Prime MD – Internal Medicine Physician, NPI 1235871914
Internal Medicine Physician
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Prime MD
1500 E Main St Ste 2B
Lancaster, OH 431303478
Phone: (740) 654-0232
Fax: (740) 654-9794
Type: Location
651 W Marion Rd
Mount Gilead, OH 433381096
Phone: (614) 863-0013
Fax: (614) 356-8540
Type: Location
3433 Agler Rd Ste 1100
Columbus, OH 432193390
Phone: (614) 555-1234
Fax: (614) 555-5678
Type: Location
1150 W Locust St Ste 200
Wilmington, OH 451772063
Phone: (937) 382-5030
Fax: (937) 655-8390
Type: Location
9039 ANTARES AVE STE E2
COLUMBUS, OH 432404067
Phone: (614) 892-5365
Fax: (614) 356-8560
Type: Mailing
9039 ANTARES AVE STE B1
COLUMBUS, OH 432404067
Phone: (614) 892-5365
Fax: (614) 356-8560
Type: Location
PO BOX 278
POWELL, OH 430650278
Phone: (614) 892-5365
Fax: (614) 356-8540
Type: Mailing
99 N BRICE RD STE 140
COLUMBUS, OH 432136517
Phone: (614) 863-0013
Fax: (614) 863-0487
Type: Location
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: 2022-07-22
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 |
|---|---|---|---|---|
| O20220722001499 | O | Clinic/Group 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 43130)
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