DR. PHILLIP MICHAEL PORCELLI (D.O.) – Neurological Surgery Physician, NPI 1629287677
Neurological Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
342 NEUROSURGERY in OH
Provider Addresses for DR. PHILLIP MICHAEL PORCELLI (D.O.)
3533 Southern Blvd
Suite 5350
Kettering, OH 454291264
Phone: (937) 643-9299
Fax: (937) 643-2343
Type: Location
1 PRESTIGE PL STE 550
MIAMISBURG, OH 453426115
Phone: (937) 752-2305
Fax: (937) 522-7513
Type: Mailing
3700 SOUTHERN BLVD STE 300
KETTERING, OH 454291265
Phone: (937) 643-9299
Type: Location
1, Prestige Plaza Drive, South Dayton, Miamisburg, Montgomery County, Ohio, 45342, United States
SUITE 550
MIAMISBURG, OH 453423794
Phone: (937) 752-2305
Fax: (937) 522-7513
Type: Mailing
3533, Southern Boulevard, South Dale, Kettering, Montgomery County, Ohio, 45429, United States
SUITE 5350
KETTERING, OH 454291264
Phone: (937) 643-9299
Fax: (937) 643-2343
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $581.
Total Amount is formed as General ($581) + Research ($0) + Ownership ($0) = $581.
Last reported payment date: 2024-05-03 • Largest payer in this snapshot: Abbott Laboratories ($451).
Total Amount
$581
General + Research + Ownership
Payments
5
Total payment records
General Amount
$581
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $451 |
| Spine Wave, Inc. | $76 |
| Globus Medical, Inc. | $54 |
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: 2018-04-04
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 |
|---|---|---|---|---|
| I20110809000774 | I | Neurosurgery | OH | TBD |
| I20180404000781 | I | Neurosurgery | AR | 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 45429)
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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 |
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