ETHAN R MEYER – Physician Assistant, NPI 1942912191

ETHAN R MEYER is a healthcare provider. based in Dover, Ohio. specializing in PHYSICIAN ASSISTANT. They hold a License No. 50.008644RX (OH). The NPI Number for ETHAN R MEYER is 1942912191

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
ETHAN R MEYER
NPI
1942912191
Phone
(330) 364-8038
Address
110 DUBLIN DR STE A
Enumeration Date
20 December 2022
Last Update Date
27 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3306741200
Graduation Year
2023 (3 years ago)
PAC ID
8729427679
Group Practice PAC ID
0042104531
Professional Enrollment ID
I20240411004225
Address ID
OH446548949MI151XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

5,032 PHYSICIAN ASSISTANT in OH

Provider Addresses for ETHAN R MEYER

  • 110 DUBLIN DR STE A

    DOVER, OH 446227805

    Phone: (330) 364-8038

    Type: Mailing

  • 110 DUBLIN DR

    DOVER, OH 446227805

    Phone: (330) 674-5090

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $226.

Total Amount is formed as General ($226) + Research ($0) + Ownership ($0) = $226.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Getinge USA Sales, LLC ($91).

Total Amount

$226

General + Research + Ownership

Payments

7

Total payment records

General Amount

$226

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

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: 2024-04-11

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
I20240411004225IPhysician AssistantOHTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44622)

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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: 0042104531View full group profile
NameSpecialtyState
Physician AssistantOH
Family PracticeOH
Family PracticeOH
Physician AssistantOH

Reviews

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Frequently asked questions

Can I use this page to confirm ETHAN R MEYER's NPI?
Yes. ETHAN R MEYER is listed with NPI 1942912191 in the public NPI dataset.
Is ETHAN R MEYER still practicing?
ETHAN R MEYER is currently listed as active in the public NPI registry.
What is ETHAN R MEYER's primary classification?
Physician Assistant is the headline specialty for ETHAN R MEYER here. Clinical services aligned with this taxonomy classification.
Where should I expect ETHAN R MEYER on a map?
Expect Dover, Ohio as a primary anchor for ETHAN R MEYER unless the record lists multiple sites.
Why does ETHAN R MEYER have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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