WILLIAM S EDDY (DO) – Family Medicine Physician, NPI 1992788509

WILLIAM S EDDY (DO) is a healthcare provider. based in Niles, Ohio. specializing in FAMILY PRACTICE, GENERAL PRACTICE. They hold the professional credentials DO. They hold a License No. 3699 (OH). The NPI Number for WILLIAM S EDDY (DO) is 1992788509

Main info

Male
Sole Proprietor
43 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM S EDDY (DO)
NPI
1992788509
Phone
(330) 652-5512
Address
929 ROBBINS AVE
Enumeration Date
29 November 2005
Last Update Date
17 November 2009

Doctor Profile

Medical School Name
OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
3304802182
Graduation Year
1983 (43 years ago)
PAC ID
3678617024
Group Practice PAC ID
9234318270
Professional Enrollment ID
I20100223000418
Address ID
OH445041006YO1044XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,431 FAMILY PRACTICE in OH

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Provider Addresses for WILLIAM S EDDY (DO)

  • 929, Robbins Avenue, Niles, Trumbull County, Ohio, 44446, United States

    NILES, OH 444462441

    Phone: (330) 652-5512

    Fax: (330) 652-5122

    Mailing address matches the actual address.

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: 2010-02-23

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
I20100223000418IFamily PracticeOHTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes324208$0
36415Insertion of needle into vein for collection of blood sample163118$0
99213Established patient office or other outpatient visit, 20-29 minutes10263$0
G0008Administration of influenza virus vaccine8281$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage7878$0
View full utilization report →

Insurance plans in this area (ZIP 44446)

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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: 9234318270View full group profile

Reviews

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Frequently asked questions

What number should I use to identify WILLIAM S EDDY (DO) for billing?
Administrative and clinical systems typically use NPI 1992788509 for WILLIAM S EDDY (DO).
Should I treat WILLIAM S EDDY (DO) as an active provider?
Patients and plans typically see WILLIAM S EDDY (DO) as active in the national extract.
How should patients interpret WILLIAM S EDDY (DO)'s specialty?
The extract shows Family Medicine Physician for WILLIAM S EDDY (DO). Clinical services aligned with this taxonomy classification.
Which community is linked to WILLIAM S EDDY (DO)?
WILLIAM S EDDY (DO) shows a connection to Niles, Ohio in registry-derived data.
Can I export WILLIAM S EDDY (DO)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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