ROBERT B PACKER (MD) – Pulmonary Disease Physician, NPI 1679572317

ROBERT B PACKER (MD) is a healthcare provider. based in Canton, Ohio. specializing in Pulmonary Disease Physician. They hold the professional credentials MD. They hold a License No. 28167 (OH). The NPI Number for ROBERT B PACKER (MD) is 1679572317

Main info

Male
Name
ROBERT B PACKER (MD)
NPI
1679572317
Phone
(330) 489-1454
Address
1330 MERCY DR NW
Enumeration Date
15 July 2005
Last Update Date
16 May 2012
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for ROBERT B PACKER (MD)

  • 1330, Mercy Drive Northwest, Canton, Stark County, Ohio, 44708, United States

    CANTON, OH 44708

    Phone: (330) 489-1454

    Fax: (330) 430-6913

    Mailing address matches the actual address.

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: 2010-07-08

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100708000845IPulmonary DiseaseOHTBD

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.

Verify on CMS Revalidation Lookup Tool

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 44708)

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Reviews

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Frequently asked questions

Can I use this page to confirm ROBERT B PACKER (MD)'s NPI?
Yes. ROBERT B PACKER (MD) is listed with NPI 1679572317 in the public NPI dataset.
Can I rely on ROBERT B PACKER (MD) being an active provider?
As of the registry snapshot, ROBERT B PACKER (MD) is marked active.
What is ROBERT B PACKER (MD) best known for clinically?
Directory data describes ROBERT B PACKER (MD) with Pulmonary Disease Physician. Clinical services aligned with this taxonomy classification.
What address line appears for ROBERT B PACKER (MD)?
ROBERT B PACKER (MD)'s geographic hint is Canton, Ohio in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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