DAMIAN IVAN LEBAMOFF (MD) – Surgery Physician, NPI 1831163518

DAMIAN IVAN LEBAMOFF (MD) is a healthcare provider. based in Miamisburg, Ohio. specializing in GENERAL SURGERY, VASCULAR SURGERY. They hold the professional credentials MD. They hold a License No. 35070091 (OH). The NPI Number for DAMIAN IVAN LEBAMOFF (MD) is 1831163518

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
DAMIAN IVAN LEBAMOFF (MD)
NPI
1831163518
Phone
(937) 762-1310
Address
1 PRESTIGE PL STE 550
Enumeration Date
17 February 2006
Last Update Date
6 May 2021

Doctor Profile

Medical School Name
WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Secondary Phone
9372987751
Graduation Year
1992 (34 years ago)
PAC ID
2062448632
Group Practice PAC ID
3173710936
Professional Enrollment ID
I20100202000220
Address ID
OH454292405KE4441XAVEX400

Contacts

Secure Messaging
dlebamoff178334@direct.ketteringhealth.org
FHIR Endpoint
https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,600 GENERAL SURGERY in OH

Provider Addresses for DAMIAN IVAN LEBAMOFF (MD)

  • 1 PRESTIGE PL STE 550

    MIAMISBURG, OH 453426115

    Phone: (937) 762-1310

    Fax: (937) 522-8068

    Type: Mailing

  • 3737 SOUTHERN BLVD STE 2000

    DAYTON, OH 454291285

    Phone: (937) 228-4126

    Fax: (937) 228-0247

    Type: Location

  • 1, Elizabeth Place, Edgemont, Dayton, Montgomery County, Ohio, 45417, United States

    SUITE 10 A

    DAYTON, OH 45408

    Phone: (937) 228-4126

    Fax: (937) 228-0247

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $98.

Total Amount is formed as General ($98) + Research ($0) + Ownership ($0) = $98.

Last reported payment date: 2024-09-23 • Largest payer in this snapshot: Baxter Healthcare ($51).

Total Amount

$98

General + Research + Ownership

Payments

5

Total payment records

General Amount

$98

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-23

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2010-02-02

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
I20100202000220IGeneral SurgeryOHTBD

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
99203New patient office or other outpatient visit, 30-44 minutes8181$0
99213Established patient office or other outpatient visit, 20-29 minutes5637$0
22558Fusion of lower spine bone through abdomen with partial removal of disc2525$0
15777Implantation of biologic implant to soft tissue1616$0
22585Fusion of spine bones through front of body with partial removal of disc, each additional disc1613$0
View full utilization report →

Insurance plans in this area (ZIP 45342)

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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: 3173710936View full group profile
NameSpecialtyState
Geriatric Medicine, Hematology/OncologyIL
Nurse PractitionerOH
Hematology/Oncology, Internal MedicineOH
Radiation OncologyOH
Nurse PractitionerOH
O B S T E T R I C S/ G Y N E C O L O G YOH
Orthopedic SurgeryOH
Pulmonary Disease, Critical Care (Intensivists), Sleep MedicineOH
Physician AssistantOH
Hospitalist, Emergency MedicineOH

Reviews

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Frequently asked questions

What is DAMIAN IVAN LEBAMOFF (MD)'s NPI number?
DAMIAN IVAN LEBAMOFF (MD)'s NPI is 1831163518 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to DAMIAN IVAN LEBAMOFF (MD)?
You should see DAMIAN IVAN LEBAMOFF (MD) as active in CMS-hosted NPPES data.
What expertise is attributed to DAMIAN IVAN LEBAMOFF (MD)?
DAMIAN IVAN LEBAMOFF (MD)'s specialty line reads Surgery Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DAMIAN IVAN LEBAMOFF (MD)?
Directory geography for DAMIAN IVAN LEBAMOFF (MD) centers on Miamisburg, Ohio.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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