DR. MINI PETERSON PATHROSE (M.D.) – Family Medicine Physician, NPI 1538168844
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,431 FAMILY PRACTICE in OH
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Provider Addresses for DR. MINI PETERSON PATHROSE (M.D.)
903, Northwest Washington Boulevard, Hamilton, Butler County, Ohio, 45013, United States
STE. B
HAMILTON, OH 450136386
Phone: (513) 867-9000
Fax: (513) 785-3675
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 316 Open Payments records for all available years, with a total value of $4,550.
Total Amount is formed as General ($4,550) + Research ($0) + Ownership ($0) = $4,550.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($721).
Total Amount
$4,550
General + Research + Ownership
Payments
316
Total payment records
General Amount
$4,550
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $721 |
| ABBVIE INC. | $568 |
| Lilly USA, LLC | $441 |
| Astellas Pharma US Inc | $387 |
| GlaxoSmithKline, LLC. | $226 |
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: 2004-04-16
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 |
|---|---|---|---|---|
| I20040416000941 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 374 | 243 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 364 | 231 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 229 | 229 | $0 |
| G0008 | Administration of influenza virus vaccine | 80 | 79 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 72 | 72 | $0 |
Insurance plans in this area (ZIP 45013)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| Internal Medicine | OH | |
| - | OH | |
| Radiation Oncology | OH | |
| Geriatric Medicine, Family Practice, Internal Medicine | OH | |
| - | OH | |
| Internal Medicine | OH | |
| - | OH | |
| H O S P I T A L I S T | OH | |
| - | OH |
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