DR. JERARD MICHAEL CONNORS (MD) – Pediatrics Physician, NPI 1487680211
Pediatrics Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. JERARD MICHAEL CONNORS (MD)
3333 W Tech Rd
Miamisburg, OH 453420955
Phone: (937) 641-3400
Fax: (937) 641-4880
Type: Location
1207 KENWOOD DR
NASHVILLE, TN 372162207
Phone: (865) 368-8548
Type: Mailing
3926 GALLATIN PIKE
NASHVILLE, TN 372162436
Phone: (865) 368-8548
Type: Location
1 CHILDRENS PLZ
DAYTON, OH 454041815
Phone: (937) 641-3000
Type: Mailing
Clinch Avenue, Fort Sanders, Knoxville, Knox County, Tennessee, 37916, United States
SUITE 235
KNOXVILLE, TN 379162219
Phone: (865) 541-8648
Type: Mailing
Clinch Avenue, Knoxville, Knox County, Tennessee, 37916, United States
KNOXVILLE, TN 379162301
Phone: (865) 541-8000
Type: Location
PO BOX 933432
CLEVELAND, OH 441930039
Phone: (937) 641-5072
Fax: (937) 641-6129
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.
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: 2022-02-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20070824000437 | I | Emergency Medicine | TN | TBD |
| I20180110003038 | I | Pediatric Medicine | OH | TBD |
| I20220216000094 | I | Pediatric Medicine | LA | 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 45342)
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