DR. ANTHONY DEAN AGRA (M.D.) – Addiction Medicine (Internal Medicine) Physician, NPI 1649279373
Addiction Medicine (Internal Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,199 INTERNAL MEDICINE in OH
Provider Addresses for DR. ANTHONY DEAN AGRA (M.D.)
745 W State St
Suite 520
Columbus, OH 432221515
Phone: (614) 224-4200
Fax: (614) 224-4207
Type: Location
547 E 11th Ave
Columbus, OH 432112603
Phone: (614) 224-4506
Fax: (614) 291-0118
Type: Location
547, East Eleventh Avenue, Columbus, Franklin, Ohio, 43211, United States
COLUMBUS, OH 432112603
Phone: (614) 224-4506
Fax: (614) 291-0118
Type: Mailing
PO BOX 7527
DUBLIN, OH 430170727
Phone: (614) 788-5400
Fax: (614) 788-5500
Type: Mailing
290 E TOWN ST
COLUMBUS, OH 432154602
Phone: (614) 788-5400
Fax: (614) 788-5500
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $88.
Total Amount is formed as General ($88) + Research ($0) + Ownership ($0) = $88.
Last reported payment date: 2024-11-22 • Largest payer in this snapshot: Indivior Inc. ($57).
Total Amount
$88
General + Research + Ownership
Payments
3
Total payment records
General Amount
$88
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 |
|---|---|
| Indivior Inc. | $57 |
| Virtual Incision Corporation | $31 |
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: 2020-04-28
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 |
|---|---|---|---|---|
| I20200428001770 | I | Internal Medicine | 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 43222)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NEPHROLOGY | OH | 90966 | Home dialysis services per month, patient 20 years of age or older | 43 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Internal Medicine, Family Practice, Urology | OH | |
| Physician Assistant | OH | |
| - | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MN | |
| General Practice | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| Physician Assistant | OH |
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