TERRY PESEK (PA-C) – Physician Assistant, NPI 1962785329
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for TERRY PESEK (PA-C)
5791 NOEL ST
LOUISVILLE, OH 446419321
Phone: (330) 453-1897
Type: Mailing
659 BOULEVARD
DOVER, OH 44622
Phone: (330) 364-0894
Type: Location
PO BOX 80690
CANTON, OH 447080690
Phone: (330) 363-7444
Fax: (330) 363-7770
Type: Mailing
270 E STATE ST STE 240
ALLIANCE, OH 446014369
Phone: (330) 596-6560
Fax: (330) 596-6575
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 63 Open Payments records for all available years, with a total value of $1,137.
Total Amount is formed as General ($1,137) + Research ($0) + Ownership ($0) = $1,137.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($254).
Total Amount
$1,137
General + Research + Ownership
Payments
63
Total payment records
General Amount
$1,137
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2012-01-03
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 |
|---|---|---|---|---|
| I20120103000632 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 37 | 20 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 18 | 17 | $0 |
Insurance plans in this area (ZIP 44641)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| H O S P I T A L I S T | OH | |
| - | OH | |
| - | PA | |
| - | OH | |
| Physician Assistant | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| - | OH |
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