PERRY D MOSTOV (DO) – Family Medicine Physician, NPI 1831152198
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,432 FAMILY PRACTICE in OH
Provider Addresses for PERRY D MOSTOV (DO)
6515 Pullman Dr
SUITE 2200
Lewis Center, OH 430357380
Phone: (614) 688-7150
Fax: (614) 688-7155
Type: Location
380 Winslow Way E
Bainbridge Island, WA 981102424
Phone: (206) 842-5631
Fax: (206) 842-5992
Type: Location
Virginia Mason Bainbridge Island Medical Center, 1344, Wintergreen Ln NE, Woodland Village, Bainbridge Island, Kitsap County, Washington, 98110, United States
BAINBRIDGE ISLAND, WA 981105118
Phone: (206) 842-5632
Fax: (206) 842-5992
Type: Mailing
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: 2017-06-13
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 |
|---|---|---|---|---|
| I20170613002573 | I | Family Practice | WA | 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 |
|---|---|---|---|---|
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 776 | 256 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 725 | 360 | $0 |
| 85610 | Blood test, clotting time | 506 | 79 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 482 | 331 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 260 | 260 | $0 |
Insurance plans in this area (ZIP 43035)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | OH | 90670 | Pneumococcal vaccine for injection into muscle | 28 | 28 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Critical Care (Intensivists) | WA | |
| Gastroenterology, Internal Medicine | WA | |
| - | WA | |
| - | WA | |
| D E R M A T O L O G Y | WA | |
| - | WA | |
| Internal Medicine | WA | |
| - | WA | |
| - | WA | |
| H O S P I T A L I S T | AK |
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