Providence Medical Group
NPI 1760658371 · Clinical Medical Laboratory · Moraine, OH
Enrolled with Medicare as Part B Supplier - Independent Clinical Laboratory · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Providence Medical Group is a Clinical Medical Laboratory organization in Moraine, OH (NPI 1760658371).
Provider details
- NPI number
- 1760658371
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Parent organization
- Providence Medical Group
- Organization subpart
- Yes
- Authorized official
- Shirley Pfeiffer, Credentialing Coordinator(937) 297-8999
- License
- 016189 (OH)
Specialties & taxonomies
Laboratories
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
18 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
19,387 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 3,763 | $8 |
| Blood Test, Comprehensive Group of Blood Chemicals80053 | 2,865 | $10 |
| Complete Blood Cell Count (red Cells, White Blood Cell, Platelets), Automated Test and Automated Differential White Blood Cell Count85025 | 2,691 | $7 |
| Blood Test, Lipids (cholesterol and Triglycerides)80061 | 2,663 | $13 |
| Blood Test, Thyroid Stimulating Hormone (tsh)84443 | 1,532 | $16 |
| Hemoglobin A1c Level83036 | 1,372 | $9 |
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Pmg Lab
Registry dates
- Enumerated
- 2008-05-03
- Last updated
- 2014-11-26
Frequently asked questions
- What is Providence Medical Group's NPI number?
- Providence Medical Group's National Provider Identifier (NPI) is 1760658371, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Medical Group?
- Providence Medical Group is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Providence Medical Group located?
- Providence Medical Group's practice location on file with NPPES is 2912 Springboro W, Moraine, OH 45439-1674.
- What is Providence Medical Group's phone number?
- The practice phone number listed in the NPPES registry for Providence Medical Group is (937) 297-8999.
- Does Providence Medical Group accept Medicare?
- Providence Medical Group is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Providence Medical Group?
- The authorized official listed on Providence Medical Group's NPPES record is Shirley Pfeiffer, Credentialing Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Medical Group's NPI active?
- Yes — Providence Medical Group's NPI (1760658371) is active in the NPPES registry as of the last update on 2014-11-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.