MR. JAMES CHARLES DEMIDOVICH (DO) – General Practice Physician, NPI 1750368825

MR. JAMES CHARLES DEMIDOVICH (DO) is a healthcare provider. based in Canfield, Ohio. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 34-00-3113D (OH). The NPI Number for MR. JAMES CHARLES DEMIDOVICH (DO) is 1750368825

Main info

Male
Sole Proprietor
47 Years Of Experience
Accepts Medicare Assignment
Name
MR. JAMES CHARLES DEMIDOVICH (DO)
NPI
1750368825
Phone
(330) 533-8490
Address
6674 TIPPECANOE RD STE 1
Enumeration Date
29 December 2005
Last Update Date
29 May 2019

Doctor Profile

Medical School Name
COLLEGE OF MEDICINE AND SURGERY
Secondary Phone
3305338490
Graduation Year
1979 (47 years ago)
PAC ID
5193707776
Group Practice PAC ID
9133101785
Professional Enrollment ID
I20101209000353
Address ID
OH444089785CO1899XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,431 FAMILY PRACTICE in OH

Provider Addresses for MR. JAMES CHARLES DEMIDOVICH (DO)

  • 6674 TIPPECANOE RD STE 1

    CANFIELD, OH 444069149

    Phone: (330) 533-8490

    Fax: (330) 533-8783

    Mailing address matches the actual address.

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: 2010-12-09

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101209000353IFamily PracticeOHTBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes1,054392$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes335334$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes195118$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes10893$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes8144$0
View full utilization report →

Insurance plans in this area (ZIP 44406)

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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: 9133101785View full group profile

Reviews

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Frequently asked questions

Is MR. JAMES CHARLES DEMIDOVICH (DO) listed with a National Provider Identifier?
Yes — MR. JAMES CHARLES DEMIDOVICH (DO) has NPI 1750368825 on file in the registry.
Is there an active status for MR. JAMES CHARLES DEMIDOVICH (DO)?
For scheduling context, MR. JAMES CHARLES DEMIDOVICH (DO) is shown as active in the registry.
What area of care is associated with MR. JAMES CHARLES DEMIDOVICH (DO)?
MR. JAMES CHARLES DEMIDOVICH (DO)'s record emphasizes General Practice Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with MR. JAMES CHARLES DEMIDOVICH (DO)?
Directory geography for MR. JAMES CHARLES DEMIDOVICH (DO) centers on Canfield, Ohio.
When was this NPI issued?
Enumeration for MR. JAMES CHARLES DEMIDOVICH (DO) is noted as December 29, 2005 where the registry provides it.

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