TEDMUND R MASON (PAC) – Physician Assistant, NPI 1912158577
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,036 PHYSICIAN ASSISTANT in OH
Provider Addresses for TEDMUND R MASON (PAC)
6470 TIPPECANOE RD
CANFIELD, OH 444067036
Phone: (330) 758-0577
Fax: (330) 758-0466
Type: Mailing
1695 Niles Cortland Rd NE
Warren, OH 444841165
Phone: (330) 758-0577
Type: Location
8591 CROSSROAD DR
YOUNGSTOWN, OH 445144382
Phone: (330) 758-0577
Fax: (330) 758-0466
Type: Mailing
1499 BOARDMAN CANFIELD RD
BOARDMAN, OH 445124008
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 3 Open Payments records for all available years, with a total value of $52.
Total Amount is formed as General ($52) + Research ($0) + Ownership ($0) = $52.
Last reported payment date: 2023-09-06 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($20).
Total Amount
$52
General + Research + Ownership
Payments
3
Total payment records
General Amount
$52
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | $20 |
| Nevro Corp. | $19 |
| Novo Nordisk Inc | $13 |
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: 2009-02-19
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 |
|---|---|---|---|---|
| I20090219000126 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 99 | 94 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 24 | 18 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 22 | 22 | $0 |
| 81003 | Automated urinalysis test | 17 | 17 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 44406)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OH | |
| Nurse Practitioner | OH | |
| Physician Assistant | PA | |
| Physician Assistant | OH | |
| Physician Assistant | OH | |
| Physician Assistant | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Emergency Medicine, Family Practice | OH |
Reviews
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