TAYLOR MATTIOLI (PA-C) – Physician Assistant, NPI 1689146367
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,032 PHYSICIAN ASSISTANT in OH
Provider Addresses for TAYLOR MATTIOLI (PA-C)
4760 BELPAR ST NW
CANTON, OH 447183603
Phone: (330) 492-9200
Type: Location
9850 GENESEE AVE STE 320
LA JOLLA, CA 920371208
Phone: (858) 554-1212
Fax: (858) 795-1195
Type: Mailing
6055, Spangler Drive, New Franklin, Summit County, Ohio, 44216, United States
NEW FRANKLIN, OH 442168948
Phone: (330) 472-8709
Type: Mailing
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 $111.
Total Amount is formed as General ($111) + Research ($0) + Ownership ($0) = $111.
Last reported payment date: 2024-09-11 • Largest payer in this snapshot: Gilead Sciences, Inc. ($25).
Total Amount
$111
General + Research + Ownership
Payments
5
Total payment records
General Amount
$111
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Gilead Sciences, Inc. | $25 |
| Novo Nordisk Inc | $25 |
| SANOFI-AVENTIS U.S. LLC | $24 |
| PFIZER INC. | $20 |
| EMD Serono, Inc. | $17 |
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: 2021-12-08
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 |
|---|---|---|---|---|
| I20211208003524 | I | Physician Assistant | CA | 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 44718)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CA | |
| Family Practice | CA | |
| General Practice | CA | |
| - | CA | |
| - | CA | |
| - | CA | |
| Preventive Medicine | CA | |
| - | CA | |
| Family Practice | CA | |
| Family Practice | CA |
Reviews
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