MEGHANN ELIZABETH NELLES-DALSTROM (MD) – Vascular Surgery Physician, NPI 1730206558
Vascular Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
303 VASCULAR SURGERY in OH
Provider Addresses for MEGHANN ELIZABETH NELLES-DALSTROM (MD)
424 LEWISTON RD
KETTERING, OH 454292618
Phone: (611) 442-5075
Type: Mailing
1 WYOMING ST
DAYTON, OH 454092722
Phone: (937) 208-8000
Type: Location
1 Wyoming St
Dayton, OH 454092722
Phone: (937) 208-8000
Type: Location
4011 TALBOT RD S STE 430
RENTON, WA 980555791
Phone: (425) 690-3498
Fax: (425) 690-9498
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $578.
Total Amount is formed as General ($578) + Research ($0) + Ownership ($0) = $578.
Last reported payment date: 2024-11-05 • Largest payer in this snapshot: Stryker Corporation ($181).
Total Amount
$578
General + Research + Ownership
Payments
17
Total payment records
General Amount
$578
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $181 |
| Inari Medical, Inc. | $102 |
| LeMaitre Vascular, Inc. | $82 |
| Medtronic, Inc. | $70 |
| Janssen Pharmaceuticals, Inc | $40 |
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: 2024-05-24
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20240524002656 | I | Vascular Surgery | WA | 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 45429)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | WA | |
| Internal Medicine, Hospitalist | WA | |
| P S Y C H I A T R Y | WA | |
| Internal Medicine, Hospice/Palliative Care | WA | |
| Hospitalist, Internal Medicine | CA | |
| Family Practice | WA | |
| Family Practice, Emergency Medicine | WA | |
| - | WA | |
| - | WA | |
| Physician Assistant | WA |
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