DR. CARL ANSEVIN M.D.
NPI 1053417709
Psychiatry & Neurology - Neurology in Gates Mills, OH
About Dr. Carl Ansevin M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CARL ANSEVIN M.D. (NPI 1053417709) is an individual neurology provider in Gates Mills, Ohio, licensed in Ohio (90097) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with New England Baptist Hospital, and is a graduate of Wright State University Boonshoft School Of Medicine (2003).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Carl Ansevin M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Carl Ansevin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Columbia, MD 21044
- Reassigned Medicare billing, Ohio enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 7
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
New England Baptist Hospital
Acute Care Hospitals · Boston, MASentara Norfolk General Hospital
Acute Care Hospitals · Norfolk, VAUniversity Of Virginia Medical Center
Acute Care Hospitals · Charlottesville, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 44040 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Carl Ansevin's NPI number?
The NPI number for Carl Ansevin is 1053417709. It was assigned to this individual provider in the NPPES registry on September 16, 2006.
Where is Carl Ansevin located?
Carl Ansevin practices at 390 Timberidge Trl, Gates Mills, OH 44040. The listed phone number is (216) 554-5289.
What is Carl Ansevin's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Carl Ansevin enrolled in Medicare?
Yes. Carl Ansevin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Carl Ansevin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carl Ansevin reassigns Medicare benefits to American Neuromonitoring Associates, PC (Columbia, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carl Ansevin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Carl Ansevin affiliated with any hospitals?
According to CMS data, Carl Ansevin is affiliated with New England Baptist Hospital, Sentara Norfolk General Hospital and University Of Virginia Medical Center.
When was this NPI record last updated?
The NPPES record for Carl Ansevin was last updated on February 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Carl Ansevin, M.D. · NPI 1053417709
Neurology physician in Gates Mills, Ohio. Individual provider, active in the CMS NPPES registry since September 16, 2006.
## Identity
- **NPI:** 1053417709 (Entity type: Individual)
- **Enumerated:** September 16, 2006
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** 90097 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 390 TIMBERIDGE TRL, Gates Mills, OH 44040-9319
- **Phone:** (216) 554-5289
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** American Neuromonitoring Associates, PC (NPI 1740391283, Columbia, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Wright State University Boonshoft School Of Medicine, class of 2003
## Record status
- **NPPES last updated:** February 20, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1053417709) · Data from the CMS NPPES public registry.