MR. KEVIN D WASKIN (P.A.C.) – Physician Assistant, NPI 1780687376

MR. KEVIN D WASKIN (P.A.C.) is a healthcare provider. based in Canfield, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.C.. They hold a License No. 50.002133 (OH). The NPI Number for MR. KEVIN D WASKIN (P.A.C.) is 1780687376

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
MR. KEVIN D WASKIN (P.A.C.)
NPI
1780687376
Phone
(330) 758-0577
Address
6470 TIPPECANOE RD
Enumeration Date
27 May 2005
Last Update Date
17 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3307580577
Graduation Year
1993 (33 years ago)
PAC ID
6204809429
Group Practice PAC ID
4587559562
Professional Enrollment ID
I20040817000063
Address ID
OH444067036CA6470XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:21State licenses:1Digital endpointsOther names

5,032 PHYSICIAN ASSISTANT in OH

Provider Addresses for MR. KEVIN D WASKIN (P.A.C.)

  • 6470 TIPPECANOE RD

    CANFIELD, OH 444067036

    Phone: (330) 758-0577

    Fax: (330) 758-0466

    Type: Mailing

  • 8591 CROSSROADS DRIVE

    YOUNGSTOWN, OH 44514

    Phone: (330) 758-0577

    Fax: (330) 758-0466

    Type: Mailing

  • Boardman Canfield Road, Boardman Plaza, Boardman, Mahoning County, Ohio, 44512, United States

    BOARDMAN, OH 445124008

    Phone: (330) 758-0577

    Fax: (330) 533-4587

    Type: Location

  • 1695 Niles Cortland Rd NE

    Warren, OH 444841165

    Phone: (330) 758-0577

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2023-05-03 • Largest payer in this snapshot: Nevro Corp. ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-03

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Nevro Corp.$19
View all Open Payments →|Open Payments Risk Radar →

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: 2004-08-17

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
I20040817000063IPhysician AssistantOHTBD

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
J7318Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg1,86020$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg1,814152$0
20610Aspiration and/or injection of fluid from large joint279177$0
99213Established patient office or other outpatient visit, 20-29 minutes251199$0
73562X-ray of knee, 3 views108107$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: 4587559562View full group profile
NameSpecialtyState
Physician AssistantOH
Orthopedic SurgeryOH
P O D I A T R YIL
Occupational Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH
Orthopedic SurgeryOH
Physician AssistantOH
Physician AssistantOH
P O D I A T R YOH

Reviews

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Frequently asked questions

Can I use this page to confirm MR. KEVIN D WASKIN (P.A.C.)'s NPI?
Yes. MR. KEVIN D WASKIN (P.A.C.) is listed with NPI 1780687376 in the public NPI dataset.
Does the file indicate MR. KEVIN D WASKIN (P.A.C.) is practicing under active NPI?
Directory data currently reports MR. KEVIN D WASKIN (P.A.C.) as active.
What healthcare role does MR. KEVIN D WASKIN (P.A.C.) hold?
Scheduling teams often label MR. KEVIN D WASKIN (P.A.C.) under Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for MR. KEVIN D WASKIN (P.A.C.)?
MR. KEVIN D WASKIN (P.A.C.)'s geographic hint is Canfield, Ohio in our summary view.
Why does MR. KEVIN D WASKIN (P.A.C.) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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