PETER D FRAGATOS (M.D.) – Neurological Surgery Physician, NPI 1780685164

PETER D FRAGATOS (M.D.) is a healthcare provider. based in Youngstown, Ohio. specializing in NEUROLOGY, INTERVENTIONAL PAIN MANAGEMENT. They hold the professional credentials M.D.. They hold a License No. 35083165 (OH). The NPI Number for PETER D FRAGATOS (M.D.) is 1780685164

Main info

Male
Sole Proprietor
61 Years Of Experience
Accepts Medicare Assignment
Name
PETER D FRAGATOS (M.D.)
NPI
1780685164
Phone
(330) 965-1847
Address
950 WINDHAM CT
Enumeration Date
9 August 2005
Last Update Date
25 April 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
93729123004159
Graduation Year
1965 (61 years ago)
PAC ID
4688577588
Group Practice PAC ID
2466806864
Professional Enrollment ID
I20040128001187
Address ID
OH454292225DA5563XAVEX400
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

1,301 NEUROLOGY in OH

Provider Addresses for PETER D FRAGATOS (M.D.)

  • 950 WINDHAM CT

    SUITE 1

    YOUNGSTOWN, OH 445125083

    Phone: (330) 965-1847

    Fax: (330) 965-1857

    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: 2004-01-28

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
I20040128001187INeurologyOHTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44512)

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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: 2466806864View full group profile
NameSpecialtyState
Nurse PractitionerOH
Internal MedicineMI
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

What is the 10-digit NPI for PETER D FRAGATOS (M.D.)?
PETER D FRAGATOS (M.D.) — NPI 1780685164 — is the standard way to identify this listing.
Is PETER D FRAGATOS (M.D.) listed as active for patients and plans?
The listing shows PETER D FRAGATOS (M.D.) as active in the NPI system.
What is PETER D FRAGATOS (M.D.)'s primary classification?
Neurological Surgery Physician is the headline specialty for PETER D FRAGATOS (M.D.) here. Clinical services aligned with this taxonomy classification.
Does PETER D FRAGATOS (M.D.) list a practice location?
Patients near Youngstown, Ohio may find PETER D FRAGATOS (M.D.) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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