WILLIAM J LEWIS (PAC) – Physician Assistant, NPI 1699715722

WILLIAM J LEWIS (PAC) is a healthcare provider. based in Kettering, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. OH500020000 (OH). The NPI Number for WILLIAM J LEWIS (PAC) is 1699715722

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM J LEWIS (PAC)
NPI
1699715722
Phone
(800) 875-0136
Address
4750 HEMPSTEAD STATION DR
Enumeration Date
7 June 2006
Last Update Date
1 November 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7403939111
Graduation Year
2008 (18 years ago)
PAC ID
6204884828
Group Practice PAC ID
1153301833
Professional Enrollment ID
I20050110000905
Address ID
OH430506099MO1490XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

5,032 PHYSICIAN ASSISTANT in OH

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Provider Addresses for WILLIAM J LEWIS (PAC)

  • 4750, Hempstead Station Drive, Kettering, Montgomery County, Ohio, 45429, United States

    KETTERING, OH 454295164

    Phone: (800) 875-0136

    Fax: (937) 619-4366

    Type: Mailing

  • Avita Galion Hospital, 269, Portland Way South, Galion, Crawford County, Ohio, 44833, United States

    GALION, OH 448332312

    Phone: (419) 468-4841

    Fax: (419) 462-0500

    Type: Location

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: 2005-01-10

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050110000905IPhysician AssistantOHTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes162149$0
99203New patient office or other outpatient visit, 30-44 minutes2929$0
View full utilization report →

Insurance plans in this area (ZIP 45429)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153301833View full group profile
NameSpecialtyState
-OH
P O D I A T R YOH
Nurse PractitionerOH
Nurse PractitionerOH
Certified Registered Nurse Anesthetist (Crna)OH
Family PracticeOH
Family Practice, Obstetrics/GynecologyOH
-OH
-OH
Certified Nurse Midwife (Cnm)OH

Reviews

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Frequently asked questions

Does WILLIAM J LEWIS (PAC) have a public NPI I can cite?
Public records show WILLIAM J LEWIS (PAC) under NPI 1699715722.
Quick check: is WILLIAM J LEWIS (PAC) active?
Public NPPES data shows WILLIAM J LEWIS (PAC) with an active NPI status right now.
What does the directory say WILLIAM J LEWIS (PAC) does?
Insurance directories may phrase it differently, but here WILLIAM J LEWIS (PAC) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to WILLIAM J LEWIS (PAC)?
WILLIAM J LEWIS (PAC) shows a connection to Kettering, Ohio in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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