutes8585$0
81002Urinalysis, manual test2624$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus1616$0
View full utilization report →

Insurance plans in this area (ZIP 44718)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557266129View full group profile
NameSpecialtyState
Physician AssistantOH
Pediatric Medicine, Pain ManagementOH
Nurse PractitionerOH
General PracticeOH
Emergency MedicineOH
Nurse PractitionerOH
Physician AssistantOH
Physician AssistantOH
Nurse PractitionerOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

Does LORI A IVERSON (PA) have a public NPI I can cite?
Public records show LORI A IVERSON (PA) under NPI 1497895395.
Is LORI A IVERSON (PA)'s NPI status active today?
Active status means LORI A IVERSON (PA)'s NPI record is not deactivated in the public file.
What services align with LORI A IVERSON (PA)'s listing?
LORI A IVERSON (PA)'s public classification highlights Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to LORI A IVERSON (PA)?
The directory associates LORI A IVERSON (PA) with Canton, Ohio. Check all listed addresses for suites or satellite offices.
Why is information missing for LORI A IVERSON (PA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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