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Active NPI 1194703660 Individual Practitioner Male Practitioner

Gregory James Staten , PA

Physician Assistant • Middletown, OH

Professional Overview & Biography Verified Profile Summary

Gregory Staten, PA is a registered healthcare professional specializing in Physician Assistant in Middletown, OH. Practice services are available at 4421 ROOSEVELT BLVD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4421 Roosevelt Blvd

Middletown, OH 450449023

Telephone 8335104357
Associated Practice Facility / Clinic
🏢 Waso Healthcare Llc Facility NPI 1588860266

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Middletown, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.4 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
14 Specialists

Practicing in Middletown, OH (5376 Statewide)

Telehealth Adoption Rate
28.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
64.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
12 12 $175.25 $62.13

Medical Specialties & State Licenses

CMS Verified: 2023-11-28
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OH 50.001631RX

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0085239 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Uzma Mian , MD

Internal Medicine

NPI 1003079419

Doctor of Medicine (M.D.)

Dara Concepcion-Perry , LCSW

Social Worker - Clinical

NPI 1003245465

Licensed Clinical Social Worker

Elizabeth Wyman , LPC

Counselor - Professional

NPI 1003264722

Licensed Professional Counselor

NPI 1003419714

REGISTEREDNURSE

Ariel Mikesell , CDCA

Counselor - Addiction (Substance Use Disorder)

NPI 1003452376

Chemical Dependency Counselor Assistant

Paula Krueger

Social Worker - Clinical

NPI 1003566860

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location November 28, 2023

Registered at 4421 ROOSEVELT BLVD, MIDDLETOWN, OH 450449023 (Tel: 8335104357)

📍
Updated Business Mailing Address November 28, 2023

Registered at 4600 MONTGOMERY RD STE 400, CINCINNATI, OH 452122600

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 28, 2023

Physician Assistant (License #50.001631RX in OH)

📍
Updated Business Mailing Address November 19, 2020

Registered at 3533 SOUTHERN BLVD STE 2100, KETTERING, OH 454291267 (Tel: 9373958556)

NPI Profile Active September 17, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location September 17, 2013

Registered at 3535 SOUTHERN BLVD, KETTERING, OH 454291221 (Tel: 9373956010)

📍
Updated Business Mailing Address September 17, 2013

Registered at 2110 LEITER RD, MIAMISBURG, OH 453423660 (Tel: 9379147054)

👤
Provider Name / Credentials Updated September 17, 2013

Recorded as GREGORY STATEN, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2013

Physician Assistant (License #50001631 in OH)

🟢
Initial NPI Registration & Enumeration January 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194703660
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 05, 2006
Last Update: November 28, 2023
Sole Proprietor: No

Mailing Address

4600 Montgomery Rd Ste 400

Cincinnati, OH 452122600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.