DR. IAN PELLETIER (DO) – Internal Medicine Physician, NPI 1316501000

DR. IAN PELLETIER (DO) is a healthcare provider. based in Roanoke, Virginia. specializing in INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. 2022019197 (MO). The NPI Number for DR. IAN PELLETIER (DO) is 1316501000

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. IAN PELLETIER (DO)
NPI
1316501000
Phone
Not provided
Address
1906 BELLEVIEW AVE SE
Enumeration Date
28 April 2019
Last Update Date
17 November 2022

Doctor Profile

Medical School Name
UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
Secondary Phone
5735460602
Graduation Year
2019 (7 years ago)
PAC ID
6103154372
Group Practice PAC ID
6709871007
Professional Enrollment ID
I20220718001571
Address ID
MO636630327PI315XXAXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

4,930 INTERNAL MEDICINE in VA

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Provider Addresses for DR. IAN PELLETIER (DO)

  • 1906, Belleview Avenue Southeast, Bellview Terrace, Roanoke, Roanoke (city), Virginia, 24014, United States

    ROANOKE, VA 240141838

    Phone:

    Type: Mailing

  • 1906 Belleview Ave SE

    Roanoke, VA 240141838

    Phone: (540) 981-7000

    Type: Location

  • 315 W MULBERRY STE A

    PILOT KNOB, MO 636637883

    Phone: (573) 546-0602

    Fax: (573) 546-0624

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 45 Open Payments records for all available years, with a total value of $850.

Total Amount is formed as General ($850) + Research ($0) + Ownership ($0) = $850.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($137).

Total Amount

$850

General + Research + Ownership

Payments

45

Total payment records

General Amount

$850

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2022-07-18

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
I20220718001571IInternal MedicineMOTBD

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
80053Blood test, comprehensive group of blood chemicals354273$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count313243$0
84443Blood test, thyroid stimulating hormone (tsh)240202$0
80061Blood test, lipids (cholesterol and triglycerides)210186$0
84439Thyroxine (thyroid chemical), free181160$0
View full utilization report →

Insurance plans in this area (ZIP 24014)

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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: 6709871007View full group profile

Reviews

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Frequently asked questions

Does DR. IAN PELLETIER (DO) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. IAN PELLETIER (DO) uses 1316501000.
Is DR. IAN PELLETIER (DO) listed as active for patients and plans?
The listing shows DR. IAN PELLETIER (DO) as active in the NPI system.
What healthcare role does DR. IAN PELLETIER (DO) hold?
Scheduling teams often label DR. IAN PELLETIER (DO) under Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. IAN PELLETIER (DO)?
DR. IAN PELLETIER (DO)'s geographic hint is Roanoke, Virginia in our summary view.
Is the information about DR. IAN PELLETIER (DO) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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