The Ashtabula Clinic – Specialist, NPI 1942247143
Specialist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for The Ashtabula Clinic
354 W Main Rd
Conneaut, OH 440302043
Phone: (440) 997-2262
Type: Location
234 N Chestnut St
Jefferson, OH 440471128
Phone: (440) 997-2262
Type: Location
8220 State Route 45
Orwell, OH 440769701
Phone: (440) 997-2262
Type: Location
2112 Lake Ave
Ashtabula, OH 440043436
Phone: (440) 997-2262
Type: Location
5201 Spire Cir Ste 100
Geneva, OH 440417130
Phone: (440) 997-2262
Type: Location
2422, Lake Avenue, Ashtabula, Ashtabula County, Ohio, 44004, United States
ASHTABULA, OH 440044985
Phone: (440) 992-4422
Fax: (440) 997-6240
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: 2010-09-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-10-31 (221 days ago).
Enrollment records
1
Earliest due date
2025-10-31
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 |
|---|---|---|---|---|
| O20100930068117 | O | Physician - Podiatry | OH | 2025-10-31 |
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 44030)
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