EVELYN R MOTE (M.D.) – Family Medicine Physician, NPI 1528049053
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,431 FAMILY PRACTICE in OH
Provider Addresses for EVELYN R MOTE (M.D.)
1250 National Rd
SUITE400
Clayton, OH 453159505
Phone: (937) 836-5165
Fax: (937) 836-6709
Type: Location
50 E Rivercenter Blvd Ste 434
Covington, KY 410111660
Phone: (833) 358-2278
Type: Location
5151 Pfeiffer Rd Ste 350
Blue Ash, OH 452424854
Phone: (833) 358-2036
Type: Location
National Road, Clayton, Montgomery County, Ohio, 45309, United States
SUITE400
CLAYTON, OH 453159505
Phone: (937) 836-5165
Fax: (937) 836-6709
Type: Mailing
Pfeiffer Road, Kenridge, Blue Ash, Hamilton County, Ohio, 45242, United States
BLUE ASH, OH 452424854
Phone: (833) 358-2036
Type: Location
PO BOX 639295 DEPT 93394
CINCINNATI, OH 452639295
Phone: (937) 293-2133
Fax: (855) 252-2435
Type: Mailing
3033 KETTERING BLVD STE 100
MORAINE, OH 454391948
Phone: (937) 293-2133
Fax: (855) 252-2435
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: 2005-10-11
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 |
|---|---|---|---|---|
| I20051011000249 | I | Family Practice | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 45315)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| - | MI | |
| - | OH | |
| - | WI | |
| Nurse Practitioner | KY | |
| Internal Medicine | MI | |
| Internal Medicine | MI | |
| Internal Medicine | WI | |
| - | VA | |
| - | MI |
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