PINNACLE CARE PROVIDERS, LLC
NPI 1578799417
Internal Medicine in Canton, OH
About Pinnacle Care Providers, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PINNACLE CARE PROVIDERS, LLC (NPI 1578799417) is a healthcare organization registered as an internal medicine in Canton, Ohio and active in the NPI registry since June 2009. The organization holds a CLIA Waiver certificate valid through July 10, 2027, maintains a secondary practice location in Pittsburgh, and lists Brian Mcclain, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pinnacle Care Providers, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
82Medicare enrollment records show 82 clinicians reassign Medicare billing to Pinnacle Care Providers, LLC, which bills Medicare for the services they deliver. Of these, 33 practice at this address and 50 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 7
Nearest to this location (20)
See all 82Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 36D2062169
Pinnacle Care Providers, LLC · Canton, OHFrequently 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 Pinnacle Care Providers, LLC's NPI number?
The NPI number for Pinnacle Care Providers, LLC is 1578799417. It was assigned to this organization in the NPPES registry on June 5, 2009.
Where is Pinnacle Care Providers, LLC located?
Pinnacle Care Providers, LLC is located at 236 3rd St SW, Canton, OH 44702. The listed phone number is (330) 754-4431.
What is Pinnacle Care Providers, LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Pinnacle Care Providers, LLC enrolled in Medicare?
Yes. Pinnacle Care Providers, LLC is registered in the Medicare PECOS enrollment system.
When is Pinnacle Care Providers, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Ohio, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Pinnacle Care Providers, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 82 clinicians in 7 Medicare specialties reassign their Medicare billing to Pinnacle Care Providers, LLC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (66), Internal Medicine (7) and Family Practice (5). Of these, 33 practice at this address and 50 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Pinnacle Care Providers, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 36D2062169) is associated with this NPI, valid through July 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Pinnacle Care Providers, LLC accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Molina Healthcare list Pinnacle Care Providers, LLC 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.
When was this NPI record last updated?
The NPPES record for Pinnacle Care Providers, LLC was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.