ARCHIE D ENOCH (MD) – Family Medicine Physician, NPI 1780683755
Family Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
4,431 FAMILY PRACTICE in OH
Provider Addresses for ARCHIE D ENOCH (MD)
77 E WOODBURY DR
SUITE 110
DAYTON, OH 454152855
Phone: (937) 277-1722
Fax: (937) 277-8618
Type: Location
77 E Woodbury Dr
Suite 110
Dayton, OH 454152855
Phone: (937) 277-1722
Fax: (937) 277-8618
Type: Location
4172, Indian Ripple Road, Beavercreek, Greene County, Ohio, 45440, United States
BEAVERCREEK, OH 454403286
Phone: (937) 431-3779
Fax: (937) 431-3776
Type: Mailing
4172 INDIAN RIPPLE RD STE A
BEAVERCREEK, OH 454403286
Phone: (937) 431-3779
Fax: (937) 431-3776
Type: Location
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: 2013-02-25
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 |
|---|---|---|---|---|
| I20130225000346 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 87 | 56 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 67 | 40 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 54 | 54 | $0 |
| 83036 | Hemoglobin a1c level | 33 | 19 | $0 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 23 | 20 | $0 |
Insurance plans in this area (ZIP 45415)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| - | OH | |
| - | OH | |
| - | OH | |
| - | OH | |
| Internal Medicine | OH | |
| - | OH | |
| - | OH | |
| - | OH | |
| - | OH |
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