ANDREW CARRINGTON GOMBASH (D.O.) – Family Medicine Physician, NPI 1003809088
Family Medicine Physician
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for ANDREW CARRINGTON GOMBASH (D.O.)
1049, Western Avenue, Randall Terrace, Chillicothe, Ross County, Ohio, 45601, United States
CHILLICOTHE, OH 456011104
Phone: (740) 773-4366
Fax: (740) 775-7855
Type: Mailing
1600 E RIVERVIEW AVE
NAPOLEON, OH 435459805
Phone: (419) 592-1071
Fax: (419) 592-1076
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $308.
Total Amount is formed as General ($308) + Research ($0) + Ownership ($0) = $308.
Last reported payment date: 2024-03-28 • Largest payer in this snapshot: ABBVIE INC. ($81).
Total Amount
$308
General + Research + Ownership
Payments
18
Total payment records
General Amount
$308
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-28
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: 2004-01-28
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 |
|---|---|---|---|---|
| I20040128000648 | I | Family Practice | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 45601)
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