NICKOLAY PETER MARKOV (MD) – Plastic Surgery Physician, NPI 1598927824
Plastic Surgery Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
293 PLASTIC AND RECONSTRUCTIVE SURGERY in OH
Loading map...
Provider Addresses for NICKOLAY PETER MARKOV (MD)
1 PRESTIGE PL STE 550
MIAMISBURG, OH 453426115
Phone: (937) 762-1310
Fax: (937) 522-8493
Type: Mailing
Southern Boulevard, Kettering, Montgomery County, Ohio, 45439, United States
KETTERING, OH 454291226
Phone: (855) 500-2873
Fax: (937) 281-3992
Type: Location
3700 Southern Blvd Ste 201
Kettering, OH 454291226
Phone: (855) 500-2873
Fax: (937) 281-3992
Type: Location
88MDG/SGHJ
4881 SUGAR MAPLE DR.
WRIGHT PATTERSON AFB, OH 45433
Phone: (937) 257-6529
Type: Mailing
4881 SUGAR MAPLE DR
WPAFB, OH 454335529
Phone: (937) 255-9922
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $1,646.
Total Amount is formed as General ($1,646) + Research ($0) + Ownership ($0) = $1,646.
Last reported payment date: 2024-11-22 • Largest payer in this snapshot: AXOGEN ($1,434).
Total Amount
$1,646
General + Research + Ownership
Payments
14
Total payment records
General Amount
$1,646
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AXOGEN | $1,434 |
| Mentor Worldwide LLC | $190 |
| Boston Scientific Corporation | $22 |
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: 2020-01-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20190814001847 | I | General Surgery | IN | TBD |
| I20200108002656 | I | Plastic And Reconstructive Surgery | 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 45342)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Geriatric Medicine, Hematology/Oncology | IL | |
| Nurse Practitioner | OH | |
| Hematology/Oncology, Internal Medicine | OH | |
| Radiation Oncology | OH | |
| Nurse Practitioner | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Orthopedic Surgery | OH | |
| Pulmonary Disease, Critical Care (Intensivists), Sleep Medicine | OH | |
| Physician Assistant | OH | |
| Hospitalist, Emergency Medicine | OH |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.