VINCENT EVANOFF PA-C
NPI 1720602105
Physician Assistant - Medical in Berea, OH

Active since June 02, 2020PECOS EnrolledAccepts Medicare Assignment
275 EASTLAND RD, BEREA, OH 44017(440) 826-2900 Get Directions Write a Review

NPPES record last updated: September 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 28, 2020, Sep 25, 2020, Jun 2, 2020 (3 updates tracked since 2020).

About Vincent Evanoff Pa-c NPPES

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

VINCENT EVANOFF PA-C (NPI 1720602105) is an individual medical provider in Berea, Ohio, licensed in Ohio (50.006459) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with Uhhs Memorial Hospital Of Geneva, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1720602105
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameVINCENT EVANOFFCredential: PA-C
Location Address275 EASTLAND RDBerea, OH 44017-2005
Mailing Address4634 Hills And Dales Rd NwCanton, OH 44708-1510 · (330) 477-0255
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 2, 2020
Last NPPES UpdateSeptember 28, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2020
NPI 1720602105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in OH · 50.006459
275 EASTLAND RD, Berea, OH 44017

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

Vincent Evanoff 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 ID42639668
PECOS Enrollment IDI20201001001000
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.

Hospital Affiliations CMS Care Compare

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

Uhhs Memorial Hospital Of Geneva

Critical Access Hospitals · Geneva, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number361307
Location870 West Main StreetGeneva, OH 44041 · Ashtabula County
Emergency services

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers22 claims76 services$5.78 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
5 suppliers63 claims63 services$192.24 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 20

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

Counselor
275 EASTLAND RD
BEREA, OH 44017
Physician Assistant
275 EASTLAND RD
BEREA, OH 44017
Student in an Organized Health Care Education/Training Program
275 EASTLAND RD
BEREA, OH 44017
Specialist/Technologist (Athletic Trainer)
275 EASTLAND RD
BEREA, OH 44017
Nurse Practitioner (Women's Health)
275 EASTLAND RD
BEREA, OH 44017
Physician Assistant (Medical)
275 EASTLAND RD
BEREA, OH 44017
Physician Assistant
275 EASTLAND RD
BEREA, OH 44017
Physician Assistant
275 EASTLAND RD
BEREA, OH 44017

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 Vincent Evanoff's NPI number?

The NPI number for Vincent Evanoff is 1720602105. It was assigned to this individual provider in the NPPES registry on June 2, 2020.

Where is Vincent Evanoff located?

Vincent Evanoff practices at 275 Eastland Rd, Berea, OH 44017. The listed phone number is (440) 826-2900.

What is Vincent Evanoff's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Vincent Evanoff enrolled in Medicare?

Yes. Vincent Evanoff 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 Vincent Evanoff accept?

Health plans from Antidote Health Plan of Ohio, Inc., CareSource and MedMutual list Vincent Evanoff 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 Vincent Evanoff affiliated with any hospitals?

According to CMS data, Vincent Evanoff is affiliated with Uhhs Memorial Hospital Of Geneva.

When was this NPI record last updated?

The NPPES record for Vincent Evanoff was last updated on September 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.