DR. JASON RAINE PICKETT (M.D.) – Emergency Medicine Physician, NPI 1679624043
Emergency Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
2,673 EMERGENCY MEDICINE in OH
Provider Addresses for DR. JASON RAINE PICKETT (M.D.)
1 Wyoming St
Dayton, OH 454092722
Phone: (937) 208-3356
Type: Location
2194 Booth Rd
Kenova, WV 255309544
Phone: (937) 825-0663
Type: Location
Miami Valley Hospital, 1, Wyoming Street, South Park Historic District, Dayton, Montgomery County, Ohio, 45409, United States
DAYTON, OH 454092722
Phone: (937) 208-3356
Type: Mailing
4201 ED BLUESTEIN BLVD
AUSTIN, TX 787212909
Phone: (512) 978-0000
Type: Mailing
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: 2024-05-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20070327000184 | I | Emergency Medicine | OH | TBD |
| I20171026000913 | I | Emergency Medicine | TX | TBD |
| I20240529002386 | I | Emergency Medicine | UT | 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 45409)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | UT | |
| - | UT | |
| Emergency Medicine | CO | |
| - | UT | |
| A N E S T H E S I O L O G Y | UT | |
| Physician Assistant | UT | |
| - | IL | |
| Plastic And Reconstructive Surgery | OH | |
| Physician Assistant | CA | |
| A N E S T H E S I O L O G Y | UT |
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