Revalidation record

Matthew Donaldson — revalidation due TBD

TBD

NPI 1982894853 · Non-DME Part B · IN · Enrollment ID I20120621000144

From the CMS revalidation file for October 2026, published 2026-10-01 · check this NPI in CMS’s own lookup ↗ ·

This NPI has 3 enrollments. They stay separate. The detail below is the one to look at first.

Enrollment	State	Form	Due
I20120621000144	IN	855B	TBD
I20130709000191	IL	855B	TBD
I20130719000403	MO	855B	2023-07-31

Revalidation due: TBD
Form to file: 855B
Clinics, group practices, and other organizational suppliers file CMS-855B.

CMS has published this enrollment but not the date yet.

CMS publishes only about six months ahead. If your enrollment is on a 5-year cycle (3 years for DMEPOS), your date is not public yet.

What changed, month by month

Snapshot	Due date on the CMS file
2026-10	TBD

Not an official CMS system. Verify before filing.