DR. JOHN KENNETH LODGE (PSY.D.) – Psychologist, NPI 1639421449
Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,139 CLINICAL PSYCHOLOGIST in OH
Provider Addresses for DR. JOHN KENNETH LODGE (PSY.D.)
700 ACKERMAN RD STE 2120
COLUMBUS, OH 432021559
Phone: (614) 293-2920
Fax: (614) 293-5167
Type: Mailing
1800 ZOLLINGER RD
COLUMBUS, OH 432212849
Phone: (614) 293-2920
Fax: (614) 293-5167
Type: Location
3171 Beaver Vu Dr Ste B
Beavercreek, OH 454346368
Phone: (937) 431-8014
Fax: (937) 431-8042
Type: Location
3840 Woodley Rd
Suite A
Toledo, OH 43606
Phone: (419) 531-3500
Fax: (419) 531-1877
Type: Location
3171 BEAVER VU DR STE B
BEAVERCREEK, OH 454346368
Phone: (937) 431-8014
Fax: (937) 431-8042
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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: 2014-10-10
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 |
|---|---|---|---|---|
| I20141010001971 | I | Clinical Psychologist | 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 |
|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hour | 73 | 15 | $0 |
| 90791 | Psychiatric diagnostic evaluation | 17 | 17 | $0 |
Insurance plans in this area (ZIP 43202)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OH | |
| Physician Assistant | OH | |
| Family Practice | PA | |
| Internal Medicine | OH | |
| Nurse Practitioner | OH | |
| Internal Medicine | OH | |
| Nurse Practitioner | OH | |
| Pediatric Medicine, Internal Medicine | OH | |
| Physician Assistant | OH | |
| Internal Medicine | OH |
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