MR. CLAUDE THEODORE III BEITLER (PAC) – Physician Assistant, NPI 1790173789
Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
5,036 PHYSICIAN ASSISTANT in OH
Provider Addresses for MR. CLAUDE THEODORE III BEITLER (PAC)
885 N SANDUSKY AVE
UPPER SANDUSKY, OH 433511031
Phone: (419) 294-4991
Fax: (419) 294-2233
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)
CMS reports 12 Open Payments records for all available years, with a total value of $188.
Total Amount is formed as General ($188) + Research ($0) + Ownership ($0) = $188.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($30).
Total Amount
$188
General + Research + Ownership
Payments
12
Total payment records
General Amount
$188
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2015-03-12
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 |
|---|---|---|---|---|
| I20150312001977 | I | Physician Assistant | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 43351)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Infectious Disease | OH | |
| Nurse Practitioner | OH | |
| Physician Assistant | OH | |
| O T O L A R Y N G O L O G Y | OH | |
| Internal Medicine | MI | |
| Physician Assistant | OH | |
| Hand Surgery, Orthopedic Surgery | OH | |
| Hematology, Internal Medicine, Hematology/Oncology | OH | |
| Pulmonary Disease, Critical Care (Intensivists), Sleep Medicine, Internal Medicine | OH | |
| G A S T R O E N T E R O L O G Y | OH |
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