DR. JOSHUA ALAN PAULICK (M.D.) – Surgery Physician, NPI 1942499611
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,600 GENERAL SURGERY in OH
Provider Addresses for DR. JOSHUA ALAN PAULICK (M.D.)
3932, Leonora Drive, Kettering, Montgomery County, Ohio, 45420, United States
KETTERING, OH 454201239
Phone: (937) 776-2256
Type: Mailing
100 CLARK CT
CAMBRIDGE, OH 437259395
Phone: (937) 776-2256
Type: Location
100 Clark Ct
Cambridge, OH 437259395
Phone: (937) 776-2256
Type: Location
1 PRESTIGE PL STE 550
MIAMISBURG, OH 453426115
Phone: (937) 762-1306
Fax: (937) 522-7017
Type: Mailing
1380 NW WASHINGTON BLVD
HAMILTON, OH 450131208
Phone: (513) 737-3690
Fax: (513) 737-3698
Type: Location
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: 2024-11-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20120815000399 | I | General Surgery | OH | TBD |
| I20241126000693 | I | General Surgery | IN | 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 45420)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | IN | |
| - | IN | |
| Physician Assistant | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| Physical Therapist In Private Practice | IN | |
| - | IN | |
| - | IN | |
| G A S T R O E N T E R O L O G Y | IN | |
| Physical Therapist In Private Practice | IN |
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