CASEY D YOUNG (PA) – Surgical Physician Assistant, NPI 1619933629
Surgical Physician Assistant
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for CASEY D YOUNG (PA)
4750 DAYTON SPRINGFIELD RD
SPRINGFIELD, OH 455028538
Phone: (937) 408-2682
Fax: (937) 717-4656
Type: Mailing
7774 Dayton Springfield Rd Ste B
Fairborn, OH 453241957
Phone: (937) 340-6488
Fax: (937) 340-6512
Type: Location
3535 Pentagon Blvd
Beavercreek, OH 454311705
Phone: (937) 702-4503
Fax: (937) 702-4129
Type: Location
Miami Valley Hospital, 1, Wyoming Street, South Park Historic District, Dayton, Montgomery County, Ohio, 45409, United States
TRAUMA CENTER
DAYTON, OH 454092722
Phone: (937) 208-8000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $144.
Total Amount is formed as General ($144) + Research ($0) + Ownership ($0) = $144.
Last reported payment date: 2024-10-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($39).
Total Amount
$144
General + Research + Ownership
Payments
5
Total payment records
General Amount
$144
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-18
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: 2003-11-21
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 |
|---|---|---|---|---|
| I20031121000506 | I | Physician Assistant | 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 45502)
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