PATRICIA B MICKUNAS (MD) – Psychiatry Physician, NPI 1992965370

PATRICIA B MICKUNAS (MD) is a healthcare provider. based in Athens, Ohio. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 35.080489 (OH). The NPI Number for PATRICIA B MICKUNAS (MD) is 1992965370

Main info

Female
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
PATRICIA B MICKUNAS (MD)
NPI
1992965370
Phone
(740) 331-6918
Address
310 W UNION ST STE 102
Enumeration Date
10 June 2008
Last Update Date
21 June 2022

Doctor Profile

Medical School Name
WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Secondary Phone
7403741400
Graduation Year
1999 (27 years ago)
PAC ID
6901870252
Group Practice PAC ID
8224928965
Professional Enrollment ID
I20040823000759
Address ID
OH457501635MA401XXSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,244 PSYCHIATRY in OH

Provider Addresses for PATRICIA B MICKUNAS (MD)

  • 310 W UNION ST STE 102

    ATHENS, OH 457012312

    Phone: (740) 331-6918

    Fax: (740) 571-4280

    Type: Location

  • 118, Putnam Street, Marietta Historic District, Harmar, Marietta, Washington County, Ohio, 45750, United States

    MARIETTA, OH 457502923

    Phone:

    Type: Mailing

  • 7305 EDGEWOOD LN

    ATHENS, OH 457018777

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $755.

Total Amount is formed as General ($755) + Research ($0) + Ownership ($0) = $755.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($171).

Total Amount

$755

General + Research + Ownership

Payments

28

Total payment records

General Amount

$755

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

Latest reported date

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: 2004-08-23

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
I20040823000759IPsychiatryOHTBD

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 minutes6622$0
90792Psychiatric diagnostic evaluation with medical services2322$0
View full utilization report →

Insurance plans in this area (ZIP 45701)

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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: 8224928965View full group profile
NameSpecialtyState
Family PracticeOH
Nurse PractitionerOH
General Practice, Obstetrics/GynecologyOH
-OH
Family PracticeOH
Family PracticeOH
Nurse PractitionerOH
-OH
O B S T E T R I C S/ G Y N E C O L O G YMI
General SurgeryOH

Reviews

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Frequently asked questions

How do payers reference PATRICIA B MICKUNAS (MD)?
For PATRICIA B MICKUNAS (MD), use NPI 1992965370 as the unique 10-digit identifier.
Is there an active status for PATRICIA B MICKUNAS (MD)?
For scheduling context, PATRICIA B MICKUNAS (MD) is shown as active in the registry.
What area of care is associated with PATRICIA B MICKUNAS (MD)?
PATRICIA B MICKUNAS (MD)'s record emphasizes Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Where in Ohio is PATRICIA B MICKUNAS (MD) registered?
Use Athens, Ohio as the headline location for PATRICIA B MICKUNAS (MD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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