DOUGLAS J DEPROFIO (PA) – Surgical Physician Assistant, NPI 1871587071
Surgical Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
5,032 PHYSICIAN ASSISTANT in OH
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Provider Addresses for DOUGLAS J DEPROFIO (PA)
Frantz Road, Dublin, Franklin, Ohio, 43017, United States
STE 360
DUBLIN, OH 430164134
Phone: (614) 544-6155
Fax: (614) 544-6370
Type: Mailing
931, Chatham Lane, Cranbrook, Columbus, Sharon, Franklin, Ohio, 43221, United States
COLUMBUS, OH 432212417
Phone: (614) 533-5500
Fax: (614) 533-5593
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $126.
Total Amount is formed as General ($126) + Research ($0) + Ownership ($0) = $126.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Medtronic, Inc. ($126).
Total Amount
$126
General + Research + Ownership
Payments
3
Total payment records
General Amount
$126
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $126 |
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: 2010-05-05
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 |
|---|---|---|---|---|
| I20100505001076 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 22614 | Fusion of additional segment of spine | 213 | 45 | $0 |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | 85 | 45 | $0 |
| 63048 | Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment | 85 | 32 | $0 |
| 22842 | Placement of stabilizing device to back, 3-6 spine bone segments | 33 | 32 | $0 |
| 22633 | Fusion of spine in lower back with partial removal of spine bone and disc | 33 | 33 | $0 |
Insurance plans in this area (ZIP 43016)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | OH | 63048 | Partial removal of spine bone with release of spinal cord and/or nerves | 60 | 27 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Internal Medicine, Family Practice, Urology | OH | |
| Physician Assistant | OH | |
| - | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MN | |
| General Practice | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| Physician Assistant | OH |
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