MAUREEN MANTIN (PA) – Physician Assistant, NPI 1730133687
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,032 PHYSICIAN ASSISTANT in OH
Provider Addresses for MAUREEN MANTIN (PA)
8214 GLENMORE DR
POWELL, OH 430658334
Phone:
Type: Mailing
332 CONGRESS PARK DR
DAYTON, OH 454594133
Phone: (937) 312-3627
Type: Location
460 POLARIS PKWY STE 200
WESTERVILLE, OH 430828213
Phone: (614) 865-3125
Fax: (614) 273-0520
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $69.
Total Amount is formed as General ($69) + Research ($0) + Ownership ($0) = $69.
Last reported payment date: 2023-08-16 • Largest payer in this snapshot: Inari Medical, Inc. ($69).
Total Amount
$69
General + Research + Ownership
Payments
2
Total payment records
General Amount
$69
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Inari Medical, Inc. | $69 |
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: 2005-09-07
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 |
|---|---|---|---|---|
| I20050907000654 | I | Physician Assistant | 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 43065)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pediatric Medicine, Internal Medicine | OH | |
| Endocrinology, Internal Medicine | OH | |
| - | OH | |
| Internal Medicine | OH | |
| Internal Medicine | OH | |
| Family Practice | OH | |
| Internal Medicine | OH | |
| Family Practice | OH | |
| Internal Medicine | OH | |
| Family Practice | OH |
Reviews
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