AUSTIN SQUARE MEDICAL GROUP
NPI 1972627065
Family Medicine in Youngstown, OH

Active since March 16, 2007
5121 MAHONING AVE, YOUNGSTOWN, OH 44515(330) 799-3223 Get Directions Write a Review

NPPES record last updated: April 1, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Austin Square Medical Group NPPES

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

AUSTIN SQUARE MEDICAL GROUP (NPI 1972627065) is a healthcare organization registered as a family medicine in Youngstown, Ohio and active in the NPI registry since March 2007. The organization lists Gregory John Facemyer, Owner, as its authorized official.

NPPES Registry Identity

NPI1972627065
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGREGORY J. FACEMYER, M.D., LLC
Location Address5121 MAHONING AVEYoungstown, OH 44515-1847
Mailing Address8023 Maplevale DriveCanfield, OH 44406 · (330) 533-7210
Organization SubpartNo
Authorized OfficialGregory John FacemyerOwner · (330) 533-7210
Enumeration DateMarch 16, 2007
Last NPPES UpdateApril 1, 2020
NPPES CertifiedApril 1, 2020
✔ NPI 1972627065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35072943F
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5121 MAHONING AVE, Youngstown, OH 44515

Other Names 1

Doing Business AsAustin Square Medical Group

Other Identifiers 1

Medicaid2125542OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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)

Austin Square Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 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.

StateEnrollment IDDue date
StateOhioEnrollment IDO20070604000254Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Austin Square Medical Group, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1205823390
4211 STATE ROUTE 44 STE 203
Rootstown, OH 44272
(330) 325-3202
✔ PECOS✔ Accepts Medicare26 mi

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

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 Gregory J. Facemyer, M.D., LLC's NPI number?

The NPI number for Gregory J. Facemyer, M.D., LLC is 1972627065. It was assigned to this organization in the NPPES registry on March 16, 2007. The provider is doing business as Austin Square Medical Group.

Where is Gregory J. Facemyer, M.D., LLC located?

Gregory J. Facemyer, M.D., LLC is located at 5121 Mahoning Ave, Youngstown, OH 44515. The listed phone number is (330) 799-3223.

What is Gregory J. Facemyer, M.D., LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gregory J. Facemyer, M.D., LLC enrolled in Medicare?

Yes. Gregory J. Facemyer, M.D., LLC is registered in the Medicare PECOS enrollment system.

When is Gregory J. Facemyer, M.D., 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 March 31, 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 Gregory J. Facemyer, M.D., LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Gregory J. Facemyer, M.D., 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Gregory J. Facemyer, M.D., LLC accept?

Health plans from CareSource list Gregory J. Facemyer, M.D., 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 Gregory J. Facemyer, M.D., LLC was last updated on April 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.