AUTUMN CAMPBELL PA-C
NPI 1396110656
Physician Assistant in Canton, OH

Active since December 11, 2015PECOS EnrolledAccepts Medicare Assignment
4634 HILLS AND DALES RD NW, CANTON, OH 44708(330) 477-0255(330) 479-0392 Get Directions Write a Review

NPPES record last updated: December 11, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Autumn Campbell Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUTUMN CAMPBELL PA-C (NPI 1396110656) is an individual physician assistant in Canton, Ohio, licensed in Ohio (004534) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS, is affiliated with Wooster Community Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1396110656
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAUTUMN CAMPBELLCredential: PA-C
Location Address4634 HILLS AND DALES RD NWCanton, OH 44708-1510
Mailing Address4634 Hills And Dales Rd NwCanton, OH 44708-1510 · (330) 477-0255 · Fax (330) 479-0392
Fax(330) 479-0392
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateDecember 11, 2015
NPI 1396110656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in OH · 004534
Definition
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.
4634 HILLS AND DALES RD NW, Canton, OH 44708

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Autumn Campbell Pa-c 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.

PECOS PAC ID8729384193
PECOS Enrollment IDI20160310001271
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
16 services16 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wooster Community Hospital

Acute Care Hospitals · Wooster, OH
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number360036
Location1761 Beall AvenueWooster, OH 44691 · Wayne County
Emergency services Birthing friendly

Aultman Hospital

Acute Care Hospitals · Canton, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360084
Location2600 Sixth Street SWCanton, OH 44710 · Stark County
Emergency services Birthing friendly

Alliance Community Hospital

Acute Care Hospitals · Alliance, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360131
Location200 East State StreetAlliance, OH 44601 · Stark County
Emergency services

Twin City Medical Center

Critical Access Hospitals · Dennison, OH
OwnershipVoluntary non-profit - Church
CMS Certification Number361302
Location819 North First StreetDennison, OH 44621 · Tuscarawas County
Emergency services

Aultman Orrville Hospital

Critical Access Hospitals · Orrville, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361323
Location832 South Main StreetOrrville, OH 44667 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44708 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Reported Quality Measures

Controlling High Blood Pressure
91%782 patients5/55-star benchmark: 91%
Diabetes: Eye Exam
91%851 patients4/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
10%849 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
76%4,563 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%2,470 patients5/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 2,288 patients
Patients screened: 100% · 2,288 patients
95%179 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
3 suppliers28 claims356 services$17.50 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
3 suppliers27 claims810 services$2.15 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
50 suppliers186 claims595 services$6.26 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
24 suppliers59 claims105 services$1.03 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
10 suppliers333 claims333 services$188.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Endocrinology, Diabetes & Metabolism)
4634 HILLS AND DALES RD NW
CANTON, OH 44708
Physician Assistant
4634 HILLS AND DALES RD NW
CANTON, OH 44708
Nurse Practitioner
4634 HILLS AND DALES RD NW
CANTON, OH 44708
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4634 HILLS AND DALES RD NW
CANTON, OH 44708
Nurse Practitioner (Adult Health)
4634 HILLS AND DALES RD NW
CANTON, OH 44708
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4634 HILLS AND DALES RD NW
CANTON, OH 44708
Nurse Practitioner (Primary Care)
4634 HILLS AND DALES RD NW
CANTON, OH 44708
Nurse Practitioner (Family)
4634 HILLS AND DALES RD NW
CANTON, OH 44708

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 Autumn Campbell's NPI number?

The NPI number for Autumn Campbell is 1396110656. It was assigned to this individual provider in the NPPES registry on December 11, 2015.

Where is Autumn Campbell located?

Autumn Campbell practices at 4634 Hills And Dales Rd NW, Canton, OH 44708. The listed phone number is (330) 477-0255.

What is Autumn Campbell's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Autumn Campbell enrolled in Medicare?

Yes. Autumn Campbell 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.

What insurance does Autumn Campbell accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and MedMutual list Autumn Campbell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Autumn Campbell affiliated with any hospitals?

According to CMS data, Autumn Campbell is affiliated with Wooster Community Hospital, Aultman Hospital, Alliance Community Hospital, Twin City Medical Center and Aultman Orrville Hospital.

When was this NPI record last updated?

The NPPES record for Autumn Campbell was last updated on December 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.