REGINA M DORMAN (M.D.) – Family Medicine Physician, NPI 1699765404
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,431 FAMILY PRACTICE in OH
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Provider Addresses for REGINA M DORMAN (M.D.)
3515 MASSILLON RD
SUITE 300
UNIONTOWN, OH 446856400
Phone: (330) 899-9350
Fax: (330) 634-1329
Type: Mailing
Community Rd., Tallmadge Town Square Historic District, Tallmadge, Summit County, Ohio, 44278, United States
SUITE C
TALLMADGE, OH 442782357
Phone: (330) 633-6601
Fax: (330) 630-2941
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 57 Open Payments records for all available years, with a total value of $822.
Total Amount is formed as General ($822) + Research ($0) + Ownership ($0) = $822.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($323).
Total Amount
$822
General + Research + Ownership
Payments
57
Total payment records
General Amount
$822
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2006-01-09
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 |
|---|---|---|---|---|
| I20060109000669 | I | Family Practice | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 258 | 143 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 198 | 107 | $0 |
| 81003 | Automated urinalysis test | 121 | 97 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 111 | 81 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 111 | 111 | $0 |
Insurance plans in this area (ZIP 44685)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | OH | 81002 | Urinalysis, manual test | 70 | 50 |
Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | OH | |
| Family Practice | OH | |
| Family Practice, Osteopathic Manipulative Medicine | OH | |
| Nurse Practitioner | OH | |
| Family Practice | OH | |
| Physician Assistant | OH | |
| Internal Medicine, Pediatric Medicine | OH | |
| Internal Medicine | OH | |
| - | OH | |
| Internal Medicine | OH |
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