CHRISTOPHER GANTT (PA-C) – Physician Assistant, NPI 1578000220
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,032 PHYSICIAN ASSISTANT in OH
Provider Addresses for CHRISTOPHER GANTT (PA-C)
723 PHILLIPS AVE STE A
TOLEDO, OH 436121351
Phone: (419) 476-2124
Fax: (419) 476-3882
Type: Location
2600 Navarre Ave
Oregon, OH 436163207
Phone: (419) 696-7200
Type: Location
723 Phillips Ave Ste A
Toledo, OH 436121351
Phone: (419) 476-2124
Fax: (419) 476-3882
Type: Location
Jefferson Avenue, Downtown, Toledo, Lucas County, Ohio, 43659, United States
TOLEDO, OH 436047102
Phone:
Type: Mailing
10452 HAZELTON ETNA RD SW
ETNA, OH 430623400
Phone: (866) 639-3659
Fax: (414) 622-3903
Type: Mailing
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: 2018-01-16
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 |
|---|---|---|---|---|
| I20180116002726 | I | Physician 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 43612)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| - | NC | |
| Nurse Practitioner | OH | |
| General Practice | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | IL | |
| Emergency Medicine | OH | |
| Family Practice | OH | |
| - | OH | |
| Physician Assistant | OH |
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