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DOUG SPOSETTA
NPI 1598131237
Nurse Practitioner - Family in Austintown, OH

Active since August 17, 2015PECOS Enrolled
1450 S CANFIELD NILES RD, AUSTINTOWN, OH 44515(330) 799-8752(330) 799-8754 Get Directions Write a Review

NPPES record last updated: March 4, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Doug Sposetta NPPES

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

DOUG SPOSETTA (NPI 1598131237) is an individual family provider in Austintown, Ohio, licensed in Ohio (COA.17880-NP) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598131237
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDOUG SPOSETTA
Location Address1450 S CANFIELD NILES RDAustintown, OH 44515-4085
Mailing Address1450 S Canfield Niles RdAustintown, OH 44515-4085 · (330) 799-8752 · Fax (330) 799-8754
Phone(330) 799-8752
Fax(330) 799-8754
Sole ProprietorYes
Enumeration DateAugust 17, 2015
Last NPPES UpdateMarch 4, 2016
✔ NPI 1598131237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · COA.17880-NP
1450 S CANFIELD NILES RD, Austintown, OH 44515
Open in Google Maps ↗

Other Identifiers 1

Other17880-NPOH · Ohio Board Of Nursing Credential Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MedMutual.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Doug Sposetta is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Doug Sposetta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Medical Associates, Ltd.
Same address
Family Medicine
1450 S CANFIELD NILES RD
Youngstown, OH 44515
  • Reassigned Medicare billing, Ohio enrollment
  • 2 clinicians in this Medicare group
NPI 1184761405 (330) 799-8752

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44515 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
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

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

DR. TOLGA ICLI MD
Family Medicine
1450 S CANFIELD NILES RD
AUSTINTOWN, OH 44515
Mahoning County (330) 799-8752
JESSICA EVE REITER D.O.
Internal Medicine
1450 S CANFIELD NILES RD
YOUNGSTOWN, OH 44515
Mahoning County (330) 799-8752
COMMUNITY MEDICAL ASSOCIATES, LTD.
Family Medicine
1450 S CANFIELD NILES RD
YOUNGSTOWN, OH 44515
Mahoning County (330) 799-8752
DR. DAVID M KENNEDY M.D.
Internal Medicine
1450 S CANFIELD NILES RD
AUSTINTOWN, OH 44515
Mahoning County (330) 792-7495
MICHAEL JOSEPH DEVINE III MD
Internal Medicine
1450 S CANFIELD NILES RD
AUSTINTOWN, OH 44515
Mahoning County (330) 792-7495
DR. DANIEL ANTHONY MILLER MD
Family Medicine
1450 S CANFIELD NILES RD
AUSTINTOWN, OH 44515
Mahoning County (330) 799-8752
NORTHERN OHIO MEDICAL SPECIALISTS, LLC
Durable Medical Equipment & Medical Supplies
1450 S CANFIELD NILES RD
AUSTINTOWN, OH 44515
Mahoning County (330) 270-2700
STEPHANIE R MONUS DPT
Physical Therapist
1450 S CANFIELD NILES RD
AUSTINTOWN, OH 44515
Mahoning County (330) 270-3930

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 Doug Sposetta's NPI number?

The NPI number for Doug Sposetta is 1598131237. It was assigned to this individual provider in the NPPES registry on August 17, 2015.

Where is Doug Sposetta located?

Doug Sposetta practices at 1450 S Canfield Niles Rd, Austintown, OH 44515. The listed phone number is (330) 799-8752.

What is Doug Sposetta's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Doug Sposetta enrolled in Medicare?

Yes. Doug Sposetta is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Doug Sposetta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Doug Sposetta reassigns Medicare benefits to Community Medical Associates, Ltd. (Youngstown, OH). 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 Doug Sposetta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Doug Sposetta accept?

Health plans from MedMutual list Doug Sposetta 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 Doug Sposetta was last updated on March 4, 2016. 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.