Tug Valley ARH Regional Medical Center – Anatomic Pathology & Clinical Pathology Physician, NPI 1679658199
Anatomic Pathology & Clinical Pathology Physician
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Tug Valley ARH Regional Medical Center
100 Airport Gardens Rd
Hazard, KY 417019529
Phone: (606) 216-1429
Type: Location
South Williamson, Pike County, Kentucky, 41503, United States
SOUTH WILLIAMSON, KY 415034072
Phone: (606) 237-1700
Fax: (606) 237-1701
Type: Mailing
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.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-10-31 (584 days ago).
Enrollment records
3
Earliest due date
2024-10-31
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 |
|---|---|---|---|---|
| O20031210000688 | O | Clinic/Group Practice | WV | 2024-10-31 |
| O20250818001679 | O | Clinic/Group Practice | TX | TBD |
| O20250929000411 | O | Clinic/Group Practice | WA | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 41701)
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