Vertrae – Neurological Surgery Physician, NPI 1972118420
Neurological Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Vertrae
4501 LYONS RD
MIAMISBURG, OH 453426444
Phone: (844) 255-2225
Fax: (833) 314-0504
Type: Mailing
7933 WASHINGTON WOODS DR
DAYTON, OH 454594026
Phone: (844) 255-2225
Fax: (937) 203-4643
Type: Mailing
5080 ROLLING WOODS TRL
KETTERING, OH 454291109
Phone: (909) 499-9062
Type: Mailing
70 BIRCH ALLEY
BEAVERCREEK, OH 454401479
Phone: (844) 255-2225
Type: Location
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: 2020-12-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (891 days ago).
Enrollment records
2
Earliest due date
2023-12-31
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 |
|---|---|---|---|---|
| O20201021001254 | O | Clinic/Group Practice | OH | 2025-10-31 |
| O20201216003250 | O | Physician - Neurosurgery | OH | 2023-12-31 |
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 45342)
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