ANGELA MARIE KOGUT (PAC) – Physician Assistant, NPI 1770657702
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,032 PHYSICIAN ASSISTANT in OH
Provider Addresses for ANGELA MARIE KOGUT (PAC)
3780 Medina Rd Ste 110
Medina, OH 442569312
Phone: (330) 208-2720
Fax: (330) 208-2721
Type: Location
3051 Graham Rd
Stow, OH 442243654
Phone: (330) 208-2720
Fax: (330) 208-2721
Type: Location
185 Wadsworth Rd
Rundle Building
Wadsworth, OH 442819585
Phone: (330) 208-2720
Fax: (330) 208-2721
Type: Location
1560 Corporate Woods Pkwy
Uniontown, OH 446858730
Phone: (330) 208-2720
Fax: (330) 208-2721
Type: Location
9150 Market Square Dr
Streetsboro, OH 442414571
Phone: (330) 208-2720
Fax: (330) 208-2721
Type: Location
Santa Rosa Drive, Kingman, Mohave County, Arizona, 86401, United States
KINGMAN, AZ 864012311
Phone: (928) 757-2101
Type: Mailing
South Smith Road, Fairlawn, Summit County, Ohio, 44333, United States
FAIRLAWN, OH 443339270
Phone: (330) 208-2720
Fax: (330) 208-2721
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $163.
Total Amount is formed as General ($163) + Research ($0) + Ownership ($0) = $163.
Last reported payment date: 2024-02-23 • Largest payer in this snapshot: Abbott Laboratories ($163).
Total Amount
$163
General + Research + Ownership
Payments
5
Total payment records
General Amount
$163
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $163 |
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: 2018-08-06
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 |
|---|---|---|---|---|
| I20180806000092 | I | Physician Assistant | AZ | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 509 | 207 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 168 | 112 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 33 | 30 | $0 |
Insurance plans in this area (ZIP 44256)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | MN | |
| - | AZ | |
| A N E S T H E S I O L O G Y | NE | |
| - | AZ | |
| Family Practice | AZ | |
| Interventional Radiology | AZ | |
| Hospice/Palliative Care | NV | |
| A N E S T H E S I O L O G Y | MI | |
| Nurse Practitioner | AZ | |
| Diagnostic Radiology | AZ |
Reviews
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