COREY MEADOR (MD) – Family Medicine Physician, NPI 1619401874
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,673 EMERGENCY MEDICINE in OH
Provider Addresses for COREY MEADOR (MD)
3569 Ridge Rd
Cleveland, OH 441025443
Phone: (216) 281-0872
Type: Location
9228 Medical Plaza Dr
Charleston, SC 294069125
Phone: (843) 876-7080
Type: Location
5359, Golfway Lane, Lyndhurst, Cuyahoga County, Ohio, 44124, United States
LYNDHURST, OH 441243751
Phone: (216) 978-3502
Type: Mailing
9228, Medical Plaza Drive, North Charleston, Charleston County, South Carolina, 29406, United States
CHARLESTON, SC 294069125
Phone: (843) 876-7080
Type: Location
3569 RIDGE RD
CLEVELAND, OH 441025443
Phone: (216) 978-3502
Type: Mailing
35 MEDICAL CENTER PKWY
AUGUSTA, ME 043308160
Phone: (207) 248-5000
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: 2024-08-19
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 |
|---|---|---|---|---|
| I20211018002092 | I | Family Practice | OH | TBD |
| I20240819002698 | I | Emergency Medicine | ME | 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 44102)
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Group practice members
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