Advanced Plastic and Hand Surgery – Plastic Surgery Physician, NPI 1811098452
Plastic Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Advanced Plastic and Hand Surgery
2350 MIAMI VALLEY DR STE 520
CENTERVILLE, OH 454594781
Phone: (937) 293-3800
Fax: (937) 293-9549
Type: Location
2361 Lakeview Dr
Beavercreek, OH 454313695
Phone: (937) 704-2130
Fax: (937) 704-2140
Type: Location
580 LINCOLN PARK BLVD STE 255
KETTERING, OH 454293493
Phone: (937) 949-8457
Fax: (937) 949-8695
Type: Mailing
2350, Miami Valley Drive, Centerville, Montgomery County, Ohio, 45459, United States
SUITE 520
CENTERVILLE, OH 45459
Phone: (937) 293-3800
Fax: (937) 293-9549
Type: Mailing
2361 LAKEVIEW DR
BEAVERCREEK, OH 454313695
Phone: (937) 704-2130
Fax: (937) 704-2140
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2008-01-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-07-31 (312 days ago).
Enrollment records
1
Earliest due date
2025-07-31
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 |
|---|---|---|---|---|
| O20080111000674 | O | Clinic/Group Practice | OH | 2025-07-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 45459)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.