JOHN DAVID TALLEY (CAA) – Anesthesiologist Assistant, NPI 1568919926
Anesthesiologist Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
424 ANESTHESIOLOGY ASSISTANT in OH
Provider Addresses for JOHN DAVID TALLEY (CAA)
3000 ARLINGTON AVE STOP 1108
TOLEDO, OH 436142595
Phone: (419) 383-5322
Type: Mailing
4235 SECOR RD
TOLEDO, OH 436234299
Phone: (419) 473-3561
Type: Location
900, South Keene Road, Largo, Pinellas County, Florida, 33756, United States
CLEARWATER, FL 337564632
Phone: (813) 600-7509
Type: Mailing
Saint Vincent's Medical Center Riverside, 1, Shircliff Way, Riverside, Jacksonville, Duval County, Florida, 32204, United States
JACKSONVILLE, FL 322044748
Phone: (904) 308-7300
Type: Location
3000 Arlington Ave
Toledo, OH 436142595
Phone: (419) 383-3556
Type: Location
3330 Meijer Dr
Toledo, OH 436173103
Phone: (419) 578-2020
Type: Location
4510 DORR ST # MS 840
TOLEDO, OH 436154040
Phone: (419) 383-5334
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $18.
Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.
Last reported payment date: 2023-05-16 • Largest payer in this snapshot: Pharmacosmos Therapeutics Inc. ($18).
Total Amount
$18
General + Research + Ownership
Payments
1
Total payment records
General Amount
$18
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Pharmacosmos Therapeutics Inc. | $18 |
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: 2022-02-14
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 |
|---|---|---|---|---|
| I20220214000598 | I | Anesthesiology 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 |
|---|---|---|---|---|
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 16 | 16 | $0 |
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 14 | 14 | $0 |
Insurance plans in this area (ZIP 43614)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| Anesthesiology Assistant | OH | |
| A N E S T H E S I O L O G Y | MI | |
| Anesthesiology Assistant | IN | |
| A N E S T H E S I O L O G Y | OH | |
| A N E S T H E S I O L O G Y | PA | |
| A N E S T H E S I O L O G Y | OH | |
| Anesthesiology Assistant | OH | |
| Anesthesiology Assistant | DC | |
| A N E S T H E S I O L O G Y | OH |
Reviews
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